1-1 Discussion: History and Development of Cognitive Neuropsychology
The field of cognitive neuroscience includes a wide array of disciplines and professions, such as the research neuroscientist who focuses on non-human primate translational work or the clinical neuropsychologist who conducts assessment with patients at a medical center. How do you see cognitive neuroscience benefiting the field of psychology, the patients who seek mental health services, and society at large? How do you think cognitive neuroscience could affect primary and secondary education of children and adolescents? What historical developments in neuroscience have had the greatest effect on the larger field of psychology? Provide examples to support your thinking. When responding to your peers, compare your views of neuroscience and its effects.To complete this assignment, review the Discussion Rubric document.https://www.div40-anst.com/index.htmlAFTER COMPLETING THE INITLA POST, PLEASE ALSO RESPOND TO THE FOLLOWING TWO STUDENTS REGARDING THE SAME TOPIC!STUDENT ONE:I have always been fascinated with neuroscience. I worked as a research study coordinator in psychiatry and worked primarily with bipolar patients. We used numerous diagnostic tools, such as interviews and questionnaires but it always floored me that we did not have something simple like a blood test or brain scan that could diagnose people with bipolar. It was actually frustrating to me because using the diagnostic tools of interviewing and the questionnaire seemed so subjective to me. I hope someday we can use a PET scan or some sort of brain imaging to diagnose people with mental disorders.Mental disorders such as depression, anxiety, and bipolar disorders are formed in the brain. Much of the evidence for the role of specific brain areas in psychiatry comes from “brain imaging,” which involves various ways of looking at the brain. Some technologies like PET imaging and functional MRI can determine the activity of the brain either at rest or while a person does specific tasks. Other technologies, like the long-established MRI, assess the brain’s structure, size and shape (Gillman, 2016).Even though scientists have gained a lot of knowledge about the brain through imaging it is unfortunate that mental illness cannot be diagnosed by examining an individual’s brain. There are numerous reasons why this is the case:Variation in brain activity among people with the same diagnosisPsychiatric conditions can look different in different individualsDifferent psychiatric conditions can share similar symptomsSimilar brain areas are involved in different psychiatric conditionsAs of now, brain imaging cannot be used for psychiatric diagnosis but imaging is still useful. It can be valuable in understanding the areas involved in a psychiatric condition, allowing innovative ideas such as deep brain stimulation and transcranial magnetic stimulation for the treatment of depression. Brain imaging can also rule out a direct physical cause (like a tumor or a brain bleed) of psychiatric symptoms (Gillman, 2016)( Habibi & Curran, 2012).Education is about improving learning, and neuroscience is about understanding the mental processes involved in learning. Neuroscience research suggests that learning outcomes are not solely determined by the environment (Woollett et al., 2009). Biological factors play an important role in accounting for differences in learning ability between individuals. By studying biological factors, research has advanced the understanding of specific learning difficulties such as dyslexia and dyscalculia. Likewise, neuroscience is discovering why certain types of learning are more rewarding than others (Woollett et al., 2009).• The brain changes constantly as a result of learning and remains ‘plastic’ throughout life. Neuroscience has shown that learning a skill changes the brain and that these changes regress when practice of the skill ceases. This is why ‘use it or lose it’ is an important principle for lifelong learning.• Resilience, our adaptive response to stress and adversity, can be built up through education with lifelong effects into old age. • Some insights from neuroscience are important for the development and use of adaptive digital technologies. These technologies have the potential to create more learning opportunities inside and outside the classroom and throughout life. These technologies could also have an effect on wellbeing, health, employment and the economy.• The budding field of educational neuroscience presents opportunities as well as challenges for education. It provides ways to develop a common language and bridge the gap between educators, psychologists, and neuroscientists (Woollett et al., 2009).References:Gillman, S. (2016). Using brain scans to diagnose mental disorders. Psychology Today. Retrieved from https://www.psychologytoday.comHabibi, M. & Curran, S. (2012) Neuroimaging and depression. GM Journal. Retrieved from https://www.gmjournal.co.uk/neuroimaging-and-depressionWoollett, K., Spiers, H. & Maguire, E. (2009). Talent in the taxi: a model system forexploring expertise. Phil Trans R Soc B 364(1522), 1407–1416.)STUDENT TWO:PSY 634 Module 1-1 Discussion: History and Development of Cognitive NeuropsychologyTenisha M SimmsJanuary 21, 2020Cognitive neuroscience is the scientific field that studies the biological processes of cognition with a specific focus on the neural connections within the brain that are involved in mental processes (Kosslyn & Andersen R., 1992). These processes include how people think, speak, learn, perceive, and recall information. Cognitive neuroscience is a branch of both psychology and neuroscience with overlapping disciplines in affective neuroscience, behavioral neuroscience, cognitive psychology, and physiological psychology (Kosslyn & Andersen R., 1992). Neuropsychology investigates the relationship between basic neurophysiological processes and mental functions or behaviors, i.e. language, memory, and perception (JoVe, 2020). It helps scientists understand how human thought works and provides insight into disorders relating to the nervous system (JoVe, 2020). Neuroscience affects almost all human functions and can help understand neurological conditions such as Down Syndrome, attention Deficit Hyperactivity Disorder, Epilepsy, and addiction.The study of the human brain can be traced back to the ancient Greeks who were among the first people to study the human brain. The Greek philosopher, Aristotle theorized that the brain was a blood-cooling mechanism, however Pierre Paul Broca, a French anatomist, physician, and surgeon who worked with brain damaged patients found that different areas of the brain were involved in specific functions (Crivellato & Ribatti, 2007). In the 19th century, von Hemholtz, a German physician and physicist measured the speed of the electrical impulses produced by nerve cells and Golgi, an Italian pathologist, physician, and scientist used silver chromate salt to see what neurons looked like (JoVe, 2020). In the 20th century more research uncovered the importance of the brain and its functions. These developments have allowed scientists and physicians the ability to diagnose and treat several conditions and shed light on the complexities of the human brain.Neuroscience benefits psychology by highlighting the origin of behavior within certain areas of the mind. For example, the area of the brain responsible for speech and a few other functions is known as Broca’s area, named after Dr. Pierre Paul Broca. Damage in this area of the brain can cause Broca’s aphasia, a condition in which a person can no longer produce coherent or accurate speech (Kosslyn & Andersen R., 1992). When looking at education, cognitive neuroscience has been instrumental in using its understanding of cognitive functioning to aid children in their learning processes, especially those with learning disabilities. Cognitive assessment tools that focus on evaluating networks of core neurocognitive deficits have the potential to lead to more precise diagnosis and provide the basis for designing specific intervention programs tailored to the deficits exhibited by the child (Rubinsten, 2015).The identification of the various areas of the brain and how these areas are specific for different functions would be considered one of the greatest effects on psychology. It has allowed neuroscience research to expand from looking at the brain area(s) specific functions with the usage of single technology to studies exploring the interactions between different brain areas, using multiple technologies and approaches to understand brain functions. Advances in non-invasive functional neuroimaging and data analysis methods have allowed for the use of highly naturalistic stimuli and tasks such as feature films depicting social interactions in cognitive neuroscience studies (Hasson, Nir, Levy, Fuhrmann, & Malach, 2004).ReferencesCrivellato, E., & Ribatti, D. (2007). Soul, mind, brain: Greek philosophy and the birth of neuroscience. Brain Research Bulletin, 327-336.Hasson, U., Nir, Y., Levy, I., Fuhrmann, G., & Malach, R. (2004). Intersubject Synchronization of Cortical Activity During Natural Vision. Science, 1634-1640.JoVe. (2020). Neuroscience. An Introduction to Neurophysiology. Retrieved from JoVE Science Education Database: https://www.jove.com/science-education/5201/an-int…Kosslyn, S. M., & Andersen R., A. (1992). Frontiers in cognitive neuroscience. Cambridge: MIT Press.Rubinsten, O. (2015). Link between cognitive neuroscience and education: the case of clinical assessment of developmental dyscalculia. Frontiers in Human Neuroscience.
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NAN DEFINITION OF A CLINICAL NEUROPSYCHOLOGIST
2001
Official Position of the National Academy of Neuropsychology
Approved by the Board of Directors 05/05/2001
This 2001 definition expands upon and modifies the 1989 definition by Division 40 of the American
Psychological Association, which was used as the foundation for this updated document.
A clinical neuropsychologist is a professional within the field of psychology with special expertise in the
applied science of brain-behavior relationships. Clinical neuropsychologists use this knowledge in the
assessment, diagnosis, treatment, and/or rehabilitation of patients across the lifespan with neurological,
medical, neurodevelopmental and psychiatric conditions, as well as other cognitive and learning
disorders. The clinical neuropsychologist uses psychological, neurological, cognitive, behavioral, and
physiological principles, techniques and tests to evaluate patients’ neurocognitive, behavioral, and
emotional strengths and weaknesses and their relationship to normal and abnormal central nervous system
functioning. The clinical neuropsychologist uses this information and information provided by other
medical/healthcare providers to identify and diagnose neurobehavioral disorders, and plan and implement
intervention strategies. The specialty of clinical neuropsychology is recognized by the American
Psychological Association and the Canadian Psychological Association. Clinical neuropsychologists are
independent practitioners (healthcare providers) of clinical neuropsychology and psychology.
The clinical neuropsychologist (minimal criteria) has:
- A doctoral degree in psychology from an accredited university training program.
- An internship, or its equivalent, in a clinically relevant area of professional psychology.
- The equivalent of two (fulltime) years of experience and specialized training, at least one
of which is at the post-doctoral level, in the study and practice of clinical
neuropsychology and related neurosciences. These two years include supervision by a
clinical neuropsychologist1. - A license in his or her state or province to practice psychology and/or clinical
neuropsychology independently, or is employed as a neuropsychologist by an exempt
agency.
At present, board certification is not required for practice in clinical neuropsychology. Board certification
(through formal credential verification, written and oral examination, and peer review) in the specialty of
clinical neuropsychology is further evidence of the above advanced training, supervision, and applied
fund of knowledge in clinical neuropsychology.
References
Report of the Division 40/INS Joint Task Force on Education, Accreditation,
and Credentialing (1984). Division 40 Newsletter, Vol.2, no. 2, pp. 3-8.
Definition of a Clinical Neuropsychologist, The Clinical Neuropsychologist 1989, Vol. 3, No. 1, pp.22
1
Individuals receiving training in clinical neuropsychology prior to this 2001 definition should be subject to the
educational and experiential guidelines published by Division 40 of the American Psychological Association (APA,
1984; 1989). The 2001 definition should not be interpreted as negating the credentials of individuals whose
education and experience predates the Division 40-APA definitions. Individuals meeting these prior criteria are and
continue to be clinical neuropsychologists under this 2001 definition.
Journal of Child Psychology and Psychiatry 50:1-2 (2009), pp 72–78
doi:10.1111/j.1469-7610.2008.01977.x
How neuropsychology informs our
understanding of developmental disorders
Bruce F. Pennington
University of Denver, USA
This review includes 1) an explanation of what neuropsychology is, 2) a brief history of how developmental cognitive neuroscience emerged from earlier neuropsychological approaches to understanding
atypical development, 3) three recent examples that illustrate the benefits of this approach, 4) issues
and challenges this approach must face, and 5) a forecast for the future of this approach. Keywords:
Developmental cognitive neuroscience, plasticity, molecular genetics, neural network models, dyslexia,
neuropsychology.
This paper will present neuropsychology as a method
for understanding childhood disorders. Very simply
put, neuropsychology is the study of brain–behavior
relations, and developmental neuropsychology is the
study of how those relations develop in both typical
and atypical cases. More recently, with advances in
neural network models, neuroimaging, and genetics,
a field of developmental cognitive neuroscience has
emerged that tests links across several levels of
analysis: etiology, brain development, neuropsychology, and behavioral symptoms. So, I will argue
that neuropsychology provides an important bridge
across these levels and thus among the other
methods described in other articles in this Annual
Research Review. As it interacts with these other
methods, neuropsychology itself is being transformed,
and will eventually merge into the wider interdiscipline of developmental cognitive neuroscience.
This review includes 1) an explanation of what
neuropsychology is, 2) a brief history of how developmental cognitive neuroscience emerged from
earlier neuropsychological approaches to understanding atypical development, 3) three recent
examples that illustrate the benefits of this approach,
4) issues and challenges this approach must face,
and 5) a forecast for the future of this approach.
What is neuropsychology?
Since the traditional role of neuropsychology has
mainly been to understand the behavioral effects of
acquired lesions in adults, it has always been a
clinical science that has attempted to explain
behavioral symptoms in terms of theories of normal
brain function. So neuropsychology illustrates well
the reciprocal relation that exists between basic and
clinical science. We cannot understand clinical
phenomena without a theory of normal function, but
clinical phenomena sometimes force revisions in our
theories of normal function. The history of neuroConflict of interest statement: No conflicts declared.
psychology provides many noteworthy examples
of both parts of this dialectic: how basic cognitive
theory has been revised in response to unexpected
clinical data and how advances in basic cognitive
theory have changed the constructs and measures
clinical neuropsychologists use to understand
patients. Patient data have led to theoretical revisions in virtually every domain of cognition: vision,
attention, long-term memory, short-term memory,
language, and reading (McCarthy & Warrington,
1990; Shallice, 1988; Squire, 1987). In each case,
the observation of a surprising set of symptoms in a
patient leads to much more detailed experimental
investigations, and then to revisions of basic theory.
Modern cognitive science would surely be quite
different without the data provided by patients with
acquired lesions, yet modern neuropsychology
would not exist without modern cognitive science.
For instance, contemporary clinical neuropsychologists, unlike those of a few decades ago, think in
terms of interacting neural systems and are much
more cognizant of the brain’s plasticity in the face of
damage.
More recently, the application of neuropsychology
to adult and child psychopathology has expanded
the scope of neuropsychological theory to include
domains like affective decision-making, inhibition,
social cognition, imitation, emotion regulation,
source-monitoring of thoughts and actions, and even
the self. So there is no sharp line between neuropsychological and psychological explanations of
behavior. Neuropsychology just adds the additional
requirement that we try to understand psychological
processes in terms of how the brain works. Hence,
neuropsychologists mainly use behavioral measures
in their work, but they often relate such measures to
measures of brain structure or function, or even to
genetic measures.
So neuropsychology, like the rest of science, is
solidly committed to materialism – behavioral phenomena result from complex physical interactions in
the brain – but not necessarily to reductive materialism. That is, it is unlikely that we can reduce
2008 The Author
Journal compilation 2008 Association for Child and Adolescent Mental Health.
Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA
How neuropsychology informs our understanding of developmental disorders
phenomena like attention or memory to the behavior
of individual neurons; instead, neuropsychology
holds that such phenomena are an emergent property of the interactions among many neurons, and
among networks of neurons. So we could say that
neuropsychology is characterized by a commitment
to ‘emergent materialism’ and is consequently committed to interdisciplinary integration.
History
As is true in psychiatry and neurology generally,
child neuropsychology began as the somewhat
neglected stepchild of adult neuropsychology.
Although interest in individual differences in brain–
behavior relations has been part of neuropsychology since its beginnings in the early 19th century
(Gall & Spurzheim, 1809), for the most part, classical neuropsychology focused on the consequences
of acquired lesions in adults and developed ‘box
and arrow’ models of normal adult brain functions
based on those findings. Only occasionally did
these researchers consider childhood disorders.
Freud (1897) wrote a monograph on cerebral palsy
and Pringle-Morgan (1896) described developmental dyslexia with the term ‘congenital word blindness.’ Hinshelwood (1917) elaborated this construct
in a monograph with the same name. Based on
cases of acquired dyslexia with similar symptoms,
apparently caused by damage to, or disconnection
from, the left angular gyrus (e.g., Dejerine, 1891),
Hinshelwood (1917) speculated that a congenital
problem in the angular gyrus caused developmental
dyslexia. Hinshelwood thought of the angular gyrus
as a memory center for visual word forms, a concept not too different from the construct of the
fusiform word area identified by modern neuroimaging, with the key difference that activity in the
fusiform word area only emerges with increasing
expertise in reading. Obviously, an innate center for
reading per se would not make much evolutionary
sense.
We can see in Hinshelwood’s theory of developmental dyslexia an example of a recurring problem in
the application of neuropsychology to atypical
development. Theories of brain–behavior relations
based on discoveries in adults with acquired lesions
were applied in a wholesale fashion to children. It did
not occur to these early thinkers that brain–behavior
relations might change over the course of development, as is true for the functions of the fusiform
word area.
Since this belief in invariant brain–behavior relations persisted for many decades after Hinshelwood,
and is still present today in some debates today
about innate brain modules, one can ask what discoveries have challenged it. Answering this question
will also provide an understanding of the emergence
of the field of developmental cognitive neuroscience.
73
A classic issue in developmental neuropsychology
concerned whether the lateralization of language
functions to the left hemisphere was innate or
emerged as a result of a developmental process. Two
developmental scientists made seminal discoveries in
atypical children that strongly challenged the innate
view. One of these scientists was the late Elizabeth
Bates and the other was Helen Neville. Bates and
colleagues (Bates et al., 2001; Bates & Roe, 2001)
prospectively studied infants with unilateral brain
lesions acquired before six months of age and found
that early lesions to either hemisphere disrupted
language development temporarily, but that language outcome by ages 5–7 years was within normal
limits and quite similar in both hemisphere groups. If
language lateralization to the left hemisphere were
innate, then the early left hemisphere lesion group
should have had both a persisting deficit and a worse
outcome than the right hemisphere group.
Neville and colleagues (Neville et al., 1997) demonstrated that in congenitally deaf children a visual
language (American Sign Language) comes to be
represented in the left hemisphere auditory cortex,
again indicating considerable plasticity in the classical language areas. These results and others lead
to an emergentist perspective on brain–behavior
relations, namely that the localizations of functions
inferred from lesion studies in adults are the product of acquiring a skill and that there is room for
considerable plasticity in which functions are
localized where. These discoveries made it clear that
we could only understand brain–behavior relations
in the mature brain by understanding how they
develop.
Another major impetus for the field of developmental cognitive neuroscience was a new interest in
brain–behavior relations within the field of cognitive
psychology. In the mid-1980s, the field of cognitive
neuroscience was born, spurred in equal parts by
advances in neuroimaging technology and by growing dissatisfaction among cognitive scientists about
the ability of behavioral methods alone to resolve
fundamental theoretical issues about underlying
cognitive mechanisms – the well-known identifiability problem described by Anderson (1978).
Although there was already a rich subfield of cognitive neuropsychology which used cognitive
methods to study patients with acquired brain lesions
(e.g., Shallice, 1988) and which, as mentioned earlier, had produced some surprising and fundamental
insights, lesion studies by themselves had inherent
limitations and the vast majority of cognitive psychologists did not use this method. It was only with
the advent of structural and functional neuroimaging technologies like computed topography (CT),
positron emission tomography (PET), and structural
and functional magnetic resonance imaging (MRI)
that most cognitive psychologists became interested
in the brain, leading to the rapid emergence of the
field of cognitive neuroscience.
2008 The Author
Journal compilation 2008 Association for Child and Adolescent Mental Health.
74
Bruce F. Pennington
The beginnings of the field of developmental cognitive neuroscience can be traced to Lenneberg’s
seminal book, Biological Foundations of Language
(1967) and subsequent work, such as the work of
Bates and Neville discussed earlier, on whether the
specialization of the left hemisphere for language
was innate. Inspired by Lenneberg’s book, considerable research in the 1970s and 1980s was conducted to test whether hemispheric specialization for
language was invariant across development. Many of
these studies used a relatively weak method, dichotic listening, to answer this question. Since they
failed to find developmental increases in hemispheric specialization, they often accepted the innate
(null) hypothesis. The classic studies of Bates and
Neville using more powerful methods eventually
made it clear that the answer to this fundamental
question was ‘no’, consistent with Lenneberg’s original hypothesis of progressive specialization.
There were other advances in the mid-1980s in our
understanding of the development of brain–behavior
relations. Some of these were contained in a special
section in Child Development titled ‘Developmental
Psychology and the Neurosciences: Building a
Bridge’ (Crnic & Pennington, 1987). This special
section contained Greenough, Black, and Wallace’s
(1987) now classic article on experience-dependent
and experience-expectant synaptogenesis, as well as
a review by the late Patricia Goldman-Rakic (1987)
on her seminal work on the development and functions of the prefrontal cortex. Greenough and
colleagues elegantly demonstrated that experience
shapes the brain and Goldman-Rakic demonstrated
that a classic developmental milestone, object
permanence, depended on the development of the
prefrontal cortex.
So, the field of developmental cognitive neuroscience was rapidly emerging by the mid-1980s,
although its name came somewhat later. I first
encountered this term in a grant that Liz Bates had
written, seeking funding for her pioneering studies of
children with early unilateral lesions. By adding the
adjective ‘developmental’ to the term ‘cognitive
neuroscience,’ Liz and other pioneers in this field
who used this term, like Mark Johnson (Johnson,
1997, 2005) and Chuck Nelson (Nelson & Luciana,
2001), were doing more than saying we ought to
study brain–behavior relations in children as well as
adults. Instead, this addition signaled a bold theoretical claim, that cognitive neuroscience would be
fundamentally incomplete without an understanding of how brain–behavior relations develop. In other
words, we cannot understand how the mature brain
functions without understanding how it develops.
This claim rested in part on dramatic advances in
developmental neurobiology made by Hubel and
Wiesel (1963), Hubel, Wiesel, and Stryker (1977),
Greenough (Greenough et al., 1987), Shatz (1992)
and others. These advances made it clear that plasticity was an intrinsic and necessary property of
normal brain development, and that instead of being
‘hardwired’ at birth, neural circuits (and the mental
structures they mediate) emerge as a result of interactions among neurons, whose activity is initially
endogenous and then increasingly responsive to
environmental stimulation.
So mental structures are a product of probabilistic
epigenesis (Gottlieb, 1992) or neural constructivism
(Quartz & Sejnowski, 1997). Hence, Piaget’s emergentist theory about the ontogeny of a child’s concepts
and mental operations could be potentially grounded
in the materialist details of interactions among
neurons in neural networks. Hence, the cognitive
architecture of a ‘typical’ adult is the product of a
developmental process, just as is cognitive devolution in aging, and we cannot full understand that
cognitive architecture without understanding how it
developed (and keeps developing, because plasticity
also characterizes the adult brain).
Another important scientific breakthrough contributed to this perspective, namely the development
of connectionist or neural network models (O’Reilly &
Munakata, 2000; Rumelhart & McClelland, 1986).
These networks modeled the emergence of mental
structures from the interactions of artificial neurons
exposed to a particular learning history, and became
an extremely powerful tool for studying typical and
atypical development.
The fact that a given individual’s cognitive
architecture is a product of their own developmental and learning history leads to an important
corollary: the study of individual differences will
provide important insights about what is constrained and what can vary in brain and behavior
development. Atypical development provides an
important test of the universality of developmental
processes and sequences. As Neville’s work with the
congenitally deaf demonstrated, differences in
experience will change brain development and the
localization of functions. We now have many more
examples of this phenomenon, from musicians,
blind readers of Braille, and others (e.g., Galaburda
& Pascual-Leone, 2003). These examples make one
wonder how many individuals actually have typical
development or whether typical development is
more of an average across diverse developmental
trajectories.
But individual differences also arise from genetic
differences and the interaction of genes and environment. So, another important component of
developmental cognitive neuroscience is behavioral
and molecular genetics. We are beginning to
understand how the typical chemistry and wiring of
the brain is influenced by genes, how genetic variations alter this chemistry and wiring, and how
these genetic variations interact with environmental
factor …
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1-1 Discussion: History and Development of Cognitive Neuropsychology
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