Verbal Compensation for Performance Deficit in .NET

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Verbal Compensation for Performance Deficit
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As discussed previously, some verbally bright individuals can score well on Wechsler s nonverbal tasks by using their well-developed verbal skills. Verbal responding on Picture Completion, verbal mediation on Picture Arrangement and Matrix Reasoning, and thinking aloud on Block Design and Object Assembly may be used as compensatory techniques for people with high verbal intelligence coupled with visual motor deficits. Individuals who are particularly adept at this compensation can inflate their Performance IQs substantially, far beyond the level of their true nonverbal intelligence. Such individuals will conceivably still earn significantly higher Verbal than Performance IQs, but the discrepancy may be a normal 10 points instead of an extraordinary 25 points. Obviously, the person who can spontaneously compensate for a nonverbal deficiency especially in a highly structured, timed situation has strong integrities and well-integrated brain functioning. That is the upside of the finding. The downside is that the person may truly have a visual motor deficit requiring rehabilitation or remediation, such as a patient who has suffered a stroke in the right hemisphere; the failure for a sizable V > P or VCI > POI pattern to emerge may
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PART III
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INTEGRATION AND APPLICATION OF WAIS-III RESEARCH
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mask the real underlying deficits in the person s cognitive functioning. The alert clinician will be able to infer significant, and perhaps substantial, verbal nonverbal discrepancies for a person who otherwise does not score remarkably differently on the Verbal and Performance scales. The things to look for are scaled scores on Picture Completion and Picture Arrangement (the most easily verbally mediated tasks) that are clearly above those on the remaining nonverbal tasks (and similar in magnitude to most Verbal scaled scores). These observations should be coupled with clear-cut behavioral observations of the use of verbal mediation when solving items on tasks like Picture Arrangement, Matrix Reasoning, and Block Design.
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ages 75 89, it is only about 1 point (see Table 6.5). Consequently, the effects of retesting on a person s V P IQ discrepancy is primarily of concern for adults below the age of 55. Thus, the average person between the ages of 16 and 54 will show a relative gain of about 5 6 points on the Performance scale when retested on the WAIS-III. Based on Catron s (1978; Catron & Thompson, 1979) retest study with the WAIS using five time intervals, one would expect the relative gain in P-IQ to be maintained for at least 4 months. Impact of Retesting for Individual Assessment The net result of this practice effect is to produce relatively higher Performance than Verbal IQs in individuals who are retested on a Wechsler Scale over an interval of a few months (which might even be as long as a year or more). A person between the ages of 16 and 54 who earns a P > V pattern by a nonsignificant 8 points on an initial testing of the WAIS-III would be expected to show a significant P > V profile by about 13 14 points on a retest, simply due to the predictable practice effect that leads to greater improvement in P-IQ than V-IQ. Similarly, a person with P > V of 16 points on the first administration is likely to have a striking discrepancy of about 21 22 points on the retest due to the practice effect. The practice effect works in reverse for people who initially show significant superiority on the Verbal Scale. A significant V > P profile of 12 points on the first test is likely to decline to a trivial 6 7 points on the retest, and so forth. The overall conclusion is that V P differences on a retest of the WAIS-III for persons in the 16 54 year age range are likely to be meaningless in most circumstances unless the initial test was invalid (e.g., because of the person s low motivation), or if at least a year has elapsed between administrations. V P IQ discrepancies on a retest can only be interpreted in the context of the V P differences observed on the first test. If the V P discrepancies follow a lawful pattern, i.e., they show a shift on retesting in the direction of a relatively higher P-IQ,
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