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.

Table of Contents

Introductory Foundations

Knowledge
Cultural Neuropsychology: Current State and Future Directions
DARYL FUJII

Skills and Training
Multicultural Education and Training in Neuropsychology: Let's Talk About Skill
Acquisition!

ORLANDO SÁNCHEZ AND TEDD JUDD

Awareness of Self


Using Reflective Self-Awareness to Enhance Cultural Competence between
Neuropsychologist and Client

REX M. SWANDA



Awareness of Others
Liberating the Narratives of BIPOC Neuropsychologists: Unpacking
Microaggressions through Lived Experiences

ANITA HERRERA HAMILTON, SHAQUANNA BROWN, VELISSA JOHNSON, AND SAGAR LAD



Action
Stepping into Action: The Role of Neuropsychologists in Social Justice Advocacy
MIRELLA DIAZ-SANTOS, KENDRA ANDERSON, MICHELLE MIRANDA, CHRISTINA WONG, JANET YANEZ, AND FARZIN IRANI



PART II

Case Studies

North: America (Canada and United States)
Black American

Culturally Sensitive Neuropsychological Assessment in Black Americans
Case Study: Seeing the Bigger Picture in Race, Resilience and Examiner Expectation

VONETTA M. DOTSON AND ANTHONY Y. STRINGER



Coast Salish Native American

Neuropsychology in Coast Salish Native American Contexts
Case Study: Making it Through the Spiraling Fire Tunnel

TEDD JUDD AND EAGLE BEAR



Indigenous Canadian

Neuropsychological Assessment with Indigenous Peoples in Saskatchewan
Case Study: A Lesson in Cultural Humility

MEGAN E. O'CONNELL, IVAN PANYAVIN, LISA BOURKE-BEARSKIN, JENNIFER WALKER, AND CARRIE BOURASSA

Arab World
Overview

Cultural Considerations in Neuropsychological Assessment of Arab Populations
AHMED F. FASFOUS AND JULIA C. DAUGHERTY



Lebanese

Neuropsychological Evaluation of the Lebanese Examinee: Considerations
for Multiple Cultures, Multiple Languages, and Multiple Religions

Case Study: No Test in Sight, and One Language Won't Suffice

KARIM YAMOUT



Asia
Overview

General Issues in the Neuropsychological Assessment of Asian Americans
DARYL FUJII

Asian Indian

Neuropsychological Assessments with Asian Indians: One Size Does
Not Fit All

Case Study: I'd Rather Have a Stroke than Be Depressed

FARZIN IRANI

Chinese

Considerations in Neuropsychological Evaluations with Chinese Individuals
Case Studies: Overcoming Shame in the Family

MIMI K.W. WONG, ESTHER CHIN, YUE HONG

Filipino

Cultural Sensitivity in Neuropsychological Assessment of Filipinos and
Filipino Americans

Case Study: This Might Be God's Punishment

KRISTINA A. AGBAYANI, MARIO F. DULAY, JR. REGILDA ANNE A. ROMERO, AND CHERRY ORDOÑEZ



Japanese

Neuropsychological Considerations with Japanese Patients
Case Study: and he Talks Like a Cartoon Character Now

NICHOLAS THALER AND MAIKO SAKAMOTO POMEROY

Nepali-Bhutanese

Neuropsychological Considerations with Bhutanese Refugees of Nepali
Ethnicities Residing in the United States

Case Study: She Speaks a Strange Language

KATRINA E. BELEN AND DAVID LERNER

Pakistani

Asian Communities of Pakistani Origin
Case Study: Racing Heart, Racing Mind

SANAM J. LALANI, FARAH HAMEED, AND LOUISE F. WHEELER

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 AND MI-YEOUNG JO

Taiwanese

Taiwan The Island that Embraces the Pan Chinese Culture
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 YU PALTZER

Vietnamese

Neuropsychological Assessment of Vietnamese Americans
Case Study: Ginseng over Donepezil?

BAOCHAN TRAN, ANN NGUYEN, CAROLINE BA, AND CHRISTOPHER NGUYEN

Europe
Overview

Cross-Cultural Neuropsychological Assessment in the European Context:
Embracing Maximum Cultural Diversity at Minimal Geographic Distances

T. RUNE NIELSEN, SANNE FRANZEN, MIRIAM GOUDSMIT, AND ÖZGÜL UYSAL-BOZKIR

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, SANNE FRANZEN, AND 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



Portuguese

Neuropsychology and Rehabilitation in the Portuguese Context
Case Study: I Exist beyond My Diagnosis; Diagnosis Does Not Define Me

ARTEMISA R DORES, ANDREIA GERALDO, AND SANDRA GUERREIRO



Spain

Spain, the Land of Diversity
Case Study: The Importance of Family Dynamics in Rehabilitation

LAIENE OLABARRIETA LANDA, MARÍA JESÚS GÓMEZ LÓPEZ, ISABEL GONZÁLEZ WONGVALLE, DIEGO RIVERA,

AND JUAN CARLOS ARANGO LASPRILLA

Turkish

Cross-Cultural Neuropsychological Assessment with Turkish Immigrants
Case Study: I've Heard a Stressful Life Can Give Alzheimer's

T. RUNE NIELSEN

Israel
Cultural Diversity and Clinical Neuropsychology in Israel: Neuropsychological
Rehabilitation within a Cultural, Religious, and Political Melting Pot

DAN HOOFIEN AND ELI VAKIL

Latin America and the Caribbean



Overview

Neuropsychology in Latin America and the Caribbean
PAULA KARINA PÉREZ DELGADILLO, DANIELA RAMOS USUGA, LAIENE OLABARRIETA LANDA, GLORIA M. MOREL VALDÉS, AND JUAN CARLOS ARANGO LASPRILLA

Brazilian

Support with Autonomy: Untangling the Family Role in Neuropsychological
Rehabilitation in Brazil 438

Case Study: How Can I Say Thanks for My Family Support While Telling Them Goodbye?

ANA PAULA ALMEIDA DE PEREIRA

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, DOROTHEE SCHOEMAKER, DIANA MÚNERA,

JOSEPH ARBOLEDA-VELÁSQUEZ, FRANCISCO LOPERA, AND YAKEEL T. QUIROZ

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, ANA I PEÑALVER-GUÍA, AND JORGE J LLIBRE-GUERRA

Guatemala

Neuropsychology in Guatemala: The Eyes Don't See What the Mind
Does Not Understand

Case Study: The Eyes Don't See What the Mind Does Not Understand

BEATRIZ MACDONALD, TEDD JUDD, CLAUDIA GARCÍA DE LA CADENA, AND ISIS YAHAIRA MARROQUIN JEREZ DE CIFUENTES



Mexico

Mexican Origin Communities and Neurodegenerative Conditions
Case Study: No Estoy Demente Sólo Vieja/I am Not Demented Just Old

ADRIANA M. STRUTT, ANA LINDA DIAZ SANTOS, ADRIANA PUENTE CALZADA, AND ORLANDO SANCHEZ

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, MAIRIM VEGA-CARRERO, AND WALTER RODRÍGUEZ-IRIZARRY

Venezuela

Application of the Collaborative Therapeutic Neuropsychological Assessment
Approach on a Venezuelan Migrant

Case Study: I Lost my Lucidity

ALINE FERREIRA-CORREIA

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, SHUSHAN TIGRANYAN, SEYED REZA ALVANI, ARASH RAMEZANI, AND CARLOS OLIVEIRA

Iranian


37

Neuropsychological Evaluation of the Iranian American, Persian (Farsi) Speaking Individual: Clinical and Forensic Considerations

Case Study: Primary Persian Aphasia in Translation

AMIR RAMEZANI, EMMANUEL A. ZAMORA, ARASH RAMEZANI,

AND MARIA SOLEDAD MONTERO

H.

Russian

38

Neuropsychological Assessment with Older Russian-Speaking Immigrants: Narrative Matters

Case Study: From Motherland to the Land of Opportunity



IRENE PIRYATINSKY AND DOV GOLD

I.

Sub-Saharan African

Overview

The Sub-Saharan African Context and the Birth of Neuropsychology
JEAN N IKANGA AND LINGANI MBAKILE-MAHLANZA

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 AFAMEFUNA UCHEAGWU AND BRUNO JOSEPH GIORDANI