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Asuntos ticos, Prcticos y Legales en la EvaluacinNeuropsicolgica de Demencias en Puerto Rico

Seminario de DemenciaInternado en Psicologa !lnica

"A!#!! San $uan

Jorge A. Montijo, Ph.D.Mayo 2012

Aclaracin desa%ortunadamente necesaria&Generalmente elacatamiento de las leyes y reglamentos es la primera obligacinde ls psiclogs, pero ningunaley est! por encima del respeto

a los derechos h"manos "ni#ersalmente reconocidos. $ontrario ala Asociacin M%dica y a la Asociacin Psi&"i!trica, la Asociacinde Psicolog'a de (()) t"#o &"e ser obligada por s"s socios en200* mediante re+er%nd"m a reconocer &"e los derechosh"manos est!n sobre c"al&"ier ley o reglamento, partic"larmenteen lo &"e concierne a la participacin de psiclogos eninterrogatorios de prisioneros bajo condiciones etraordinarias ydonde p"ede practicarse la tort"ra -(j. G"ant!namo. (llo genertan serios con/ictos %ticos &"e socios como enneth Pope,reconocido como "n eperto prominente en %tica pro+esional sesinti obligado a ren"nciar a la APA.http3spope.comapainde.php

$ambios implantados en el $digo de 4tica de APA, 200* porpresin de s"s socios

'()* !on+icts et-een Et.ics and La-, Regulations, or

/t.er 0overning Legal Aut.ority5+ psychologists6 ethical responsibilities con/ict 7ith la7,reg"lations, or other go#erning legal a"thority, psychologistsclari+y the nat"re o+ the con/ict, ma3e 3no7n their commitment tothe (thics $ode, and ta3e reasonable steps to resol#e the con/ictconsistent 7ith the General Principles and (thical 8tandards o+ the(thics $ode. 1nder no circumstances may t.is standard 2eused to 3usti%y or de%end violating .uman rig.ts(

http://kspope.com/apa/index.phphttp://kspope.com/apa/index.php

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asuntos ticos y prcticos

'()4 !on+icts et-een Et.ics and /rgani5ational Demands

5+ the demands o+ an organi9ation 7ith 7hich psychologists area:liated or +or 7hom they are 7or3ing are in con/ict 7ith this(thics $ode, psychologists clari+y the nat"re o+ the con/ict, ma3e3no7n their commitment to the (thics $ode, and ta3e reasonablesteps to resol#e the con/ict consistent 7ith the General Principlesand (thical 8tandards o+ the (thics $ode. 1nder nocircumstances may t.is standard 2e used to 3usti%y orde%end violating .uman rig.ts(

Leyes Aplica2les

Ley 67 del 7 de 3unio de '6849Reglamentacin de laprctica de la psicologa

Art. 2c. De;nicin de pr!ctica de la psicolog'a

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asuntos ticos y prcticos

!digo de tica APAC.(#al"acionesC.02 b ormas y poblacionesC.0E 5nterpretacin de res"ltadosC.0* Pr"ebas FobsoletasFesponsabilidad G"'asgenerales. o se mani;esta espec';camente sobre e#al"acionesne"ropsicolgicas. Principios generales p"eden aplicar o no.

/tras guas pertinentes

8tandards +or (d"cational K Psychological BestingG"'as +orenses(stat"tos de 8ociedades e"ropsicolgicas

ational Academy o+ e"ropsychology -A>e;ere al $digo de (tica de APAPosition statements5ntrod"ction

3

http://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionIntro.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionIntro.pdf

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asuntos ticos y prcticos

Bhird Party Lbser#ersBechnicians in PracticeBest 8ec"rityBest 8ec"rity )pdateBest 8ec"rity AppendiDe>nition o% a Neuropsyc.ologist$ogniti#e >ehabilitation5ndependent and $o"rtelated $onc"ssion

A position paper8ymptom #alidity assessment Practice iss"es and medicalnecessityA Policy K Planning $ommittee8hane 8. N"sh, >onald M. >"O, Aleander 5. Brster, JeOrey B.Narth,8andra P. oQer, eil . Plis3in, $ecil >. >eynolds, $heryl . 8il#er

Archi#es o+ $linical e"ropsychology 20 -200I H1CRH2E

A2stract8ymptom eaggeration or +abrication occ"rs in a si9eable minorityo+ ne"ropsychological eaminees, 7ith greater pre#alence in+orensic contets. AdeCuate assessment o% response validityis essential in order to ma=imi5e con>dence in t.e resultso% neurocognitive and personality measures and in t.e

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http://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionThirdParty.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionTechs.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionSecurity.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANTestSecurityUpdate.pdfhttp://nanonline.org/NAN/ResearchPublications/PositionPapers/TestSecurityAppendix.aspxhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionDefNeuro.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionCogRehab.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANIMEpaper.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANIMEpaper.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPrecert.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANinformedconsent.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANsvt.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANsvt.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANcld.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANcld.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/Secretive%20Recording%20of%20NP%20Testing%20%20Interviewing%20-%20NAN%20position%20paper.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/909-916%20Neuropsychological%20Evaluation%20in%20the%20Diagnosis%20and%20Management%20of%20Sport-Related%20Concussion.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/909-916%20Neuropsychological%20Evaluation%20in%20the%20Diagnosis%20and%20Management%20of%20Sport-Related%20Concussion.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionThirdParty.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionTechs.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionSecurity.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANTestSecurityUpdate.pdfhttp://nanonline.org/NAN/ResearchPublications/PositionPapers/TestSecurityAppendix.aspxhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionDefNeuro.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPositionCogRehab.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANIMEpaper.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANIMEpaper.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANPrecert.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANinformedconsent.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANsvt.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANsvt.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANcld.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NANcld.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/PAIC/PDFs/NAN_Test_Tech.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/Secretive%20Recording%20of%20NP%20Testing%20%20Interviewing%20-%20NAN%20position%20paper.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/909-916%20Neuropsychological%20Evaluation%20in%20the%20Diagnosis%20and%20Management%20of%20Sport-Related%20Concussion.pdfhttp://nanonline.org/NAN/Files/Research%20and%20Publications/909-916%20Neuropsychological%20Evaluation%20in%20the%20Diagnosis%20and%20Management%20of%20Sport-Related%20Concussion.pdf

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asuntos ticos y prcticos

diagnoses and recommendations t.at are 2ased on t.eresults(8ymptom #alidity assessment may incl"de speci;c tests,indices, and obser#ations. Bhe manner in 7hich symptom #alidityis assessed may #ary depending on contet b"t m"st incl"de athoro"gh eamination o+ c"lt"ral +actors. Assessment o+ response#alidity, as a component o+ a medically necessary e#al"ation, ismedically necessary. Shen determined by the ne"ropsychologistto be necessary +or the assessment o+ response #alidity,administration o+ speci;c symptom #alidity tests are alsomedically necessary.

>ecord

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A. Poblaciones especiales caribeUa -el l"gar y la gente, me9cla%tnica, hispanoparlante, ancianos, #eteranos

N. J"sti;cacin para e#al"acin ne"ropsicolgica (aminar por&"%, para &"% y para &"i%n $l'nico, Fthird partiesF, +orense,contaminacin.

$. $apacidad legal o ?competency@ y el procedimientode consentimiento cabal -Fin+ormed consentF