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Conducting a Culturally Informed Neuropsychological Evaluation

by Daryl Fujii American Psychological Association
Pub Date:
Hbk 272 pages
AU$159.00 NZ$164.35
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While experienced neuropsychologists may be well-versed in the standard process of conducting a neuropsychological evaluation, they may still have difficulty determining a client's current functioning, given his or her unique cultural context. This is especially true when the client and the clinician do not share the same ethnic background and language fluency. In such cases, the clinician risks administering a biased assessment with invalid tests, misinterpreted data, and inappropriate — if not harmful — treatment recommendations.

Daryl Fujii helps neuropsychologists enhance their cultural competence by providing readers with a broad framework for cultivating an ethnorelative — instead of an ethnocentric — view of clients.


He begins by reviewing relevant research and professional guidelines that explain how cultural factors can impact a neuropsychological evaluation. Then he outlines preliminary strategies for establishing rapport and improving communication with clients, estimating their premorbid functioning, gathering pertinent data, selecting and translating appropriate tests, and working with interpreters.

The closing chapters present a detailed case example that demonstrates a pre-assessment interview, test interpretation, report writing, treatment recommendations, and a final feedback session with the client.




I. Foundations: Attitudes, Perspective, and Conceptual Overview

1. A Respect for Culture

2. Conceptual Guidelines: APA, AACN, AERA, and NCMA

II. Preparation

3. Creating a Cultural Context

4. Conceptualizing Goals and Cultural Considerations

5. Estimating Premorbid Functioning

6. Strategies for Test Selection and Data Collection

7. A Mini-Compendium of Neuropsychological Tests With Cross-Cultural Validity

III. Evaluation and Report Writing

8. Conducting the Evaluation

9. Interpretation and Case Formulation

10. Writing the Report and Providing Feedback

Appendix: Cultural Resources



About the Author


Daryl Fujii, PhD, ABPP-CN, is a staff neuropsychologist at the Veterans Affairs Pacific Island Health Care Services Community Living Center and adjunct faculty for the Department of Psychiatry, University of Hawaii. He received his PhD from the University of Wyoming in 1991, interned at the Sepulveda VAMC, and completed a postdoctoral fellowship at the Rehabilitation Hospital of the Pacific.

Dr. Fujii earned his diplomate in clinical neuropsychology from the American Board of Professional Psychology in 1999 and was elected to fellow status of APA in 2006.

His research interests include cross-cultural neuropsychology, schizophrenia, geriatrics, secondary psychosis, and psychosis secondary to traumatic brain injury, for which he is an international forensic consultant. He has published more than 50 publications and two edited books: The Spectrum of Psychotic Disorders: Neurobiology, Etiology, and Pathogenesis (2007) and The Neuropsychology of Asian-Americans (2010).

Dr. Fujii is currently a co-chair of the national VA Psychology Training Committee, Multicultural Diversity Committee and chair of the VA Pacific Island Health Care Services and Fresno Internal Review Board.