Traumatic Brain Injury: Methods for Clinical and Forensic Neuropsychiatric Assessment, Third Edition provides physicians and psychologists with a scientifically based schema for the clinical evaluation of traumatic brain injury (TBI).
The book assists physicians and psychologists in developing treatment plans for patients who have sustained TBIs and also guides those providing forensic analysis to lawyers, insurance bodies, workers' compensation systems, triers of fact, and other stakeholders in the adjudication of victims of TBI.
The procedures and recommendations in this book are grounded in highly referenced evidence-based science but also come from more than 5000 cases wherein the author and contributors have personally examined individuals who have sustained a TBI, or who claim to have sustained a TBI.
This edition has been entirely rewritten. The style now follows a more traditional neuropsychiatric format than previous editions. Since the last edition, there has been increased awareness and scientific study regarding the effects of blast brain injury as a consequence of US military experiences in Afghanistan and Iraq.
There is also increased interest in the phenomenology of mild traumatic brain injury and, in particular, the forensic complications associated with evaluations of this disorder. Chronic traumatic encephalopathy has also received significant scrutiny in the last decade, possibly associated with sports injuries.
This book is a comprehensive resource for clinicians treating patients as well as for forensic specialists. Its purpose remains the same as in prior editions-to provide physicians or psychologists with a practical method for an effective evaluation of TBI based upon known scientific principles of brain-behavior relationships and state-of-the-art clinical, neuroimaging, neuropsychological, and psychological techniques.
Robert P. Granacher Jr.
CRC Press Inc
Country of Publication:
3rd New edition
02 March 2015
Professional and scholarly
Epidemiology and Pathophysiology of Traumatic Brain Injury Introduction Epidemiology of Traumatic Brain Injury Definitions of Traumatic Brain Injury Classification of Traumatic Brain Injury Concussion Blunt Force Head Injury Penetrating Brain Injury Military or Blast Brain Trauma Sports Injuries Concussion in Sports Chronic Traumatic Encephalopathy Pediatric Traumatic Brain Injury Geriatric Traumatic Brain Injury Molecular Biology and Pathophysiology of Traumatic Brain Injury Primary Diffuse Brain Injury Diffuse Axonal Injury Primary Focal Brain Injury Secondary Traumatic Brain Injury Genetics and Brain Trauma A Default Mode of Brain Function References Neuropsychiatric and Psychiatric Symptoms after Traumatic Brain Injury Neuropsychiatric Syndromes in Adults Adult Cognitive Disorders Frontal Brain Syndromes of Impaired Executive Function Attentional Impairment Following Pediatric TBI Pediatric Neuropsychiatric Syndromes Neuropsychiatric/Somatic Syndromes Psychiatric Syndromes References Taking the Neuropsychiatric History after Traumatic Brain Injury Introduction General Premorbid Neuropsychiatric History Birth and Perinatal History Developmental History Handedness Laterality and Motor Skills Seizures and Spells Substance Use and Abuse Premorbid Personality Preinjury Cognitive Status Aggressive Behaviors Specific Neuropsychiatric TBI History Attentional History after TBI Memory History after TBI Speech and Language History after TBI Visuospatial History after TBI Executive Function History after TBI Affect and Mood History after TBI Thought Processing History after TBI Suicidal Ideation after TBI Neurobehavioral Treatment History Following TBI Activities of Daily Living History after TBI Pre-TBI Medical History (Past Medical History) Family History Review of Systems after TBI Child Brain Injury History Preinjury Developmental History Family History Attentional History after TBI Communication History after TBI Memory History after TBI Visuospatial History after TBI Intellectual History after TBI Executive Function History after TBI Mood and Affective History after TBI Academic History after TBI Review of Records Adult or Child Record Review Child Record Review References Performing the Neuropsychiatric Mental Status and Neurological Examinations after Traumatic Brain Injury Adult Mental Status Examination Sensory Domain-Specific Recognition Praxis Mood and Affect Thought Processing Thought Content and Perception Insight and Self-Awareness Judgment and Decision-Making Capacity Risk to Self or Others Adult Neurological Examination after TBI Head and Neck Examination Cranial Nerve Examination Sensory Function Examination Motor Impairment Examination Motor Vehicle Driving after Traumatic Brain Injury Child Mental Status Examination Speech and Language Memory and Orientation Visuospatial and Constructional Ability Executive Function Affect and Mood Thought Processing, Content, and Perception Child Neurological Examination Appearance Cranial Nerve Examination Motor Examination Gait Examination Sensory Testing Coordination Testing References Use of Neuroimaging in the Neuropsychiatric Assessment of Traumatic Brain Injury Introduction Structural Imaging of Primary Brain Trauma Functional Imaging of Brain Trauma Positron Emission Tomography Single Photon Emission Computed Tomography after TBI Magnetic Resonance Spectroscopy after TBI Functional Magnetic Resonance Imaging (fMRI) after TBI Electroencephalography after TBI Nonaccidental Trauma (Child Abuse) Birth Trauma Extracranial Birth Trauma Skull Fractures in the Newborn Traumatic intracranial Hemorrhage in the Newborn References Standardized Neurocognitive Assessment of Traumatic Brain Injury Introduction Basic Concepts of Psychological Testing Adult Neurocognitive Assessment Comparison Standards for Deficit Measurement Measurement of Neuropsychological Deficits Deficit Measurement Paradigm Practice Effects of Repeated Neuropsychological and Psychological Testing Using Symptom Validity Tests (SVTs) and Performance Validity Tests (PVTs) Measuring Attention Measuring Memory Measuring Language and Communication Disorders Following TBI Aphasia Verbal Expression Verbal Comprehension Verbal Academic Skills Measuring Somatosensory and Motor Function Measurement of Visuospatial Processing and Constructional Tasks Measuring Executive Functions and Reasoning Measuring General Ability Measuring Pediatric Neurocognition after TBI Measuring Symptom Validity and Response Bias in Children Establishing a Preinjury Cognitive Baseline in Children Measuring Attention in Children Measuring Memory in Children Measuring Language in Children Measuring Visuoperceptual Ability in Children Measuring Sensory Motor Function in Children Measuring Executive Function in Children Measuring General Ability in Children Measuring Cognitive Injury in the Very Young Child References Behavioral Assessment Following Traumatic Brain Injury Introduction Adult Behavioral Measurements Child Behavioral Measurements References Neuropsychiatric Examination Database and Treatment Planning History Mental Status Examination Neurological Examination Brain Neuroimaging Neuropsychological Measures Psychological and Behavioral Measures Impact of Brain Injury on Caregivers Neuropsychiatric Treatment Planning Following TBI Neuropsychopharmacological Management of Cognitive and Executive Disorders Following TBI Neuropharmacologic Management of Behavioral Symptoms Following Traumatic Brain Injury Assisting the Family after TBI Neurobehavioral Analysis of Case Studies References Forensic Examinations of Traumatic Brain Injury: Distinctions from Examinations for Treatment Introduction Critical Differences between Treatment Examinations and Forensic Assessment of Traumatic Brain Injury Legal Rules Governing the Admissibility of Scientific Evidence at Court Mandated Reporting Evaluating Civil Competence Following Traumatic Brain Injury Testamentary Capacity and Vulnerability to Undue Influence Contractual Capacity Personal Injury Disability Aphasia and Dysphasia Language Use Other than English Fitness-for-Duty Dangerousness and Risk of Violence Suicide Risk Assessment Competency to Stand Trial Criminal Responsibility and the Insanity Defense Health-Care Decision Making and Informed Consent Persistent Vegetative States Do-Not-Resuscitate (DNR) Orders Advance Directives References Causation, Damages, Impairments, Disability, Outcomes, and Forensics of TBI Examinations Introduction Causation Damages Determining Impairment Following TBI Disability Determination Adult Outcomes of TBI Child Outcomes In Traumatic Brain Injury Forensics of Inflicted Child TBI (Child Abuse) Forensics of Mild Traumatic Brain Injury Forensics of Neuropsychiatric Neuroimaging in TBI Forensics of Structural Neuroimaging after TBI Forensics of Functional Neuroimaging after TBI inflicted Child TBI Forensics of TBI Symptom Validity Determination Basic Principles of Forensic Medical Report Writing References Neurobehavioral Analysis of Traumatic Brain Injury Forensic Data Introduction Analysis and Collection of Acute Injury Data Following TBI Police Record or Injury Report Police Investigative File Accident Scene Photographs First Responder or Ambulance Reports Emergency Department Records Hospital Record Rehabilitation Records Neuropsychology/Psychology Records Outpatient Treatment Analysis of the Forensic TBI Examination Database Using Collateral History Sources Preinjury Medical Records Academic and Employment Records Legal Records Military Records Causation Analysis Damages Analysis Neurobehavioral Analysis of Forensic Case Studies References
Robert P. Granacher Jr., MD, MBA, is a clinical professor of psychiatry in the Department of Psychiatry at the University of Kentucky College of Medicine in Lexignton. He also practices privately as a treating neuropsychiatrist and as a forensic neuropsychiatrist. Dr. Granacher obtained his MD from the University of Kentucky, Lexington. He later served as a resident and fellow at Harvard University and the Massachusetts General Hospital and other Harvard University teaching hospitals in Boston. He specializes in the neuropsychiatric treatment and evaluation of traumatic brain injury, perinatal birth injury, toxic brain injury, and other complex neurobehavioral disorders. Dr. Granacher is a distinguished life fellow of the American Psychiatric Association and a member of the American Neuropsychiatric Association.