Cultural Diversity in Neuropsychological Assessment

Cultural Diversity in Neuropsychological Assessment provides a platform for clinical neuropsychologists, psychologists, and trainees to bridge cultures and speak to each other about the ethnically diverse communities they serve throughout the world. It allows readers to peek into their clinical filing cabinets and examine how they worked with diverse individuals from indigenous and migrant communities of Arab, Asian, European, Israeli, Latin American and Caribbean, Persian, Russian, Sub-Saharan African, and North American origin. The book first reviews important foundations for working with diverse communities that include key knowledge, awareness, skills, and action orientation. It then provides a collection of cases for each cultural geographic region. Each section begins with an introductory chapter to provide a bird's eye view of the historical and current state of clinical and research practice of neuropsychology in that region. Then, each chapter focuses on a specific community by providing surface and deep-level cultural background knowledge from the authors' unique perspectives. A case study is then covered in depth to practically showcase an evaluation with someone from that community. This is followed by a summary of key strategic points, lessons learned, references, further readings, and a glossary of culture specific terminology used throughout the chapter. In the end, the appendix provides a list of culturally relevant tests and norms for some communities. This ground-breaking peer-reviewed handbook provides an invaluable clinical resource for neuropsychologists, psychologists, and trainees. It increases self-reflection about multicultural awareness and knowledge, highlights practical ways to increase cultural understanding in neuropsychological and psychological assessments, and sparks further discussion for professional and personal growth in this area.

Dr. Farzin Irani's background includes a PhD from Drexel University, an internship at Brown University, a post-doctoral fellowship at the University of Pennsylvania, and board certification by the American Board of Professional Psychology. She is actively involved in clinical practice, teaching, mentorship, scholarship, service, and advocacy in neuropsychology. She currently serves in leadership positions in several local and national professional organizations including the Asian Neuropsychological Association, Society for Clinical Neuropsychology, American Academy/Board of Clinical Neuropsychology, and the Philadelphia Neuropsychology Society.

Part I: Introductory Foundations - Knowledge - Cultural Neuropsychology: Current State and Future Directions Daryl Fujii, Ph.D., ABPP-CN - Skills and Training - Multicultural Education and Training in Psychology: Let's Talk About Skill Acquisition Orlando Sanchez, Ph.D. & Tedd Judd, Ph.D., ABPP-CN - Awareness of Self - Using Reflective Self-Awareness to Enhance Cultural Competence Between Neuropsychologist and Client Rex Swanda, Ph.D., ABPP-CN - Awareness of Others - Liberating the Narratives of BIPOC Neuropsychologists: Unpacking Microaggressions through Lived Experiences Anita Herrera Hamilton, Ph.D. ABPP-CN, Shaquanna Brown, Ph.D., Velisa Johnson, Ph.D, ABPP-CN, Sagar S. Lad, PsyD., CSP. - Action - Stepping into Action: The Role of Neuropsychologists in Social Justice Advocacy Mirella Diaz-Santos, Ph.D., Kendra Anderson, Ph.D., Michelle Miranda, Ph.D., MPH, Christina G. Wong, Ph.D., Janet Yanez, MA, & Farzin Irani, Ph.D., ABPP-CN Part II: Case Studies - America (Canada and United States) Black American - Culturally Sensitive Neuropsychological Assessment in Black Americans Case Study: Seeing the Big Picture in Race, Resilience, and Examiner Expectations Vonetta M. Dotson, Ph.D., & Anthony Y Stringer, Ph.D., ABPP/ABCN Coast Salish Native American - Neuropsychology in Coast Salish Native American Contexts Case Study: Making it Through the Spiraling Fire Tunnel Tedd Judd, Ph.D, ABPP-CN & Eagle Bear Indigenous Canadian - Neuropsychological Assessment with Indigenous Peoples in Saskatchewan: A Lesson in Cultural Humility Case Study: A lesson in cultural humility Megan E. O'Connell, Ph.D., R.D.Psych, Ivan Panyavin, Ph.D., Lisa Bourke-Bearskin, RN, Ph.D., Jennifer Walker, Ph.D, Carrie Bourassa, Ph.D. - Arab Overview - Cultural Considerations in Neuropsychological Assessment of Arab Populations Ahmed F. Fasfous, Ph.D. & Julia C. Daugherty, Ph.D. Lebanese - Neuropsychological Evaluation of the Lebanese Speaking Examinee: Multiple Cultures, Multiple Languages, Multiple Religions, One Small Country Case study: No test in sight, and one language won't suffice: No pressure! Karim Yamout, PsyD, ABPP-CN - Asia Overview - General Issues in the Neuropsychological Assessment of Asian Americans Daryl Fujii, Ph.D., ABPP-CN Asian Indian - Culturally Aware Neuropsychological Assessment with Asian Indians: One Size Does Not Fit All Case Study: "I'd rather have a stroke than be depressed" Farzin Irani, Ph.D., ABPP-CN Chinese - Considerations in Neuropsychological Evaluations with Chinese Individuals Case Study: "Overcoming shame in the family" Mimi K.W. Wong, Ph.D., Esther Chin, Ph.D. & Yue Hong, PsyD Filipino - Cultural Sensitivity in Neuropsychological Assessment of Filipinos and Filipino Americans Case Study: "This might be God's punishment" Kristina A. Agbayani, Ph.D., ABPP, Mario F. Dulay, Jr., Ph.D., Regilda Anne A. Romero, Ph.D., Cherry Ordoñez, M.A. Japanese - Neuropsychological Considerations With Japanese Patients Case Study: "...and he talks like a cartoon character now" Nicholas Thaler, Ph.D., ABPP-CN & Maiko Sakamoto Pomeroy, Ph.D. Nepali-Bhutanese - Neuropsychological Considerations with Bhutanese People of Nepali Ethnicities Residing in the United States Case Study: "She speaks a strange language" Katrina E. Belen, PsyD. & David Lerner, Ph.D., ABN Pakistani - Culturally Aware Neuropsychological Assessment with Pakistanis Case Study: "Racing heart, racing mind." Sanam J. Lalani, Ph.D., Farah Hameed, M.D. and Louise F. Wheeler, Ph.D. South Korean - Cultural Considerations in the Neuropsychological Assessment of South Koreans: Land of the Morning Calm Meets K-Pop Case Study: "I have no plans to retire." Dongwook David Lee, Ph.D., ABPP-CN & Mi-Yeoung Jo, Psy.D. ABPP-CN Taiwanese - Taiwan - The Island that Embraces Chinese Subcultures Case Study: "Now that I've sustained a concussion, I need to work hard to get back on my feet. I need more food and oolong tea to heal!" June Paltzer, Ph.D., ABPP-CN Vietnamese - Neuropsychological Assessment of Vietnamese Americans Case Study: Ginseng over Donepezil? BaoChan Tran, PsyD., ABPP-CN, Ann T. Nguyen, MA, Caroline Ba, PsyD, & Christopher Minh Nguy-n, PhD, ABPP-CN - Europe Overview - Cross-Cultural Neuropsychological Assessment in the European Context: Embracing Maximum Cultural Diversity at Minimal Geographic Distances T. Rune Nielsen, Ph.D., Sanne Franzen, MSc. Miriam Goudsmit, & Özgül Uysal-Bozkir, Ph.D. Dutch (Moroccan) - Approach to Neuropsychological Assessment of Moroccan Patients in the Netherlands Case Study: "I know all prayers by heart, if only I wouldn't get so distracted" Özgül Uysal-Bozkir, Ph.D, Sanne Franzen, MSc., & Miriam Goudsmit. Greek - Culturally Aware Neuropsychological Assessment with Greek Immigrants Case Study: "When you know the person is your own, it is different, you feel more comfortable. I feel like I can speak to you and you will understand what I am saying". Mathew Staios, Master of Clinical Neuropsychology Portuguese - Neuropsychology and Rehabilitation in the Portuguese Context Case Study: "I exist beyond my diagnosis; diagnosis does not define me" Artemisa R Dores, Ph.D., Andreia Geraldo, MA., & Sandra Guerreiro, Ph.D. Spaniard - Neuropsychological and Rehabilitation Considerations for Language and Regional Diversity in Spain Case Study: "Spain, the land of diversity." Laiene Olabarrieta Landa, PhD., María Jesús Gómez López, Ph.D., Isabel González Wongvalle, Psy.D., Diego Rivera, MPH., Ph.D., & Juan Carlos Arango Lasprilla, Ph.D. Turkish - Cross-Cultural Neuropsychological Assessment with Turkish Immigrants Case Study: "I've heard a stressful life can give Alzheimer's" T. Rune Nielsen, Ph.D. - Israel - Cultural Diversity and Clinical Neuropsychology in Israel: Neuropsychological Rehabilitation within a Cultural, Religious, and Political Melting Pot Dan Hoofien, Ph.D. & Eli Vakil, Ph.D. - Latin America and Caribbean Overview - Neuropsychology in Latin America and the Caribbean Paula Karina Pérez Delgadillo, PsyD., Daniela Ramos Usuga, MSc, Laiene Olabarrieta Landa, Ph.D., Gloria M. Morel Valdés, PsyD., Juan Carlos Arango Lasprilla, Ph.D. Brazilian - Support with Autonomy: Untangling the Family Role in Neuropsychological Rehabilitation in Brazil Case Study: "How can I say thanks for my family support while telling them goodbye?" Ana Paula Almeida de Pereira, Ph.D. Colombian - Diagnostic Challenges in Remote Communities from Colombia: A Case Study of a Patient with CADASIL Case Study: "When the clinical history is bewildering, the family history enlightens" Lina Velilla-Jiménez, MS., Dorothee Schoemaker, Ph.D., Diana Múnera, BS, Joseph Arboleda-Velásquez, MD, Ph.D, Francisco Lopera, MD & Yakeel T. Quiroz, Ph.D. Cuban - A Cultural Approach to the Development of Neuropsychology in Cuba Case Study: "...My life changed from one day to the next " Ana M Rodriguez-Salgado, MSc., Ana I Peñalver-Guía, MSc. & Jorge J Llibre-Guerra, MD Guatemalan - Neuropsychology in Guatemala: The Obvious and the Invisible Case Study: "The eyes don't see what the mind does not understand" Beatriz MacDonald, Ph.D, Tedd Judd, Ph.D, ABPP-CN, Claudia García de la Cadena, Ph.D, Isis Yahaira Marroquin Jerez de Cifuentes, M.Sc. Mexican - Mexican Origin Communities and Neurodegenerative Conditions Case study: No estoy demente solo vieja/I am not demented just old Adriana M. Strutt, PhD, ABPP-CN, Ana Linda Diaz Santos, PsyD, Lic. Adriana Puente Calzada, Orlando Sanchez, PhD. Puerto Rican - Neuropsychology and Access to Services in Puerto Rico: A Family's Journey with Autism Spectrum Disorder Case Study: "Too high functioning to be autistic" Rafael E. Oliveras-Rentas, Psy.D, Mairim Vega-Carrero, PsyD., & Walter Rodríguez-Irizarry, PsyD. Venezuelan - Application of the Collaborative Therapeutic Neuropsychological Assessment Approach on a Venezuelan Migrant Case Study: "I lost my Lucidity" Aline Ferreira-Correia, PhD - Persian Afghan - Neuropsychological Evaluation of the Afghan, Dari-Persian (Dari-Farsi) Speaking Individual: Clinical and Forensic Considerations Case Study: The Underpin of an Afghan and a Jinn Amir Ramezani, Ph.D., Shushan Tigranyan, PsyD., Reza Alvani, PhD., Arash Ramezani, BA. & Carlos Oliveira, MA. Iranian - Neuropsychological Evaluation of the Iranian-American, Persian (Farsi) Speaking Individual: Clinical and Forensic Considerations Case Study: Primary Persian Aphasian in Translation Amir Ramezani, Ph.D., Emmanuel A. Zamora, PsyD., Arash Ramezani, BA. & Maria Soledad Montero, PsyD - Russian - Neuropsychological Assessment with Older Russian-Speaking Immigrants: Narrative Matters Case Study: "From Motherland to the Land of Opportunity" Irene Piryatinsky, Ph.D, ABPP-CN & Dov Gold, Ph.D. - Sub-Saharan African Overview - The Sub-Saharan African Context and the Birth of Neuropsychology Jean N Ikanga, PhD and Lingani Mbakile-Mahlanza, DPsyc Nigerian - The Use of Neuropsychological Assessment in Psychiatric Treatment Formulation in Nigeria Case Study: "I am Ok, It's Just that I Cannot Concentrate or Learn What You are Teaching" Valentine A. Ucheagwu, Ph.D. & Bruno J., Giordani, Ph.D. Somali - Exploring a Social-Ecological Systems Approach to Assessment through a Composite Somali Refugee Case Case Study: "All pains are connected." Jacob A. Bentley, Ph.D., ABPP-RP, Mohammed Alsubaie, M.S., Kimi Hashimoto, M.S., Mansha Mirza, Ph.D., Farhiya Mohamed, M.S.W. South African - A Person is a Person through Other Persons: Culturally Responsive Neuropsychological Assessment in South Africa Case Study: "A person is a person through other persons" Kate Cockcroft, Ph.D., & Sumaya Laher, Ph.D. Appendix - Tests and Norms