In-visible cognitive disability: assessment and certification routes in Costa Rica

Authors

DOI:

https://doi.org/10.22544/rcps.v43i01.02

Keywords:

Acquired brain injury, neuropsychology, cognitive disability, assessment, certification

Abstract

Cognitive disability is the most invisible and difficult to certify sequelae of Acquired Brain Injury (ABI), despite its repercussions on people’s quality of life. This paper aimed to review and systematize the scientific literature to delimit the path of evaluation and  certification of cognitive disability secondary to acquired brain damage, as a background for its visibility in Costa Rica. This paper presents: (a) a review of protocols and good international practices in the assessment of cognitive disability secondary to ABI and (b) a review of the Latin American regulations that serve to certify cognitive disability, in contrast with existing national experiences. Studies and protocols published in scientific databases since 2010 were selected, as well as laws, standards and protocols for the official certification of cognitive disability in Latin America. The results show the complexity of the assessment and certification process of this condition that is not static and requires longitudinal follow-up. Among the criteria that are systematized, the requirement for a person-centered assessment stands out, with specificity, specialization, and sensitivity of the neuropsychological and functional evaluations, according to the moment of evolution and considering the subjective perception of changes and sequelae in daily performance associated. Initial guidelines are proposed for the conceptualization and specific certification of cognitive disability secondary to acquired brain damage in Costa Rica, considering the need of prior validation.

Author Biographies

Mónica Salazar-Villanea, Universidad de Costa Rica, Costa Rica

Researcher at the Institute of Psychological Research. Professor at the School of Psychology and the Postgraduate Studies System, University of Costa Rica. Graduate in Psychology from the University of Costa Rica. “Expert in Gerontology” from the Master in Gerontology and Doctorate in Clinical Neuropsychology, from the University of Salamanca, Spain. Her areas of interest include: clinical neuropsychology, identity and memory, aging processes, acquired brain injury, narratives, gerontology, cognitive rehabilitation and neurocognitive disorders.

Irene Prada-Murillo, Universidad de Costa Rica, San José, Costa Rica

Assistant at the Institute of Psychological Research of the University of Costa Rica. Bachelor's degree in Psychology from the University of Costa Rica. He is a Technician in Data Analysis from the Technological Institute of Costa Rica. Her areas of interest include: clinical psychology, narratives, human rights, mental health and justice.

Alexander Araya-Tijerino, Universidad de Salamanca, España

Head of the Psychology Section -DTSP- of the Judicial Branch of Costa Rica, undergraduate and postgraduate professor at the Fidélitas University. Master in Forensic Psychology from UNIBE, master in Clinical Neuropsychology from UNIR-UCR, doctoral student in Psychology with a line of research in disability from the University of Salamanca, Spain. Postgraduate in Medical Sciences-Neurological Sciences from the University of Costa Rica. His areas of interest are: neurorehabilitation in people with neurological, neuropsychiatric and psychiatric pathologies, disability evaluation and social model.

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2024-03-25

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Salazar-Villanea, M., Prada-Murillo, I., & Araya-Tijerino, A. (2024). In-visible cognitive disability: assessment and certification routes in Costa Rica. Costa Rican Journal of Psychology, 43(1), 1–28. https://doi.org/10.22544/rcps.v43i01.02

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Vol. 43 No. 1 (2024): Costa Rican Journal of Psychology (January-June 2024, continuous publication)

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