1st Edition

Neuropsychology of Cognitive Decline
A Developmental Approach to Assessment and Intervention

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ISBN 9781462535392
Published June 29, 2018 by Guilford Press
387 Pages

USD $55.00

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Book Description

Presenting best practices for assessment and intervention with older adults experiencing cognitive decline, this book draws on cutting-edge research and extensive clinical experience. The authors' integrative approach skillfully interweaves neuropsychological and developmental knowledge. The volume provides guidelines for evaluating and differentiating among normal aging, subjective cognitive decline, mild cognitive impairment, and different types of dementia. It identifies risk and protective factors that may influence an individual's trajectory and describes how to create a sound case conceptualization. Evidence-based strategies for pharmacological, cognitive, behavioral, and psychological intervention with patients and their caregivers are illustrated with vivid case examples.

Table of Contents

I. An Overview of Cognitive Decline in Later Life
1. Introduction to the Study of Cognitive Decline
2. Factors Protective against Cognitive Decline
3. Factors Predictive of Cognitive Decline
II. Assessment Strategies for Late-Life Cognitive Decline
4. An Integrative, Developmental Approach to Assessment
5. Normal Age-Related Cognitive Decline
6. Subjective Cognitive Decline
7. Mild Cognitive Impairment
8. Dementia
III. Interventions for Late-Life Cognitive Decline
9. An Integrative, Developmental Approach to Intervention
10. Pharmacological Interventions
11. Cognitive and Behavioral Interventions
12. Psychological Interventions

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Holly A. Tuokko, PhD, a clinical neuropsychologist, is Professor of Psychology and a member of the graduate faculty in the Clinical Psychology Training Program at the University of Victoria, British Columbia, Canada, where she is also a research affiliate of the Institute on Aging and Lifelong Health. Prior to joining the University of Victoria, Dr. Tuokko was Supervising Psychologist at the Clinic for Alzheimer Disease and Related Disorders at UBC Hospital and worked on a geriatric mental health outreach team. She coordinated the neuropsychological component of the Canadian Study of Health and Aging and was Senior Investigator for a program of research on mental health and aging, including the evolution of cognitive disorders. Dr. Tuokko is the Psychological Health theme leader for the Canadian Longitudinal Study of Aging.

Colette M. Smart, PhD, a clinical neuropsychologist, is Associate Professor of Psychology and a member of the graduate faculty in the Clinical Psychology Training Program at the University of Victoria, British Columbia, Canada, where she is also a research affiliate of the Institute on Aging and Lifelong Health. Previously, Dr. Smart was a staff neuropsychologist at the Johnson Rehabilitation Institute and the Neuroscience Institute, both affiliates of JFK Medical Center in Edison, New Jersey. Her current research integrates her knowledge of aging and dementia with principles and practices of neurorehabilitation. Dr. Smart is a core member of the Subjective Cognitive Decline Initiative, an international working group of researcher-clinicians, in which she leads a special interest group focused on non-pharmacological interventions such as mindfulness training.


"This outstanding book is a true gem. Covering central topics in geriatric neuropsychology, it is organized in a pedagogically logical manner and is well written and highly relevant to practice. The book offers an important conceptualization of the experience of cognitive decline that goes beyond diagnostic categories. The discussion of assessment helps the practitioner carefully distinguish the range of normal aging states from static and transition states of mild cognitive decline and dementia. The book describes pharmacologic, cognitive training, and psychological interventions aimed at optimizing well-being, compensatory skill, and functional skill. It can be welcomed as a strong primary resource for any neuropsychologist or student practicing with elders. As the landscape of our aging population changes, this is a valuable resource for practice and teaching that is worthy of ownership and frequent reference."--Deborah Koltai, PhD, ABPP/CN, Director, Duke Clinical Neuropsychology Service; Associate Professor, Departments of Neurology, Psychiatry and Behavioral Sciences, and Neurosurgery, Duke University Medical Center

"Tuokko and Smart--both of whom are accomplished researchers and clinicians--provide an excellent evidence-based reference. The integrative, developmentally focused approach to both assessment and treatment helps prepare clinicians, students, and trainees to establish a comprehensive understanding of each patient--not just his or her symptoms--in order to make a meaningful difference in the person’s life. A particularly important feature that sets this book apart from others on cognitive decline is its coverage of cognitive wellness and factors that promote neurological health and protect against cognitive decline. This is a book that neuropsychologists who evaluate and treat older adults, and those preparing for such a career, should read and keep nearby."--Shane S. Bush, PhD, ABPP, private practice, Lake Ronkonkoma, New York; adjunct faculty, Department of Psychology, University of Alabama

"Essential reading for neuropsychologists, geriatricians, neurologists, and psychiatrists who provide services for older adults. What makes the book distinctive is its accessible overview of the cognitive aging process that successfully integrates basic and cognitive neuroscience, clinical neuropsychology, and lifespan development approaches. Chapters on intervention are particularly useful, offering practical guidance and tools to improve aspects of cognitive, emotional, and behavioral functioning. A strength of the book, overall, is its emphasis on the relative influences of biological, psychological, and social factors in the stunningly complex, often nonlinear trajectory of cognitive aging."--Laura A. Rabin, PhD, Department of Psychology, Brooklyn College of the City University of New York

"Highly readable and with broad coverage of key topics, this volume is sure to appeal to seasoned clinicians as well as students. The book contains a helpful introduction to both protective and risk factors for cognitive decline. It supports interpretation of individuals' current cognitive symptom presentations based on an integrative developmental perspective that is sensitive to a range of potential contributing factors. This framework--coupled with clinical assessment guidelines and engaging case studies--brings to life the process of interpreting often complex assessment scenarios. The distillation of empirical research on types of interventions suitable for specific neuropsychological presentations is extremely useful. A valuable resource."--Nancy A. Pachana, PhD, FASSA, Codirector, Aging Mind Initiative, University of Queensland, Australia

"Recommended. Graduate students, researchers, and practitioners."--Choice Reviews, 01/01/2019