Flexible Battery or Process Approach

The other major approach to neuropsychological assessment is the Boston Process approach, primarily developed by Edith Kaplan and her colleagues. This type of approach proceeds in a hypothesis-driven manner and uses the patient's test performance to guide and inform an evolving and dynamic assessment strategy. The process-oriented evaluation is individually tailored to each patient and uses specific tests for the purpose of answering particular questions. As answers to these questions emerge during the evaluation, the neuropsychologist moves through a series of decision points, probing particular cognitive functions as needed. Tests are administered in a standardized fashion but can also be modified to test the limits of cognitive function and to produce richer qualitative data. As with the administration of tests, the data can be viewed from both a qualitative and a quantitative perspective. Task performance is analyzed across multiple measures to parse out component processes and identify specific cognitive defects.

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