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This page intentionally left blank
Pediatric Neuropsychological Intervention

Pediatric neuropsychology is the practice of understanding and elucidating brain
behavior

relationships as applied to children and adolescents. This volume examines current trends
in the assessment and treatment of common disorders including traumatic brain injuries,
brain tumors, epilepsy, and autistic spectrum disorders. Its primary aim is to help practitioners
and researchers identify and understand the evidence to support interventions with a range of
acquired or congenital neuropsychological disorders.
The text is divided into three sections. Section one provides a foundation by considering
general issues relevant to assessment and treatment in pediatric neuropsychology. Section two
guides practitioners in their approach to the use of interventions in a range of conditions and
disorders, and the book closes with a section focusing on medical and experimental initiatives
with an emphasis on interdisciplinary issues.
This book is essential reading for pediatric neuropsychologists, child clinical psychologists
and school psychologists, as well as pediatric neurologists and psychiatrists.

Scott J. Hunter is the Director of Pediatric Neuropsychology and an Assistant Professor of

Psychiatry and Pediatrics at the University of Chicago. He is also the coordinator for Child
Psychology Training in the Department. Dr. Hunter received his Ph.D. in Clinical and
Developmental Psychology, with concentrations in Developmental Neuroscience and
Developmental Disabilities, from the University of Illinois at Chicago in 1996. He completed
a postdoctoral residency in Pediatric Neuropsychology and Developmental Disabilities in the
Departments of Neurology and Pediatrics at the University of Rochester. Dr. Hunter’s primary
research interests include the diagnosis and management of neurodevelopmental disorders and
their behavioral and cognitive sequelae; and the efficacy of pharmacological and surgical
interventions for epilepsy, neurofibromatosis, and hydrocephalus. He serves as reviewer for
a number of professional, peer-reviewed journals, and has co-authored articles and chapters
associated with his research and clinical interests.

Jacobus Donders obtained his Ph.D. in Clinical Psychology from the University of Windsor in
1988. He is currently the Chief Psychologist at Mary Free Bed Rehabilitation Hospital in Grand
Rapids, MI. Dr. Donders is board-certified by the American Board of Professional Psychology
in both clinical neuropsychology and rehabilitation psychology. He is the co-editor of the
journal Child Neuropsychology and also serves on the editorial boards of several other journals.
He has more than 80 publications in peer-reviewed journals. His main research interests
include construct and criterion validity of neuropsychological test instruments and prediction
of outcome after traumatic brain injury. He is a Fellow of the National Academy
of Neuropsychology and of Divisions 22 (Rehabilitation Psychology) and 40 (Clinical
Neuropsychology) of the American Psychological Association.
Pediatric
Neuropsychological
Intervention
A Critical Review of Science & Practice

Edited by

Scott J. Hunter, Ph.D.

University of Chicago, Chicago, IL

and

Jacobus Donders, Ph.D., ABPP

Mary Free Bed Rehabilitation Hospital, Grand Rapids, MI
CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo

Cambridge University Press

The Edinburgh Building, Cambridge CB2 8RU, UK
Published in the United States of America by Cambridge University Press, New York
www.cambridge.org
Information on this title: www.cambridge.org/9780521875509

© Cambridge University Press 2007

This publication is in copyright. Subject to statutory exception and to the provision of

relevant collective licensing agreements, no reproduction of any part may take place
without the written permission of Cambridge University Press.
First published in print format 2007

ISBN-13 978-0-511-28471-7 eBook (EBL)

ISBN-10 0-511-28471-3 eBook (EBL)

ISBN-13 978-0-521-87550-9 hardback

ISBN-10 0-521-87550-1 hardback

Cambridge University Press has no responsibility for the persistence or accuracy of urls
for external or third-party internet websites referred to in this publication, and does not
guarantee that any content on such websites is, or will remain, accurate or appropriate.

Every effort has been made in preparing this publication to provide accurate and up-to-
date information which is in accord with accepted standards and practice at the time of
publication. Although case histories are drawn from actual cases, every effort has been
made to disguise the identities of the individuals involved. Nevertheless, the authors,
editors and publishers can make no warranties that the information contained herein is
totally free from error, not least because clinical standards are constantly changing through
research and regulation. The authors, editors and publishers therefore disclaim all liability
for direct or consequential damages resulting from the use of material contained in this
publication. Readers are strongly advised to pay careful attention to information provided
by the manufacturer of any drugs or equipment that they plan to use.
To the patients and their families with whom I have had the
opportunity to work, who have guided my thinking about
practice and science.
Scott J. Hunter

With love to my children, Corey and Laura, and with gratitude

to the many pediatric patients who have been an inspiration
over the last 20 years.
Jacobus Donders
 Contents

List of Contributors page xi

Section I Fundamentals of pediatric neuropsychological intervention

1 Introduction 3
Scott J. Hunter and Jacobus Donders

2 A developmental approach to pediatric neuropsychological intervention 6

Tara V. Spevack

3 Empirical bases for assessment and intervention 30

Elizabeth P. Sparrow

4 Multicultural aspects of pediatric neuropsychological

intervention and rehabilitation 47
Julie K. Ries, Brian S. Potter, and Antolin M. Llorente

5 Bridging neuropsychological practice with educational intervention 68

Jennifer W. Maedgen and Margaret Semrud-Clikeman

Section II Managing neurocognitive impairments in children

and adolescents

6 Traumatic brain injury 91

Jacobus Donders

7 Neuropsychological sequelae in children treated for cancer 112

Marsha J. Nortz, Jannel M. Hemme-Phillips, and M. Douglas Ris

8 Seizure disorders 133

Lynn Bennett Blackburn, Frank Zelko, and Hillary Shurtleff

vii
viii Contents

9 Autism spectrum disorders and social disabilities 151

Julie M. Wolf, Deborah A. Fein, and Natacha Akshoomoff

10 Diagnosing and treating right hemisphere disorders 175

Bonny Forrest

11 Genetic syndromes associated with intellectual disability 193

Bonita P. Klein-Tasman, Kristin D. Phillips, and Jill K. Kelderman

12 Remediating specific learning disabilities 224

Karen E. Wills

13 Managing attentional disorders 253

Donna R. Palumbo and Joshua Diehl

14 Managing dysexecutive disorders 287

E. Mark Mahone and Beth S. Slomine

15 Pediatric movement disorders 314

Scott J. Hunter

16 Management of children with disorders of motor control

and coordination 338
David E. Tupper

Section III Medical, rehabilitative and experimental interventions

17 Pharmacological interventions for neurodevelopmental disorders 369

Thomas Owley

18 Quantitative electroencephalography and neurofeedback 392

Kevin R. Krull, Mary Reeni George, and Darren Strother

19 Neuroimaging and its role in developing interventions 415

Erin D. Bigler

20 Cognitive rehabilitation 444

Robert W. Butler

21 Neuropsychological rehabilitation of school-age children:

an integrated team approach to individualized interventions 465
George P. Prigatano and Sylvie Naar-King
ix Contents

Section IV Future directions

22 Reflections on present and future interventions for

neurodevelopmental disorders 477
Eileen B. Fennell

Index 485
 Contributors

Natacha Akshoomoff, Ph.D. Deborah Fein, Ph.D.

Department of Psychiatry, Department of Psychology,
Children’s Hospital, University of Connecticut,
University of California, Storrs, CT
San Diego, CA
Eileen Fennell, Ph.D., ABPP
Erin Bigler, Ph.D. Department of Clinical and
Department of Psychology, Health Psychology,
Brigham Young University, University of Florida,
Provo, UT Gainesville, FL

Lynn B. Blackburn, Ph.D., ABPP Bonny Forrest, Ph.D.

Pediatric Neuropsychology, Department of Psychology,
St. Louis Children’s Hospital, Loyola College of Maryland,
St. Louis, MO Baltimore, MD

Robert Butler, Ph.D. Mary Reeni George, Ph.D.

Department of Pediatrics, Pediatric Neuropsychology,
Oregon Health Sciences University, Texas Children’s Hospital,
Portland, OR Houston, TX

Margaret Semrud-Clikeman, Ph.D. Jill Kelderman, Ph.D.

Department of Educational Psychology, Department of Pediatrics,
Michigan State University, University of Minnesota,
Michigan, MI Minneapolis, MN

Joshua Diehl, M.A. Sylvie Naar-King, Ph.D.

Department of Cognitive and Department of Pediatrics,
Brain Sciences, Children’s Hospital of Michigan,
University of Rochester, Wayne State University,
Rochester, NY Detroit, MI

xi
xii Contributors

Kevin Krull, Ph.D., ABPP Brian Potter, Psy. D., ABPP

Pediatric Neuropsychology, Pediatric Neuropsychology,
Department of Pediatrics, Mt. Washington Pediatric Hospital,
Texas Children’s Hospital, Baltimore, MD
Baylor Medical School,
Houston, TX George Prigatano, Ph.D., ABPP
Barrow Neurological Institute,
Antolin Llorente, Ph.D. Phoenix, AZ
Pediatric Neuropsychology,
University of Maryland School of Medicine, Julie Ries, Psy.D.
Baltimore, MD Pediatric Neuropsychology,
Mt. Washington Pediatric Hospital,
Jennifer Maedgen, Ph.D. Baltimore, MD
Office of the Dean of Students,
University of Texas, Douglas Ris, Ph.D., ABPP
Austin, TX Department of Pediatrics,
Cincinnati Children’s Hospital,
E. Mark Mahone, Ph.D., ABPP Cincinnati, OH
Department of Neuropsychology,
Kennedy-Krieger Institute, Hillary Shurtleff, Ph.D., ABPP
Johns Hopkins University Medical Center, Department of Neurology,
Baltimore, MD University of Washington,
Seattle, WA
Marsha Nortz, Ph.D.
Pediatric Neuropsychology, Beth S. Slomine, Ph.D., ABPP
Department of Pediatrics, Department of Neuropsychology,
Cincinnati Children’s Medical Center, Kennedy-Krieger Institute,
Cincinnati, OH Johns Hopkins University Medical Center,
Baltimore, MD
Thomas Owley, M.D.
Department of Psychiatry, Elizabeth Sparrow, Ph.D.
University of Illinois, Private Practice

Chicago, IL Sparrow Neuropsychology, PC,
Monkton, MD
Donna Palumbo, Ph.D.
Strong ADHD Clinic, Tara Spevack, Ph.D., ABPP
Departments of Neurology and Pediatric Neuropsychology,
Pediatrics, University of Rochester, St. Louis Children’s Hospital,
Rochester, NY St. Louis, MO

Kristin D. Phillips, M.A. Darren Strother, Ph.D.

Department of Psychology, Pediatric Neuropsychology,
University of Wisconsin, Texas Children’s Hospital,
Milwaukee, WI Houston, TX
xiii Contributors

Bonita Klein-Tasman, Ph.D. Julie Wolf, Ph.D.

Department of Psychology, Yale Child Study Center,
University of Wisconsin, New Haven, CT
Milwaukee, WI
Frank Zelko, Ph.D.
David Tupper, Ph.D. Pediatric Neuropsychology,
Neuropsychology, Child Psychiatry,
Hennepin County Medical Center, Children’s Memorial Hospital,
Minneapolis, MN Northwestern University,
Chicago, IL
Karen Wills, Ph.D., ABPP
Pediatric Neuropsychology,
Children’s Hospitals & Clinics,
Minneapolis, MN
Section I

Fundamentals of pediatric
neuropsychological intervention
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