many childhood psychopathology textbooks and associated coursework focus on overt symptoms and behavior to describe different disorders and to evaluate their empirically based treatments. However, in this volume, authors attempt to move beyond this reductionist simplicity to include discussion of the interrelated brain structures, functions, and systems governing human behavior that when impaired lead to psychopathology. the term neuropsychopathology is used to make clear our perspective that psychopathology has, for far too long, been governed by categorical disorder definitions that require counting of informant-reported symptoms and arbitrary thresholds for identification. Although categorical labels may be useful for political or economic reasons, they perpetuate misinformation and misunderstanding that suggests a false dichotomy between what is "normal" and what is "abnormal" in the manifestation of brain-behavior relationships. the "neuro" focus provides usCopyright American Psychological Association. Not for further distribution.
koziol, budding, and halewith the impetus to understand the etiology, manifestation, variability, and outcomes observed among children with psychopathological disorders.We all have characteristics or personalities that explain who we are, how we think, and what we do. However, personalities should not be seen as conceptually or functionally distinct from psychopathology. When does an introvert become withdrawn, an individualist become antisocial, or a visionary become psychotic? these are fine lines to draw indeed, especially given that intraindividual differences can be more important in understanding and helping children than interindividual ones. neuropsychological theory and research explains why adaptive and maladaptive characteristics often exist in the same individuals, suggesting that these characteristics represent multiple dimensions of psychosocial functioning. Interdependent and multidetermined, these dimensions represent interrelated brain-based systems that range on a continuum from normal to impaired.careful neuropsychological evaluation and clinical elucidation are needed to incorporate a dimensional perspective that will help us understand and serve individuals affected by neuropsychopathology. this dimensional approach recognizes that phenotypic presentation for any given individual is highly variable and dependent on both genetic endowment and environmental determinants. neuropsychological and neuroimaging research has revealed the brain to be much more plastic than was ever anticipated, and this fact has led us to conclude that the clinical presentation of any individual is highly malleable and modifiable. this plasticity is not unidirectional, however, because impaired brain functioning can be made better with proper intervention, whereas normal brain functioning can become problematic if exposed to deleterious environmental circumstances. those who receive intensive neuropsychological training and supervised experience are most likely to recognize the biologi...