Traditional pediatric neuropsychological assessment and report writing has long emphasized deficit identification, shaped by medical and diagnostic models.However, contemporary approaches and frameworks, including the field of positive psychology, the international classification of functioning, the life course health development approach, and the neurodiversity movement have reiterated the need for a shift toward more holistic and strengths-based approaches.This commentary discusses the value of integrating a strengths perspective in pediatric neuropsychological report writing to enhance clinical utility, therapeutic relationships, and family engagement.We explore systemic, historical, and training related factors that maintain a deficit focus in clinical practice and highlight how strengths-based and neuroaffirming approaches align with evolving paradigms in health and disability.Drawing on research and practical experience, we offer actionable strategies to embed strengths-based practices into the assessment process and report writing.These include eliciting family perspectives, using inclusive and empowering language, contextualizing difficulties within environmental frameworks, and emphasizing developmental trajectories and functional goals.By adopting this approach, neuropsychologists can contribute to an understanding of children's abilities and needs, which promotes participation and development.Strengths-based report writing offers a direction for evolving neuropsychological practice in ways that better serve children, families, and interdisciplinary teams.
Slykerman et al. (Sun,) studied this question.