1. AREAS DE EXPANSION Y CONFLICTO EN EL DESARROLLO DE LA NEUROPSICOLOGIA CLINICA Antonio E. Puente, Ph.D. University of North Carolina at Wilmington, Wilmington, NC 28403 Phone: (910) 962-38-12 Fax (910) 962-7010 E-mail:puente@uncwil.edu Colegio Oficial de Psicologos Madrid, Espana May 12, 2000

2. Theoretical Prospects n Neuropsychology as a Hybrid Discipline n To Expand, Neuropsychology Must Appreciate Ignored Disciplines n Historical and Philosophical Underpinnings Must be Better Understood n Neuropsychology Must make Further In- Roads with Science, Medicine, & Society

3. Theoretical Prospects (cont.) n The Cognitive and Subjective Must Play an Important Role n Neuropsychology will Become Universal n Is Psychology Nothing More than Neuropsychology Re-Defined by a Century of Misguided Behaviorism?

4. Suggestions for Students n Appreciate the Hybrid Foundation n Bring to the Field Ideas that Appear “Outside-the-box” n Realize that Neuropsychology is Both a Professional and Scientific Enterprise n The Discipline must Prove its value to “Common” Person & Society

5. Conflicts n Personnel: –Personalities –Cross-Disciplinary Rivalry –Defining a Neuropsychologist –Certifying a Neuropsychologist

6. Conflicts II n Lack of Science – Adequate Variety of Tests – Adequate Tests of Executive Functions – Lack of Ecological Validity – Questionable Criterion Validity – Limited Norms – Standardization vs Flexibility

7. Conflicts III n Limited Social Value – Economic Concerns – Clinical Value – Social Value – Generalizability

8. Conflicts- Summary n Personnel n Science n Value

9. Expansion Possibilities n Psychology as Neuropsychology –Examples; n William James n Ivan Pavlov

10. Expansion II n Integration of Theoretical Views –Diminishing National Boundaries –Understanding the Role of Culture as well as Education, Age, and Gender –Integration with Humanistic Arenas –Introduction of the Importance of Consciousness in Brain Dysfunction

11. Expansion III n Scientific Opportunities –Multi-Disciplinary –Integration with such Sciences as Anthropology, Physics, Criminal Justice –Issues of Criterion Validity –Adequate Norms, including Multi-Center & Multi-National Data Gathering

12. Expansion IV n Clinical/Applied Opportunities –Traditional Clinical Neuropsychology – Current Clinical Neuropsychology – The Future

13. Expansion IV- continued –Rehabilitation –Systems Approach –Biopsychosocial Context –Historical Perspective –Universal Neuropsychology –Applications to Legal, Vocational, & Sports

14. Expansion V n Social/Public Policy –Mental Vs Physical Health –Perception of Science –Address Basic Philosophical Issues –Conceptually of Social Value

15. Expansion- Summary n Theoretical n Scientific n Applied

16. Directions n Have Things Changed in Two Years? n Did Things Change During the 1990s- the Decade of the Brain? n Integration n Expansion n Understanding the Role of Science