Civil Competencies in Clinical Neuropsychology

ISBN : 9780199774067

George J. Demakis
352 ページ
162 x 243 mm

Clinical neuropsychologists are increasingly involved in the evaluation of civil capacities and are in demand by other professionals, particularly attorneys and judges, to assist their decision-making about these sometimes complex issues. While there has been some neuropsychological research in this area, this has not been assembled into a single volume nor have practice recommendations been provided. This volume fills these gaps. The first part of this volume reviews and synthesizes the research literature on neuropsychological aspects of civil capacities. The specific capacities addressed include driving, financial and healthcare decision-making, testamentary (i.e., will-making) capacity, and personal care and independence. Each chapter addresses relevant background issues, conceptual/theoretical advances, and empirical findings. The chapters also include an illustrative case study that demonstrates how the authors (each expert in the various areas) evaluated and conceptualized the case. Each chapter is written from an evidence-based perspective and, where appropriate, uses research to inform practice recommendations. The second part of this volume provides recommendations to practitioners on how to conduct civil capacity evaluations that utilize neuropsychological assessment. There are chapters on an evaluative framework for the assessment, capacity test selection and psychometric issues, working with other data sources besides testing (e.g., collateral interviews), best practices in report-writing and testifying, as well as common ethical issues in such cases. Throughout, these chapters provide practical "how to " advice to improve neuropsychological practice and consulting in civil capacity cases. In addition to these chapters, there is a chapter written by legal consumers of psychological reports. This chapter offers a wealth of useful information and recommendations that, if followed, will further serve to advance psychological report-writing and consultation in civil capacity evaluations.


Part I: Background Issues
1. Introduction to Basic Issues in Civil Capacities
George J. Demakis
2. Legal perspectives on civil capacity
Elissa Kolva and Barry Rosenfeld
Part II: Civil Capacities and Guardianship
3. Assessment of financial capacity: A neuropsychological perspective
Dan Marson, Amy Knight, Kristen Triebel
4. Healthcare Descision-Making Capacity
Barton Palmer, Gauri N. Savla, and Alexandrea L. Harmell
5. Testamentary capacity
Carmelle Peisah and Kenneth Shulman
6. Driving capacity
Penny Wolfe and Jessica Clark
7. Personal care and independence
Erik Everhart, Katie A. Lehockey, Alicia M. Moran, and Jonathan M. Highsmith
8. Adult guardianship
George J. Demakis
Part III: Applications
9. Assessment of civil capacities: An evaluative framework and practical recommendations
Stacey Wood and Meryl O'Bryan
10. Civil capacity instruments: Research trends and recommendations for future research
Karen Sullivan
11. Other aspects of data collection in the capacity evaluation
Robert Ruchinskas
12. Forensic report-writing and testimony in capacity evaluations
Patricia A. Zapf and Gianni Pirelli
13. Ethical issues in capacity and competency evaluations
Paul J. Moberg and Sanjay Shah
Part IV: Conclusions
14. A legal consumer's perspective on competency
Fredrick Benson and M. Joanne Romano
15. Conclusions and future directions
George J. Demakis


George J. Demakis, PhD, is Professor of Psychology and Health Psychology and Director of Clinical Training in the Health Psychology program at the University of North Carolina at Charlotte. As a licensed psychologist in NC, he has considerable clinical experience conducing a variety of civil capacity evaluations. He has worked closely with attorneys, legal guardians, and legal decision makers (clerks of court and judges) in a wide variety of capacity evaluations. He has also consulted with the North Carolina Guardianship Association. He has published on a variety of topics including financial decision-making capacity, malingering, Alzheimer's and Parkinson diseases, and meta-analytic approaches to outcome after mild traumatic brain injury and executive functioning.