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Bordes Edgar V, MacDonald B, Thames AD, McClintock SM. The time has come: discussing the clinical neuropsychology provider's role in cultural respect and inclusion. J Clin Exp Neuropsychol 2025:1-18. [PMID: 39852595 DOI: 10.1080/13803395.2025.2455126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2024] [Accepted: 01/13/2025] [Indexed: 01/26/2025]
Abstract
There has been both a national and global emphasis within the past 3 years to promote diversity, equity, inclusion (DEI), and cultural respect in healthcare and academia. One discipline and healthcare arena where this has been evident is the psychology field. Indeed, there has been rampant and widespread adoption and advancement of DEI and cultural respect across most of psychology. Unfortunately, not all psychology specialties have fully embraced DEI or focused on provider factors, one of which is clinical neuropsychology. Regarding DEI efforts and emphasis in clinical neuropsychology, the majority of research and education has primarily focused on patient demographic and neuropsychological test factors. While such patient demographic and test factors are important and merit significant attention, so too does the focus on the clinical neuropsychological provider. Unfortunately, the clinical neuropsychology specialty has provided little to no focus on the provider's role in DEI and cultural respect. The purpose of this critical review is to focus on the role of the clinical neuropsychologist and how it impacts DEI and cultural respect. Specifically, the review will inform the factors that impact the practice of clinical neuropsychology on the part of the provider including unconscious/implicit bias, diagnostic threat, and microaggressions. Also, the review will inform strategies to create a DEI responsive and culturally respectful clinical neuropsychological practice with the overarching goal to uncover the clinical neuropsychological role to advance and evolve the specialty through a DEI and culturally respectful lens. With considerable work completed in other aspects of DEI and cultural respect, the clinical neuropsychology specialty is well poised to now focus on the role of the provider. This focus can provide a constructive path forward to create new knowledge to advance the role of the provider to optimize overall clinical, research, and training practices.
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Affiliation(s)
- Veronica Bordes Edgar
- Division of Psychology, Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA
- Division of Developmental Behavioral Pediatrics, Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, USA
| | - Beatriz MacDonald
- Division of Psychology, Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA
- Division of Developmental Behavioral Pediatrics, Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, USA
| | - April D Thames
- Semel Institute of Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA
| | - Shawn M McClintock
- Division of Psychology, Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA
- Perot Foundation Neuroscience Translational Research Center, Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX, USA
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Orr CJ, Raphael JL, Klein M, Corley AMS, Tatem A, Li STT, Pitt MB, Gustafson S, Lopez MA. Moving Toward Diversity, Equity, and Inclusion: Barriers, Consequences, and Solutions. Acad Pediatr 2023; 23:1524-1525. [PMID: 37543084 DOI: 10.1016/j.acap.2023.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 07/28/2023] [Indexed: 08/07/2023]
Affiliation(s)
- Colin J Orr
- Division of General Pediatrics and Adolescent Medicine (CJ Orr), Department of Pediatrics, University of North Carolina at Chapel Hill; Cecil G. Sheps Center for Health Services Research (CJ Orr), University of North Carolina at Chapel Hill.
| | - Jean L Raphael
- Department of Pediatrics (JL Raphael and MA Lopez), Baylor College of Medicine, Houston, Tex; Center for Child Health Policy and Advocacy at Texas Children's Hospital (JL Raphael and MA Lopez), Houston, Tex
| | - Melissa Klein
- Division of General and Community Pediatrics (M Klein and AMS Corley), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; University of Cincinnati College of Medicine (M Klein and AMS Corley), Department of Pediatrics, Cincinnati, Ohio
| | - Alexandra M S Corley
- Division of General and Community Pediatrics (M Klein and AMS Corley), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; University of Cincinnati College of Medicine (M Klein and AMS Corley), Department of Pediatrics, Cincinnati, Ohio
| | - Andria Tatem
- Department of Pediatrics (A Tatem), Eastern Virginia Medical School, Norfolk, Va
| | - Su-Ting T Li
- Department of Pediatrics (S-TT Li), University of California Davis, Sacramento, Calif
| | - Michael B Pitt
- Department of Pediatrics (MB Pitt), University of Minnesota Medical School, Minneapolis, Minn
| | - Sarah Gustafson
- Department of Pediatrics (S Gustafson), Harbor-UCLA Medical Center, David Geffen School of Medicine at University of California, Los Angeles, Calif
| | - Michelle A Lopez
- Department of Pediatrics (JL Raphael and MA Lopez), Baylor College of Medicine, Houston, Tex; Center for Child Health Policy and Advocacy at Texas Children's Hospital (JL Raphael and MA Lopez), Houston, Tex
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Abstract
Pediatricians are effective advocates to improve the health and well-being of children, yet there are limited avenues by which to pursue academic promotion based on these activities. Drawing on an expanded definition of scholarship, pediatric advocates can use the portfolio format to highlight the quantity, quality, and impact of advocacy activities. True congruence with research and education will only be achieved through recognition and value by institutions and organizations.
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