ABSTRACT
Cultural Diversity in Neuropsychological Assessment provides a platform for clinical neuropsychologists, psychologists, and trainees to bridge cultures and speak to each other about the ethnically diverse communities they serve throughout the world. It allows readers to peek into their clinical filing cabinets and examine how they worked with diverse individuals from indigenous and migrant communities of Arab, Asian, European, Israeli, Latin American and Caribbean, Persian, Russian, Sub-Saharan African, and North American origin.
The book first reviews important foundations for working with diverse communities that include key knowledge, awareness, skills, and action orientation. It then provides a collection of cases for each cultural geographic region. Each section begins with an introductory chapter to provide a bird’s eye view of the historical and current state of clinical and research practice of neuropsychology in that region. Then, each chapter focuses on a specific community by providing surface and deep-level cultural background knowledge from the authors’ unique perspectives. A case study is then covered in depth to practically showcase an evaluation with someone from that community. This is followed by a summary of key strategic points, lessons learned, references, further readings, and a glossary of culture specific terminology used throughout the chapter. In the end, the appendix provides a list of culturally relevant tests and norms for some communities.
This ground-breaking peer-reviewed handbook provides an invaluable clinical resource for neuropsychologists, psychologists, and trainees. It increases self-reflection about multicultural awareness and knowledge, highlights practical ways to increase cultural understanding in neuropsychological and psychological assessments, and sparks further discussion for professional and personal growth in this area.
Part I: Introductory Foundations
- Knowledge
- Cultural Neuropsychology: Current State and Future Directions
Daryl Fujii, Ph.D., ABPP-CN
- Skills and Training
- Multicultural Education and Training in Psychology: Let’s Talk About Skill Acquisition
Orlando Sanchez, Ph.D. & Tedd Judd, Ph.D., ABPP-CN
- Awareness of Self
- Using Reflective Self-Awareness to Enhance Cultural Competence Between Neuropsychologist and Client
Rex Swanda, Ph.D., ABPP-CN
- Awareness of Others
- Liberating the Narratives of BIPOC Neuropsychologists: Unpacking Microaggressions through Lived Experiences
Anita Herrera Hamilton, Ph.D. ABPP-CN, Shaquanna Brown, Ph.D., Velisa Johnson, Ph.D, ABPP-CN, Sagar S. Lad, PsyD., CSP.
- Action
- Stepping into Action: The Role of Neuropsychologists in Social Justice Advocacy
Mirella Diaz-Santos, Ph.D., Kendra Anderson, Ph.D., Michelle Miranda, Ph.D., MPH, Christina G. Wong, Ph.D., Janet Yanez, MA, & Farzin Irani, Ph.D., ABPP-CN
Part II: Case Studies
- America (Canada and United States)
Black American
- Culturally Sensitive Neuropsychological Assessment in Black Americans
- Neuropsychology in Coast Salish Native American Contexts
- Neuropsychological Assessment with Indigenous Peoples in Saskatchewan: A Lesson in Cultural Humility
Case Study: Seeing the Big Picture in Race, Resilience, and Examiner Expectations
Vonetta M. Dotson, Ph.D., & Anthony Y Stringer, Ph.D., ABPP/ABCN
Coast Salish Native American
Case Study: Making it Through the Spiraling Fire Tunnel
Tedd Judd, Ph.D, ABPP-CN & Eagle Bear
Indigenous Canadian
Case Study: A lesson in cultural humility
Megan E. O’Connell, Ph.D., R.D.Psych, Ivan Panyavin, Ph.D., Lisa Bourke-Bearskin, RN, Ph.D., Jennifer Walker, Ph.D, Carrie Bourassa, Ph.D.
- Arab
Overview
- Cultural Considerations in Neuropsychological Assessment of Arab Populations
- Neuropsychological Evaluation of the Lebanese Speaking Examinee: Multiple Cultures, Multiple Languages, Multiple Religions, One Small Country
Ahmed F. Fasfous, Ph.D. & Julia C. Daugherty, Ph.D.
Lebanese
Case study: No test in sight, and one language won’t suffice: No pressure!
Karim Yamout, PsyD, ABPP-CN
- Asia
Overview
- General Issues in the Neuropsychological Assessment of Asian Americans
- Culturally Aware Neuropsychological Assessment with Asian Indians: One Size Does Not Fit All
- Considerations in Neuropsychological Evaluations with Chinese Individuals
- Cultural Sensitivity in Neuropsychological Assessment of Filipinos and Filipino Americans
- Neuropsychological Considerations With Japanese Patients
- Neuropsychological Considerations with Bhutanese People of Nepali Ethnicities Residing in the United States
- Culturally Aware Neuropsychological Assessment with Pakistanis
- Cultural Considerations in the Neuropsychological Assessment of South Koreans: Land of the Morning Calm Meets K-Pop
- Taiwan – The Island that Embraces Chinese Subcultures
- Neuropsychological Assessment of Vietnamese Americans
Daryl Fujii, Ph.D., ABPP-CN
Asian Indian
Case Study: "I’d rather have a stroke than be depressed"
Farzin Irani, Ph.D., ABPP-CN
Chinese
Case Study: "Overcoming shame in the family"
Mimi K.W. Wong, Ph.D., Esther Chin, Ph.D. & Yue Hong, PsyD
Filipino
Case Study: "This might be God’s punishment"
Kristina A. Agbayani, Ph.D., ABPP, Mario F. Dulay, Jr., Ph.D., Regilda Anne A. Romero, Ph.D., Cherry Ordoñez, M.A.
Japanese
Case Study: "…and he talks like a cartoon character now"
Nicholas Thaler, Ph.D., ABPP-CN & Maiko Sakamoto Pomeroy, Ph.D.
Nepali-Bhutanese
Case Study: "She speaks a strange language"
Katrina E. Belen, PsyD. & David Lerner, Ph.D., ABN
Pakistani
Case Study: "Racing heart, racing mind."
Sanam J. Lalani, Ph.D., Farah Hameed, M.D. and Louise F. Wheeler, Ph.D.
South Korean
Case Study: "I have no plans to retire."
Dongwook David Lee, Ph.D., ABPP-CN & Mi-Yeoung Jo, Psy.D. ABPP-CN
Taiwanese
Case Study: "Now that I’ve sustained a concussion, I need to work hard to get back on my feet. I need more food and oolong tea to heal!"
June Paltzer, Ph.D., ABPP-CN
Vietnamese
Case Study: Ginseng over Donepezil?
BaoChan Tran, PsyD., ABPP-CN, Ann T. Nguyen, MA, Caroline Ba, PsyD, & Christopher Minh Nguyễn, PhD, ABPP-CN
- Europe
Overview
- Cross-Cultural Neuropsychological Assessment in the European Context: Embracing Maximum Cultural Diversity at Minimal Geographic Distances
- Approach to Neuropsychological Assessment of Moroccan Patients in the Netherlands
- Culturally Aware Neuropsychological Assessment with Greek Immigrants
- Neuropsychology and Rehabilitation in the Portuguese Context
- Neuropsychological and Rehabilitation Considerations for Language and Regional Diversity in Spain
- Cross-Cultural Neuropsychological Assessment with Turkish Immigrants
T. Rune Nielsen, Ph.D., Sanne Franzen, MSc. Miriam Goudsmit, & Özgül Uysal-Bozkir, Ph.D.
Dutch (Moroccan)
Case Study: "I know all prayers by heart, if only I wouldn’t get so distracted"
Özgül Uysal-Bozkir, Ph.D, Sanne Franzen, MSc., & Miriam Goudsmit.
Greek
Case Study: "When you know the person is your own, it is different, you feel more comfortable. I feel like I can speak to you and you will understand what I am saying".
Mathew Staios, Master of Clinical Neuropsychology
Portuguese
Case Study: "I exist beyond my diagnosis; diagnosis does not define me"
Artemisa R Dores, Ph.D., Andreia Geraldo, MA., & Sandra Guerreiro, Ph.D.
Spaniard
Case Study: "Spain, the land of diversity."
Laiene Olabarrieta Landa, PhD., María Jesús Gómez López, Ph.D., Isabel González Wongvalle, Psy.D., Diego Rivera, MPH., Ph.D., & Juan Carlos Arango Lasprilla, Ph.D.
Turkish
Case Study: "I’ve heard a stressful life can give Alzheimer’s"
T. Rune Nielsen, Ph.D.
- Israel
- Cultural Diversity and Clinical Neuropsychology in Israel: Neuropsychological Rehabilitation within a Cultural, Religious, and Political Melting Pot
Dan Hoofien, Ph.D. & Eli Vakil, Ph.D.
- Latin America and Caribbean
Overview
- Neuropsychology in Latin America and the Caribbean
- Support with Autonomy: Untangling the Family Role in Neuropsychological Rehabilitation in Brazil
- Diagnostic Challenges in Remote Communities from Colombia: A Case Study of a Patient with CADASIL
- A Cultural Approach to the Development of Neuropsychology in Cuba
- Neuropsychology in Guatemala: The Obvious and the Invisible
- Mexican Origin Communities and Neurodegenerative Conditions
- Neuropsychology and Access to Services in Puerto Rico: A Family's Journey with Autism Spectrum Disorder
- Application of the Collaborative Therapeutic Neuropsychological Assessment Approach on a Venezuelan Migrant
Paula Karina Pérez Delgadillo, PsyD., Daniela Ramos Usuga, MSc, Laiene Olabarrieta Landa, Ph.D., Gloria M. Morel Valdés, PsyD., Juan Carlos Arango Lasprilla, Ph.D.
Brazilian
Case Study: "How can I say thanks for my family support while telling them goodbye?"
Ana Paula Almeida de Pereira, Ph.D.
Colombian
Case Study: "When the clinical history is bewildering, the family history enlightens"
Lina Velilla-Jiménez, MS., Dorothee Schoemaker, Ph.D., Diana Múnera, BS, Joseph Arboleda-Velásquez, MD, Ph.D, Francisco Lopera, MD & Yakeel T. Quiroz, Ph.D.
Cuban
Case Study: "…My life changed from one day to the next "
Ana M Rodriguez-Salgado, MSc., Ana I Peñalver-Guía, MSc. & Jorge J Llibre-Guerra, MD
Guatemalan
Case Study: "The eyes don’t see what the mind does not understand"
Beatriz MacDonald, Ph.D, Tedd Judd, Ph.D, ABPP-CN, Claudia García de la Cadena, Ph.D, Isis Yahaira Marroquin Jerez de Cifuentes, M.Sc.
Mexican
Case study: No estoy demente solo vieja/I am not demented just old
Adriana M. Strutt, PhD, ABPP-CN, Ana Linda Diaz Santos, PsyD, Lic. Adriana Puente Calzada, Orlando Sanchez, PhD.
Puerto Rican
Case Study: "Too high functioning to be autistic"
Rafael E. Oliveras-Rentas, Psy.D, Mairim Vega-Carrero, PsyD., & Walter Rodríguez-Irizarry, PsyD.
Venezuelan
Case Study: "I lost my Lucidity"
Aline Ferreira-Correia, PhD
- Persian
Afghan
- Neuropsychological Evaluation of the Afghan, Dari-Persian (Dari-Farsi) Speaking Individual: Clinical and Forensic Considerations
- Neuropsychological Evaluation of the Iranian-American, Persian (Farsi) Speaking Individual: Clinical and Forensic Considerations
Case Study: The Underpin of an Afghan and a Jinn
Amir Ramezani, Ph.D., Shushan Tigranyan, PsyD., Reza Alvani, PhD., Arash Ramezani, BA. & Carlos Oliveira, MA.
Iranian
Case Study: Primary Persian Aphasian in Translation
Amir Ramezani, Ph.D., Emmanuel A. Zamora, PsyD., Arash Ramezani, BA. & Maria Soledad Montero, PsyD
- Russian
- Neuropsychological Assessment with Older Russian-Speaking Immigrants: Narrative Matters
Case Study: "From Motherland to the Land of Opportunity"
Irene Piryatinsky, Ph.D, ABPP-CN & Dov Gold, Ph.D.
- Sub-Saharan African
Overview
- The Sub-Saharan African Context and the Birth of Neuropsychology
- The Use of Neuropsychological Assessment in Psychiatric Treatment Formulation in Nigeria
- Exploring a Social-Ecological Systems Approach to Assessment through a Composite Somali Refugee Case
- A Person is a Person through Other Persons: Culturally Responsive Neuropsychological Assessment in South Africa
Jean N Ikanga, PhD and Lingani Mbakile-Mahlanza, DPsyc
Nigerian
Case Study: "I am Ok, It’s Just that I Cannot Concentrate or Learn What You are Teaching"
Valentine A. Ucheagwu, Ph.D. & Bruno J., Giordani, Ph.D.
Somali
Case Study: "All pains are connected."
Jacob A. Bentley, Ph.D., ABPP-RP, Mohammed Alsubaie, M.S., Kimi Hashimoto, M.S., Mansha Mirza, Ph.D., Farhiya Mohamed, M.S.W.
South African
Case Study: "A person is a person through other persons"
Kate Cockcroft, Ph.D., & Sumaya Laher, Ph.D.
Appendix – Tests and Norms