1st Edition

Rare Conditions, Diagnostic Challenges, and Controversies in Clinical Neuropsychology Out of the Ordinary

Edited By Jessica Fish, Shai Betteridge, Barbara A. Wilson Copyright 2023
    394 Pages 17 B/W Illustrations
    by Routledge

    394 Pages 17 B/W Illustrations
    by Routledge

    This book highlights those rare, difficult to diagnose or controversial cases in contemporary clinical neuropsychology. The evidence base relevant to this type of work is almost by definition insufficient to guide practice, but most clinicians will encounter such cases at some point in their careers. By documenting the experiences and learning of clinicians who have worked with cases that are ‘out of the ordinary’, the book addresses an important gap in the literature.

    The book discusses 23 challenging and fascinating cases that fall outside what can be considered routine practice. Divided into three sections, the text begins by addressing rare and unusual conditions, defined as either conditions with a low incidence, or cases with an atypical presentation of a condition. It goes on to examine circumstances where an accurate diagnosis and/or coherent case formulation has been difficult to reach. The final section addresses controversial conditions in neuropsychology, including those where there is ongoing scientific debate, disagreement between important stakeholders, or an associated high-stakes decision. This text covers practice across lifespan and offers crucial information on specific conditions as well as implications for practice in rare disorders.

    This book will be beneficial for clinical neuropsychologists and applied psychologists working with people with complex neurological conditions, along with individuals from medical, nursing, allied health and social work backgrounds. It will further be of appeal to educators, researchers and students of these professions and disciplines.


    Jessica Fish, Shai Betteridge, & Barbara A. Wilson

    Introduction: Rare Disorders, Diagnostic Conundrums, and Controversies in Clinical Neuropsychology

    Section 1: Rare conditions


    Urvashi Shah

    Gas Geyser Syndrome in India: A Tragic, Preventable Neuropsychological Morbidity 


    Joanna Atkinson

    Disconnection syndrome and optic aphasia following left hemisphere posterior cerebral artery stroke: A deductive assessment approach


    Narinder Kapur & Norman Poole

    Creutzfeldt-Jakob Disease presenting with Capgras Syndrome


    Julia Cook

    A rare and challenging differential diagnosis: Prosopagnosia and reduced empathy in right-variant semantic dementia - where "understanding does not map onto reality". 


    Jwala Narayanan

    A life in Portrait mode: Living with Balint’s Syndrome 


    Ben Marram

    Exploring the unknown: Shared discovery in rare mitochondrial disease 


    Stephanie Satariano, Louise Edwards, & Roshni Vara

    Galactosaemia: A rare metabolic disorder associated with ‘hidden’ deficits and social vulnerability 


    Harter, Catherine & Gracey, Fergus

    Anti N-methyl-D-aspartate receptor antibody encephalitis: post-acute neuropsychological consequences and rehabilitation in adolescence 

    Section 2: Diagnostic Challenges


    Alexandra E. Rose & Michael Dilley

    Neuropsychological, Neuropsychiatric and Functional Neurological Symptoms: The Challenges of Overlapping and Evolving Presentations


    Andrew Worthington

    Factitious Disorder after severe head injury 


    Joanna Atkinson & Darren Townsend-Handscome

    Deafness or brain injury? Diagnostic overshadowing in a deaf person with bilateral temporal lobe damage and visual agnosia 


    Sarah Mackenzie-Ross

    Aerotoxic Syndrome: Are passengers and aircrew breathing toxic cabin air? 


    Georgina Browne

    Focal Anterograde Amnesia: An Extraordinary Case


    Sonja Soeterik

    "Ugly sound": An examination of acquired receptive amusia in a skilled music critic


    Victoria Teggart

    Variability & Validity: Challenges to Meaningful Neuropsychological Assessment in Mental Health Settings 


    Sally Finnie

    Recognising Autism Spectrum Disorder in Adult Neuropsychology Services  


    Jenny Jim, Laura Carroll, Enrique Childress, Louise Owen, Elizabeth Roberts, Isabelle Sharples & Valeria Lowing

    What’s in the diagnosis of ‘ASD’ in the context of Paediatric ABI?


    Section 3: Controversial issues


    Rudi Coetzer

    The dilemmas surrounding the decision to reject or accept a postgraduate research student with known cognitive difficulties and a history of an arteriovenous malformation several years prior


    Karen Addy

    Mild Traumatic Brain Injury: Diagnostic Difficulties and Legal Controversies


    Leigh Leppard

    Does this man have or not have mental capacity to make decisions about his discharge from hospital?  


    Sarah Crawford, Sal Connolly, & Alexandra E. Rose

    The importance of accuracy when diagnosing Locked-in-syndrome (LIS)


    Elena Olgiati, Andrew Hanrahan, Paolo Mantovani, Jonathan Hinchliffe, & Sarah Crawford

    Ethical and practical issues for the psychologist working with patients with a disorder of consciousness 


    Shai Betteridge & Priyanka Pradhan

    Losing memories overnight: A unique form of human amnesia or life imitating art?



    Jessica Fish, Shai Betteridge, & Barbara A. Wilson

    Learning from Experience: How can we best help people with rare, difficult to diagnose, or controversial conditions?


    Dr. Jessica Fish is a clinical psychologist and neuropsychologist. Trained at the universities of Exeter, Cambridge, and King’s College London, she is a lecturer and researcher at the University of Glasgow, and works clinically at St George’s Hospital, London. Her primary expertise is in acquired brain injury and neuropsychological rehabilitation.

    Dr. Shai Betteridge is Consultant Clinical Neuropsychologist and Chief Psychological Professions Officer at St George’s University Hospitals NHS Foundation Trust, and a founder and director of Allied Neuro Therapy Ltd. Her fields of expertise include neuropsychological rehabilitation, service development, quality improvement and clinical excellence, spanning both public and private sectors.

    Dr. Barbara Wilson is a world-renowned clinical neuropsychologist. Now retired, Barbara has developed 8 neuropsychological tests, written 32 books, and published more than 300 papers and chapters. Her main contributions are in ecologically valid assessment approaches, cognitive rehabilitation and errorless learning, the holistic model of rehabilitation, and disorders of consciousness.

    "This excellent book is, in equal parts, fascinating and instructive! So much of our neuropsychological knowledge has emerged from the study of rare conditions and this book continues this vital tradition. By developing a deep understanding of a wide range of rare conditions, diagnostic challenges and controversial issues, we also improve our knowledge of how to manage conditions that are more common in clinical practice. I really enjoyed reading this book and thoroughly recommend it!"

    Jon Evans, Professor of Clinical Neuropsychology, University of Glasgow

    "This exceptional text is both groundbreaking and instructive. The detailed and clear presentation of rare cases accompanied by assessment findings, treatment protocols, theoretical implications and patient perspectives provides a roadmap for how to approach complex cases. The work of every clinician and researcher working to enhance the lives of individuals with challenging neurological conditions will be positively impacted by reading this volume and applying its concepts."

    McKay Moore Sohlberg, PhD, University of Oregon

    "An important text on the complexities of diagnosis in neuropsychology with fascinating case histories by leaders in the field."

    Ian Robertson, Global Brain Health Institute, Trinity College Dublin

    "Many of these authors [involved in this book] are experts in their respective fields and work in a variety of settings, from NHS to independent sector to private practice, in traditional neuroscience or neurorehabilitation centres, but also within neurodevelopmental, older adult, mental health, aviation, academic, and medicolegal contexts. Such a variety of authors and settings, as well as the range of conditions and issues covered represent considerable strengths of the book… I have no hesitation recommending this book to all neuropsychologists as well as other clinicians working in these areas."

    Dr Andrew JamesConsultant Clinical Neuropsychologist, Leeds UK