PART III in .NET

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PART III
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INTEGRATION AND APPLICATION OF WAIS-III RESEARCH
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In general, Walt experienced difficulty on tasks that were abstract. When he encountered difficulty, he tended to persist and did not frustrate easily. Walt evidenced the ability to learn on tasks that were initially difficult for him. He tended to approach such problems with a trial-anderror method of problem solving and was most successful when accompanying instructions were ordered and step-by-step. Throughout the testing, Walt s processing skills appeared to be slow, and his answers tended to be measured and deliberate. Tests Administered Bender-Gestalt Test of Visual-Motor Integration Peabody Picture Vocabulary Test Third Edition (PPVT-III) Vineland Adaptive Behavior Scales (Expanded Form) Wechsler Adult Intelligence Scale Third Edition (WAIS-III)1 Test Results and Interpretation Walt H. earned a Full Scale IQ of 79 (8th percentile) on the WAIS-III, which classifies him in the Borderline range of intellectual functioning, ranking him at about the 8th percentile when compared to individuals his age. On the Peabody Picture Vocabulary Test-Third Edition (PPVT-III), Walt earned a standard score of 82, which ranks him at about the 13th percentile. These scores are consistent in categorizing Walt s cognitive functioning at the juncture of the Borderline and Low Average classifications of intelligence (a summary of all of Walt s scores is provided in Table 8.25). Walt s Full Scale IQ does not provide the most meaningful estimate of his cognitive abilities because his verbal and nonverbal skills were highly discrepant. Specifically, a significant difference exists between his WAIS-III Verbal IQ of 93 (between 89 97 with 90% confidence; 32nd percentile; Average) and Performance IQ of 67 (between 63 75 with 90% confidence; 1st percentile; Extremely Low). This 26-point difference is significant at the .01 level and is abnormal, occurring very rarely (less than 1% of the time) among adults with IQs comparable to Walt s. The Verbal IQ, when compared to the other global scores, is less affected by Walt s brain damage because his accident seems to have primarily affected his right cerebral hemisphere. As such, it is felt that Walt s Verbal IQ of 93 (32nd percentile), is more representative of Walt s true intellectual functioning than other obtained scores. His low Performance IQ (1st percentile) undoubtedly reflects the impact of right cerebral damage suffered in the car accident. His high Verbal low Performance profile was evident on the Woodcock-Johnson-III as well: Good performance on tests of verbal memory, concept formation, and reasoning; very deficient performance on visual spatial, nonverbal reasoning, and timed tests. Walt s WAIS-III Indexes paralleled the findings from his IQs. He had significantly more difficulty in the areas of visual motor coordination and processing speed (Perceptual Organization Index of 72 and Processing Speed Index of 66) than in the areas of verbal conceptualization, memory, and sequencing (Verbal Comprehension Index of 91 and Working Memory Index of 88). The two indexes that comprise the Verbal IQ, Verbal Comprehension and Working Memory, were not significantly different from one another, and neither were the two indexes that comprise the Performance IQ, Perceptual Organization and Processing Speed. Thus, the Verbal IQ and Performance IQ provide meaningful estimates of his overall verbal and nonverbal abilities.
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1This case originally included administration of a WAIS-R and PPVT-R in the first edition of this book. We decided to modify and update the scores from WAIS-R to WAIS-III in order to provide more valuable examples of how to interpret the most recent Wechsler test. However, the major findings from the original report remain unchanged.
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V P IQ DISCREPANCIES: A NEUROPSYCHOLOGICAL APPROACH
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TABLE 8.25 Psychometric summary of Walt H. s test scores
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Wechsler Adult Intelligence Scale Third Edition (WAIS-III) Scale Verbal Scale Performance Scale Full Scale Factor Verbal Comprehension Perceptual Organization Working Memory Processing Speed Scaled Score 8 9 7 8 8 14 9 IQ 93 67 79 Index 91 72 88 66 Percentile Rank Subtest 25 37 16 25 25 91 37 Picture Completion Digit Symbol-Coding Block Design Matrix Reasoning Picture Arrangement Symbol Search Object Assembly 90% Confidence Interval Percentile Rank 89 97 63 75 75 82 32 1 7
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90% Confidence Interval Percentile Rank 87 96 68 80 83 94 63 78 Scaled Score 7 2 5 4 5 4 5 27 3 21 1 Percentile Rank 16.5 0.5 5.5 2.5 5.5 2.5 5.5
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Subtest Vocabulary Similarities Arithmetic Digit Span Information Comprehension Letter-Number Sequencing
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Peabody Picture Vocabulary Test Third Edition (PPVT-III) Standard Score PPVT-III 82 Percentile Rank 13
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Vineland Adaptive Behavior Scales (Expanded Form) Domain Communication Daily Living Skills Socialization Standard Score ( 95% confidence) 84 10 108 80 106 80 Percentile Rank 14 68 66 Adaptive Level Moderately low Adequate Adequate (Continues)
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