AACN_tpo - The Clinical Neuropsychologist 2001, Vol. 15,...

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SPECIAL PRESENTATION Policy Statement on the Presence of Third Party Observers in Neuropsychological Assessments* American Academy of Clinical Neuropsychology Purpose The purpose of this policy is to clarify what is the appropriate response of a clinical neuropsychol- ogist when a request is received for the presence of a third party during a medicolegal consultation and patient examination. Definitions For the purposes of this policy, two classes of third party observers are recognized, viz., involved and uninvolved parties. Involved third parties are those who, directly or indirectly, have some stake in the outcome of an examination of a particular plaintiff in civil litigation. This stake may derive from a legal, financial, family, social, or other relationship or benefit. Involved parties may or may not be known or familiar to the plaintiff patient. For example, an unfamiliar agent of the plaintiff’s attorney would be deemed an involved party for the purposes of this policy. Uninvolved third parties have no stake in the outcome of a plaintiff patient’s examination, directly or indirectly. Instead, uninvolved third parties do have an interest in the behavior of the examiner or in the examination process or in the behavior of the patient during the assessment as an exemplar of such relevant entities as a disease (e.g., cerebrovascular disease, closed-head injury), a condition (e.g., dementia, aphasia), or a phenomenon (e.g., visual neglect, right hemi- paresis), or others (e.g., malingering, manifesta- tions of personality disorders). An uninvolved third party does not have an interest in the particular individual who serves as the exemplar. The purpose of the presence of uninvolved parties generally is to learn about or practice the administration of neuropsychological tests, pro- cedures, interviews, and so forth, and to observe how patients respond to the administration of such tests or to receive critical feedback concerning their performance in the role of an examiner. Uninvolved parties include health-care profes- sionals and student professionals, for example, student neuropsychologists, other student psy- chologists, student psychometrists, and cognate professionals or technical personnel. Medicolegal Consultations Scope of Application The context for this policy pertains to medicole- gal consultations in which the consulting clinical neuropsychologist is being asked to formulate professional opinions about a patient’s condition within their area of expertise in the specialty of clinical neuropsychology in relation to tort litiga- tion, or related insurance benefits involving third parties. This policy is not intended for application to clinical (medical) consultations in which the clinical neuropsychologist has direct responsibi- lity for the assessment, diagnosis, or treatment of *Members of the Task Force were: Kerry Hamsher, Ph.D. (Chair), Gregory P. Lee, Ph.D., and Ida Sue Baron, Ph.D. Address correspondence to: American Academy of Clinical Neuropsychology, Department of Psychiatry (B2954,
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This note was uploaded on 12/01/2011 for the course CLP 7934 taught by Professor Staff during the Summer '08 term at University of Florida.

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AACN_tpo - The Clinical Neuropsychologist 2001, Vol. 15,...

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