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Halstead-Reitan
Neuropsychological Test
Battery
for Adults (HRNTB)
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Published:
Neuropsychology Press (
Tucson
,
Arizona
)
Age
Range
: Ages 15 and over
Administration
Time: roughly 6 hours
Background
Ward Halstead (1908-1968)
received his Ph.D. from
Northwestern
University
and taught at the
Medical
School
at the
University
of
Chicago
. During the 1930s and 1940s, he worked in
conjuction with neurologists and neurosurgeons there to evaluate patients from a
neuropsychological persepctive. He devised and tested a great many tasks with
patients on the wards there. Many of these evaluative approaches he discarded
while settling upon a set of tests which eventually formed the nucleus of the
Halstead-Reitan Neuropsychological Test Battery (HRNTB). Ralph Reitan began
working with Halstead in his laboratory in the 1940s, gained his Ph.D. in 1950,
and established a neuropsychology laboratory at the
Indiana
University
Medical
Center
in 1951. There Reitan extended the work of
Halstead in assembling a battery of tests for the comprehensive evaluation of
brain-damaged individuals.
Coordinate
Versions
 | Reitan-Indiana
Neuropsychological Test Battery for Children (ages 5-8) |
 | Halstead
Neuropsychological Test Battery for Children (ages 9-14) |
Summary Scores: Impairment
Index = Proportion of seven test scores (CT, TPT-T, TPT-M, TPT-L, SSPT, RT, FTT)
in impaired range.
Components:
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Tests Contributing to
the Impairment Index
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Description
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Category
Test (CT)
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Test subject is
visually presented with seven sets of slides and must press one of four
levers in response to each slide. Subject had previously been informed
that there was some single principle which underlies each set of slides.
It is up to the testee to figure out what that principle is.
This test is related
to abstraction and reasoning abilities, particularly concept formation.
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Tactual
Performance Test (TPT)
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The TPT employs a
version of the Seguin-Goddard Form Board, a flat wooden puzzle board into
which differently-shaped blocks can be placed. Without using vision the
subject must place the blocks in the board board using the dominant,
non-dominant, and both hands. The time to complete each of these tasks
serves as a score and their sum gives the TPT-Total Time (TPT-T) score.
Afterward, the sbuject is asked to recall the shape and location of the
blocks. These yield TPT-Memory (TPT-M) and TPT-Localization (TPT-L)
scores.
This test provides a
variety of measures, particularly manual dexterity, spatial memory,
tactile discrimination. Note that Lezak (1995, p. 493) argues that this
test's administration procedures are particularly discomforting and
distressing to individuals with brain injuries or among the elderly. She
argues that it should only be given under special circumstances.
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Seashore
Rhythm Test (RT)
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Derived
from a subtest in the Seashore Measures of Musical Talent, the Rhythm Test
requires subjects to discriminate between 30 pairs of rhythmic beats as
either different or the same. Classified as a measure of non-verbal
auditory discrimination, the RT is particularly sensitive to the subject's
ability to attend and concentrate, skills frequently impaired in
individuals with brain damage. The test's name is derived from that of
Carl Emil Seashore (1866-1949) who published the first edition of his
Measures of Musical Talent in 1939.
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Speech-sounds
Perception Test (SSPT)
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A set of 60
"paralogs" (nonsense words based on the vowel sound 'ee') are
played by a tape recorder. The subject must choose which sound is heard on
each paralog from four printed alternatives.
This test is a
measure of attention, verbal auditory discrimination, and auditory-visual
integration. Lesions of the left temporal lobe are particularly likely to
cause poor performance on this procedure.
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Finger
Tapping Test (FTT)
Also called Finger Oscillation Test (FOT)
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Subjects
are given multiple 10-second trials on a manual tapping device using the
index finger of the dominant and non-dominant hand. The test is a measure
of motor speed and manual dexerity.
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Additional Tests
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Description
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Trail
Making (TM)
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The Trail Making test
has two forms, Trails A and Trails B.
For Trails-A,
subjects must connect 25 numbered circles in numeric order. The circles
are distributed in a random fashion across a page. The test measures a
variety of functions including motor speed, visual scanning, and
visual-motor integration.
For Trails-B,
subjects must perform a task similar to Trails-A, but the circles contain
either numbers or letters. The subjects must connect the circles in
alternating order between numbers and letters, that is, 1-A-2-B, etc. In
addition to motor speed, viscual scanning, and visual-motor integration,
this test requires attention and cognitive flexibility.
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Reitan-Indiana
Aphasia Screening Test
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This
is a diverse collection of 32 items which require the testee to
demonstrate abilities such as naming, reading, writing, spelling,
arithmetic, identifying body parts, identifying and copying shapes.
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Reitan-Klove
Sensory Perceptual Examination
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Similar
to many neurological approaches to sensory-perceptual evaluation, this
exam employs both unilateral and bilateral simultaneous stimulation across
tactile, visual, and auditory channels; finger localication upon tactile
stimulation, finger-tip number writing, and the tactile recognition of
shapes.
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Strength
of Grip Test (SOGT)
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The
SOGT employs a standard hand dynamometer to measure the strength of both
dominant and non-dominant hands
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Lateral
Dominance Examination
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Right
vs. left peferences are measured for tasks involving hands, arms, legs,
feet, and eyes.
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Notes
The HRNTB also regularly
employs
 | Wechsler
Adult Intelligence Scale (WAIS) |
 |
Minnesota
Multiphasic Personality Inventory (MMPI) |
Reitan pioneered a
four-fold approach to inferential decisionmaking using the HRNTB. These include
 | Level
of Performance: Comparison of individual with normative groups of impaired
and non-impaired persons |
 | Pattern
of Performance: Examination of intra-test performance and subtest scores |
 | Specific
Behavioral Deficits (Pathognomonic Signs): Sensitivity to deviant or
deficient performance which, of itself, points to impairment |
 | Comparison
of Two Sides to the Body (Right-Left Comparisons): Looking for discrepancies
in test performance which may reveal weakness or lateralized impairment |
References
Boll, T. J. (1981). The
Halstead-Reitan neuropsychological battery. In S. B. Filskov, & T. J. Boll
(Eds.), Handbook of clinical neuropsychology (pp. 577-607).
New York
: Wiley-Interscience.
Lezak, M. D. (1995).
Neuropsychological assessment (3rd ed.).
New York
:
Oxford
University
Press.
Reflections on Ward
Halstead, Ph.D.: An interview with Ralph M. Reitan, Ph.D. (1996, Summer/Fall)
Newsletter 40 (Division of Clinical Neuropsychology), 14(2), 1-2, 12-13. [pdf version; Google html version]
Reitan, R. M. (1994). Ward
Halstead's contributions to neuropsychology and the Halstead-Reitan
Neuropsychological Test Battery. Journal of Clinical Psychology, 50(1), 47-70.
Reitan, R. M., &
Wolfson, D. (1993). The Halstead-Reitan neuropsychological test battery: Theory
and clinical interpretation (2nd ed.).
South Tucson
,
AZ
: Neuropsychology Press.
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