Expanding the scope of practice: An integrated approach to the neuropsychological examination

Assessment instruments commonly used by neuropsychologists may often be lengthy and difficult to administer. Although these procedures have been found to be precise and ideal for both practice and research, they can prove burdensome to clinicians who may need to administer them under less than optimal conditions. In addition, clinical psychologists frequently include some neuropsychological instruments in their full battery assessments. These conditions can provide distorted and incongruent data upon which diagnostic detections are often made. The curriculum proposed by the Committee for the Advancement of Professional Practice for psychologists seeking prescription privileges includes training in physical diagnostic techniques. This author considers that these techniques may facilitate the practice of neuropsychology by aiding in the selection and administration of testing instruments. To substantiate this position, literature search was conducted, culling information from psychological and medical sources resulting in an examination protocol designed to enhance current neuropsychological testing procedures.