Neuropsychological Assessment of Ethnic-Minorities Antonio E. Puente UNC-Wilmington North Carolina A & T University April 14, 2000.

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Presentation transcript:

Neuropsychological Assessment of Ethnic-Minorities Antonio E. Puente UNC-Wilmington North Carolina A & T University April 14, 2000

Background & Confounds Puente’s Biases A Matter of Perspective: The Case of Elian Gonzalez Defining Race & Ethnicity

History of Neuropsychology Organizations: INS, NAN, Division 40 of APA Personnel: Women and Ethnic-Minorities Publications: Books & Journals

Fundamental Assumptions of Confounding Variables Age Lateral Dominance Education Sex Culture & Ethnicity

Potential Problems Socio-Economic Issues Educational Attainment Acculturation Criterion and Predictive Validity: What are We Measuring and Who is the Reference Sample

Interviewing Strategies Engaging the Patient & the Family The Use of Translators and Secondary Information Miscommunication & Psychopathology Structured Vs Unstructured Approaches Indirect and Non-Traditional Measures of Competence

Testing: General Guidelines Use Most Recent Version Administer the Entire Test Test the Language Selected by the Patient Evaluate Within a Bio-Psycho-Social Context Interpret Empirically Realizing the Problems of Reference Groups Use a Variety of Tests to Form Conclusions

Testing: Bias Inappropriate Content Inappropriate Reference Samples Examiner and Language Bias Measurement of Different Constructs Differential Predictive Validity

The Problem of Cognitive Equivalence What is the Criterion Reference Value? Are We Measuring Acculturation or Neuropsychological Pathology? Are Language and Concepts Similar?

Selected Neuropsychological Tests Communication Memory Spatial & Praxic Cognition Intellectual Battery

Intellectual Tests WAIS WISC WPPSI Bayley Otis Factor “g”

Ethical, Training & Policy Issues Personnel & Pipeline Issues: Where is Our Future Increase the Number of Tests and Norms Currently Available Encourage Publishing Companies to Support These Issues Support the Research that Provides the Foundation for Clinical Activity Teach Students about Ethnic Diversity in Both Clinical and Academic Settings Being “Aware” is Simply Not Enough

Summary Defining Minority Changing Demographics Multi-Dimensional Problems The Question of Cognitive Equivalence Importance of Using a Variety of Tests and Sources of Information

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