Traumatic Brain Injury

Methods for Clinical and Forensic Neuropsychiatric Assessment, Second Edition

  • Price: $169.95 $152.96
  • Hardback: 584 pages
  • Also available in e-Book
  • Published: December 2007
  • ISBN: 978-0-8493-8138-6
  • Publisher: CRC Press

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Since the original publication of Traumatic Brain Injury: Methods for Clinical & Forensic Neuropsychiatric Assessment, new clinical findings concerning traumatic brain injury have improved our ability to evaluate and treat individuals with TBI. Unfortunately, the dramatic rise in the occurrence of brain injuries over the same time period demands improved proficiency in evaluation and treatment. In an effort to improve forensic and medical examinations of the victims of traumatic brain injury, this volume provides new research, practical guidelines, and the latest advances and applications in structural and functional imaging assessment techniques.

New Case Studies, Images, and Clinical Findings

With updated case studies and new images from functional MRI, PET scans, and MR Spectroscopy, this edition places more emphasis on mild traumatic brain injury, including expanded information on sports injuries in children and athletes. It brings up-to-date the neuroanatomical and neuroimaging bases of cognitive domains of the brain and includes new findings on the epidemiology and pathophysiology of brain injury, as well as acquired psychopathology following injury. It also investigates the physical effects and psychiatric ramifications of blast over-pressure as seen in combat veterans and civilians in Kosovo, Lebanon, and Iraq.

Practical, Applicable Guidelines

Providing practical guidelines for using state-of-the-art, brain-based assessment techniques, this volume establishes a neuropsychiatric schema for the evaluation of traumatic brain injury and provides tools for designing a treatment plan. Although geared toward forensic evaluation with chapters on the detection of brain-injury malingering, determination of impairment, methods of neurobehavioral analysis, and the presentation of evidence at trial, the methods in this book can be used to evaluate and treat any neuropsychiatric disorder with the addition of appropriate laboratory studies and pathology specific treatment.

Table of Contents

THE EPIDEMIOLOGY AND PATHOPHYSIOLOGY OF TRAUMATIC BRAIN INJURY

Epidemiology of Traumatic Brain Injury

Classification of Head Injury 

General Classification of Head Injury 

Blunt Head Trauma, Penetrating Head Trauma, Blast or Explosion, Overpressure Trauma, Sports Injuries, Head Injury in Infancy and Childhood

Neuropathology of Traumatic Brain Injury

Potential Neurodegeneration

Damage to the Neurofilamentous Cytoskeleton Alterations of Calcium Homeostasis, Apoptosis and Cellular Death, Acute Biochemical Markers

The Pathology of Head Injury 

Skull Fracture, Focal Head Injury, Diffuse (Multifocal) Brain Damage

Secondary Injury after Head Trauma 

Vascular Failure, Intracranial Hypertension, Brain Shift and Herniation

NEUROPSYCHIATRIC AND PSYCHIATRIC SYNDROMES FOLLOWING TRAUMATIC BRAIN INJURY

Neuropsychiatric Syndromes 

Adult Cognitive Disorders, Adult Executive Disorders, Child Cognitive Disorders, Child Executive Disorders, Post-Concussion Syndrome, Frontal Lobe Syndromes, Posttraumatic Seizure Disorders, Posttraumatic Headaches, Normal-Pressure, Hydrocephalus, Posttraumatic Fatigue and Excessive Daytime Somnolence, Balance Disorders, Sexual Disorders

Psychiatric Syndromes

Depression, Mania, Anxiety Disorders, Posttraumatic Stress Disorder, Psychosis, Personality Changes, Aggression, References

GATHERING THE NEUROPSYCHIATRIC HISTORY FOLLOWING BRAIN TRAUMA

Taking the Adult Brain Injury History

     Post-trauma Symptoms and Treatment 

Taking the Child Brain Injury History

Post-trauma Symptoms and Treatment,

Review of the Medical Records

Emergency Room Records, The Hospital Record, Cognitive Rehabilitation Records, Occupational and Physical Therapy Records, Speech and Language Pathology Records

Taking the Collateral History

THE NEUROPSYCHIATRIC MENTAL STATUS AND NEUROLOGICAL EXAMINATIONS FOLLOWING TRAUMATIC BRAIN INJURY

The Adult Mental Examination 

The Adult Neurological Examination

Involuntary Movements, Sensory Examination, Reflexes, Coordination and Gait

Motor Vehicle Driving after Traumatic Brain Injury

The Child Mental Examination 

Child Neurological Examination 

THE USE OF STRUCTURAL AND FUNCTIONAL IMAGING IN THE NEUROPSYCHIATRIC ASSESSMENT OF TRAUMATIC BRAIN INJURY

Structural Imaging of Brain Trauma

Computed Tomography, Magnetic Resonance Imaging, High-Field Magnetic Resonance Imaging, Functional Imaging of Brain Trauma, Positron Emission Tomography, Functional Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, Electroencephalography, Special Problems in Pediatrics

 General Pediatric Perspectives

Nonaccidental Trauma (Child Abuse) 

Standardized Neurocognitive Assessment of Traumatic Brain Injury

Basic Statistics of Psychological Testing

Adult Neurocognitive Assessment

Child Neurocognitive Assessment 

Measuring Cognitive Injury in the Very Young Child 

BEHAVIORAL ASSESSMENT FOLLOWING TRAUMATIC BRAIN INJURY

The Adult

Affect and Mood Changes following TBI, Measuring Mood Changes, Aggression, Measuring Aggression, Effects of Brain Injury upon Sexual Behavior, Psychosocial Functioning

Traumatic Brain Injury and Impact upon Emotional Intelligence, Measuring Aspects of Emotional Intelligence following Brain Injury 

The Child

Affect and Mood Changes after TBI, Measuring Mood Changes in Children, Aggression, Psychosocial Functioning in Brain-Injured Children

Dynamics of Traumatic Brain Injury within the Family or with Significant Others

The Adult, the Child, Measurement of Patient Neurobehavioral Function within the Family System

NEUROBEHAVIORAL ANALYSIS AND TREATMENT PLANNING FOLLOWING TRAUMATIC BRAIN INJURY

Analysis of the Data

The Injury Records, the Neuropsychiatric Examination Database

Establishing Neuropsychiatric Deficits

Neuropsychiatric Treatment Planning

Pharmacologic Management of Cognitive Disorders following, Psychotherapy following Traumatic Brain Injury, Family Interventions and Therapy, Cognitive Rehabilitation

Clinical Neurobehavioral Analysis of Case Data

Case Study: Mild Traumatic Brain Injury as a Result of Motor Vehicle Accident 

Case Study: Moderate Brain Injury due to Slip-and-Fall 

Case Study: Severe Brain Injury as a Result of a Tractor-Trailer Truck Accident

Case Study: Child Traumatic Brain Injury 

FORENSIC EXAMINATIONS: DISTINCTIONS FROM EXAMINATIONS FOR TREATMENT AND THE DETECTION OF DECEPTION

Critical Differences between Treatment Examinations and Forensic Assessment of Traumatic Brain Injury

     Are You Examining a Patient or an Examinee?

Ethics and Boundary Issues of the Forensic Neuropsychiatric Examination

Legal Rules Governing the Admissibility of Scientific

Evidence at Court, Frye V. United States: General Acceptance Standards, Daubert V. Merrill Dow Pharmaceuticals, Inc, General Electric Company V. Joiner, Kumho Tire Company V. Carmichael 

Detection of Deception during Neuropsychiatric Examination of

Traumatic Brain Injury, Malingering, Detection of Cognitive Malingering, Detection of Psychological Malingering, Detection of Somatic (Physical) Malingering

CAUSATION, DAMAGES, OUTCOME, AND IMPAIRMENT DETERMINATION FOLLOWING TRAUMATIC BRAIN INJURY

Causation

Damages

Outcomes following Traumatic Brain Injury

Outcomes for Adults following Moderate-Severe Traumatic Brain Injury, Outcomes in Children following Traumatic Brain Injury 

Evaluating Legal Competence following Traumatic

Brain Injury, Adult Competence, Child Competence

Determining Impairment following Traumatic Brain Injury 

     Disability Determination following Traumatic Brain Injury 

Forensic Medical History 

FORENSIC NEUROBEHAVIORAL ANALYSIS OF TRAUMATIC BRAIN INJURY DATA

Introduction 

Analysis of the Forensic Data Following Traumatic Brain Injury

Case Study: Severe Central Facial Fractures Resulting in Traumatic Brain Injury 

Case Study: Multiple Brain Traumas as a Result of Assault and Battery

Case Study: Faking a Brain Injury in Order to Obtain Workers’ Compensation Benefits 

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