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Aging Analysis of Picture Arrangement Mean scaled score across the adult age range (controlling for education at ages 20 89):
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Age Group Picture Arrangement Mean 16 17 18 19 20 24 25 29 30 34 35 44 45 54 55 64 65 69 70 74 75 79 80 84 85 89 10.0 9.8 10.1 10.2 9.9 9.2 8.8 8.4 7.6 6.8 6.3 6.0 5.5
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tangential, socially oriented or self-oriented, realistic or bizarre, the ability or inability to relate verbal to visual motor tasks (Zimmerman & Woo-Sam, 1973, p. 156). Illustrations of verbalizations (of WAIS items) from Matarazzo (1972, pp. 492 493): FLIRT (Item 2), person charged with homicide: A guy walks down the street with the head of a woman; he might have killed her ; FISH (Item 8), alcoholic with severe depression: This guy didn t catch anything he is cursing the water he jumps in ; TAXI (Item 10), patient with a schizophrenic process: The man carries a dummy she changes into a woman in the taxi and he gets very hot and excited. Failure may be due to poor visual acuity or visual perception; adequate performance on Picture Completion will frequently rule out these factors as causes of a low Picture Arrangement score. The WAIS had two simple (three-card) items to ease the person into an unfamiliar task and ensure early success; the WAIS-III, like the WAIS-R, has only one such item, followed by some fairly complex five-card items, causing some low-functioning individuals to fall off a cliff and fail miserably at this task. Failure on occasional items may be related to the individual s cultural background, which may teach interpretations of social situations that are different from U.S. customs; surprisingly, however, this is not a pervasive problem. Performance on this logical, temporal task is impaired by serious psychopathology and bizarre thinking. Neuropsychological Analysis of Picture Arrangement Picture Arrangement scores are vulnerable to brain damage in general, but are specifically sensitive to the status of the right anterior temporal lobe (Reitan, 1986, p. 21). Patients with frontal lobe damage have been reported to shift the cards only a little if at all
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Aging patterns on the WAIS-R Picture Arrangement subtest showed declining mean scaled scores across the age span, with a high mean scaled score of 10.2 at ages 20 24 and a low mean scaled score of 6.6 at ages 70 74. Clinical Analysis of Picture Arrangement Having the individual verbalize the stories, of both correct and incorrect sequences, is quite valuable for clinical understanding of the responses; however, the examiner should reconstruct the person s arrangements and request the verbalizations after completing the subtest to avoid violation of the norms and possibly giving the person a strategy for solving the harder items. Observing the person s process of handling the cards tells much about thought processes: trial-and-error versus insightful approach, reliance on visual feedback, impulsivity versus reflectivity, poor strategy generation. Examining thought processes via verbalizations may reveal important aspects of the subject s cognition precise or confused and
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and to present this response (or nonresponse) as a solution (Lezak, 1995, p. 639). Cards may need to be placed in a vertical column, instead of horizontally, for patients with visual field and visual spatial neglect deficits (Milberg et al., 1986, pp. 73 74).
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INFLUENCES AFFECTING SYMBOL SEARCH SUBTEST SCORES Anxiety Distractibility Learning Disabilities/ADHD Motivation level Obsessive concern with accuracy and detail Persistence Visual perceptual problems Working under time pressure
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Factor Analysis: Two-factor solution: Perceptual Organization Three-factor solution: Working Memory (primarily), Perceptual Organization (secondarily) Four-factor solution: Processing Speed Horn: CHC: Baltes: Osgood: Broad Speediness (Gs) Broad: Processing Speed (Gs) Narrow: Rate-of-Test-Taking Mechanics Visual motor channel of communication Automatic level of organization Visual reception Orienting response (concentration) General ability Visual motor speed Convergent-production and evaluation of figural stimuli Clerical speed and accuracy Encoding information for further cognitive processing Integrated brain functioning (verbal sequential and visual spatial) Learning ability Paper-and-pencil skill Planning Short-term memory (visual) Spatial visualization Speed of mental processing Visual motor coordination
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UNIQUE ABILITIES OR TRAITS MEASURED BY SYMBOL SEARCH Speed of visual search Perceptual speed (CHC theory) Empirical Analysis of Symbol Search g loadings: r = .70 (8th best) Reliability: test-retest = .79 Practice effect: Large, ages 16 29 (gain of 1.0 scaled-score point); Small, ages 30 74 (gain of 0.5 point); Trivial, ages 75 89 (loss of 0.2 point) Subtest specificity/Error variance: 21% vs. 23% (inadequate specificity) Primary Oblimin Factor Loading: Ages 16 74: Processing Speed factor = .66 Ages 75 89: Processing Speed factor = .59 Secondary Oblimin Factor Loading: Ages 55 74: Perceptual Organization factor = .22 Ages 75 89: Working Memory factor = .37 Most related to: Digit Symbol-Coding (r = .65) Least related to: Digit Span (r = .41) Aging Analysis of Symbol Search Mean scaled score across the adult age range (controlling for education at ages 20 89):
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