Developing a cultural context for conducting a neuropsychological evaluation with a culturally diverse client: the ECLECTIC framework

Fujii, Daryl

doi:10.1080/13854046.2018.1435826

Cited by 81 publications

(51 citation statements)

References 96 publications

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“…Such factors can impact performance on neuropsychological tests (cf. review by Fujii, 2018) by impacting test validity, as well as an examinee's comfort with the testing situation, ability to respond to test items, and opportunities for learning (American Education Research Association et al, 2014). Despite the complexity of conducting such research, in alignment with the AACN Relevance 2050 initiative (Relevance 2050 Initiative -AACN (theaacn.org), PVT and SVT studies with ethnic minorities are likely to be productive and important (cf.…”

Section: New Consensus Considerations On Research Design and Statistical Issuesmentioning

confidence: 99%

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Sweet

Heilbronner²,

Morgan³

et al. 2021

The Clinical Neuropsychologist

247

129

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Objective: Citation and download data pertaining to the 2009 AACN consensus statement on validity assessment indicated that the topic maintained high interest in subsequent years, during which key terminology evolved and relevant empirical research proliferated. With a general goal of providing current guidance to the clinical neuropsychology community regarding this important topic, the specific update goals were to: identify current key definitions of terms relevant to validity assessment; learn what experts believe should be reaffirmed from the original consensus paper, as well as new consensus points; and incorporate the latest recommendations regarding the use of validity testing, as well as current application of the term 'malingering.' Methods: In the spring of 2019, four of the original 2009 work group chairs and additional experts for each work group were impaneled. A total of 20 individuals shared ideas and writing drafts until reaching consensus on January 21, 2021. Results: Consensus was reached regarding affirmation of prior salient points that continue to garner clinical and scientific support, as well as creation of new points. The resulting consensus statement addresses definitions and differential diagnosis, performance and symptom validity assessment, and research design and statistical issues. Conclusions/Importance: In order to provide bases for diagnoses and interpretations, the current consensus is that all clinical and forensic evaluations must proactively address the degree to which results of neuropsychological and psychological testing are valid.

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Section: New Consensus Considerations On Research Design and Statistical Issuesmentioning

confidence: 99%

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Sweet

Heilbronner²,

Morgan³

et al. 2021

The Clinical Neuropsychologist

247

129

View full text Add to dashboard Cite

show abstract

“…Clearly, there have been and are ongoing attempts to increase diversity among our doctoral-level specialists, as well as to prepare all of the specialty's clinicians for effective assessment of ethnic/racial minorities and increasing cultural diversity (e.g. Byrd et al, 2010;Fernandez, 2019;Fujii, 2018;Mindt et al, 2010;Romero et al, 2009). There appears to have been more progress made regarding improving services to increasingly diverse clientele, compared to the endpoint of the diversity "pipeline" that leads directly to becoming a doctoral-level clinical neuropsychologist.…”

Section: Key Perspectives Of Clinical Neuropsychologists In 2020mentioning

confidence: 99%

Professional practices, beliefs, and incomes of U.S. neuropsychologists: The AACN, NAN, SCN 2020 practice and “salary survey”

Sweet

Klipfel

Nelson

et al. 2020

The Clinical Neuropsychologist

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Objective: This portion of the 2020 survey updates practice information, beliefs, and income data of clinical neuropsychologists who practice within the United States. Methods: Doctoral-level neuropsychology practitioners were invited via numerous methods, with multiple reminders, to participate in a web-based survey from January 17 through April 2, 2020. The useable U.S. sample of 1677 doctoral-level practitioners was 6.2% larger than the comparable group in the prior 2015 practice survey. Results: Whereas women practitioners predominate, which continues a steeply increasing trend across time, increases in overall ethnic/racial diversity continue at a slow pace. Median age has remained very similar over the last 30 years, reflecting a continuous influx of young practitioners. A relatively small minority of neuropsychologists work part time. The proportion of board-certified neuropsychologists continues to show meaningful increase; interest in subspecialization certification is relatively high. Reliance on technicians remains popular, especially for neuropsychologists who work in institutions or are board certified. Although implementation of new CPT codes in 2019 and related payor policies appear to have had more negative than positive effects, psychologyrelated annual incomes of neuropsychologists have again increased compared to prior surveys. Variables such as specific work setting, state, region, years in practice, forensic practice hours, board certification, and basis for determining income (e.g. hours billed, revenue collected, relative value units) have an impact on income. More than half of practitioners engage in forensic neuropsychology, with the number of related practice hours per week again increasing. There is very high agreement regarding the use of response validity measures in clinical practice and forensic practice. Neurologists remain the number one referral source whether working in an institution, private practice, or a combination of both, and regardless of maintaining a pediatric, adult, or lifespan practice. Career satisfaction ratings for income, job, and work-life balance remain high, with the majority of ratings regarding the future of the specialty in the positive range. Additional data summaries related to a wide range of professional ARTICLE HISTORY

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“…As evidence of this, this issue of TCN features three articles that embody this vision. The first by Fujii (2018) provides a conceptual framework for understanding culturally diverse individuals who present for neuropsychological evaluation. Next, Trittschuh and colleagues (2018) review existing standards of care for working with transgender adults and offer practical guidance for conducting a neuropsychological evaluation.…”

Section: Editorialmentioning

confidence: 99%

TCN culture and gender in Neuropsychology Department: inaugural editorial

Mindt

Hilsabeck²

2018

The Clinical Neuropsychologist

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Developing a cultural context for conducting a neuropsychological evaluation with a culturally diverse client: the ECLECTIC framework

Abstract: Clinical implementation of the framework will be illustrated with a case sample. Strengths and weaknesses of the framework are discussed as well as recommendations for implementation.

Cited by 81 publications

References 96 publications

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

American Academy of Clinical Neuropsychology (AACN) 2021 consensus statement on validity assessment: Update of the 2009 AACN consensus conference statement on neuropsychological assessment of effort, response bias, and malingering

Professional practices, beliefs, and incomes of U.S. neuropsychologists: The AACN, NAN, SCN 2020 practice and “salary survey”

TCN culture and gender in Neuropsychology Department: inaugural editorial

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