ABSTRACT
Clinical neuropsychologists can perhaps, probably inaccurately, be divided into those focused on rehabilitation and those focused on diagnostics. A patient, David, is described, following a traumatic brain injury, who is very slow in his performance of almost any cognitive task. His formal test performance suggests very severe cognitive impairment, though assessment was curtailed due to time limitations. Formal testing, completed by a rehabilitation-focused neuropsychologist, was completed, as a basis for treatment. The approach did not succeed, as David failed to engage post-assessment. Much later, a large envelope arrives the post, which calls into question some of the assessment assumptions.
