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This chapter, the second of three on profile interpretation, stresses empirical treatment of the data, beginning with the most global score, the Full Scale IQ, and proceeding to the Indexes, and sets the stage for subtest interpretation in 12. The first seven steps of WAIS-III profile interpretation presented in this chapter guide you to determine whether the FS-IQ is a useful and meaningful construct to interpret or whether the V-IQ and P-IQ or the four indexes are more meaningfully interpreted. When the FS-IQ, V-IQ, P-IQ, and the indexes are interpreted, they should be banded with error and converted to an intelligence category and percentile rank. When significant differences are present between the indexes, these discrepancies can impact the interpretability of any or all of the three IQs. Significant subtest scatter in the indexes or V-IQ or P-IQ can also affect the meaningfulness of the IQs or indexes. Careful examination of the first seven steps will delineate which of the scores are the best to interpret in light of potential discrepancies and scatter within the profile. The last of the interpretive steps presented in this chapter (Step 7) deals with interpretation of the global verbal and nonverbal dimensions, as well as the small factors. In the first six steps, we guided the reader through steps to determine what scores are meaningfully interpretable, but in Step 7, we led you through some potential interpretations based on theory, clinical experience, and research. The general interpretation of each of the four factor indexes is presented along with
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Clinicians have long searched for characteristic subtest profiles associated with brain dysfunction and psychopathology with the same zeal that medical researchers apply to the search for biochemical patterns of cancer or AIDS patients, or that psychiatrists apply to the behavioral patterns of mass murderers. Mostly, these quests have not been fruitful, not unlike the quests of other scientists. Unforeseen and often unknown complexities frustrated Wechsler s search for a subtest profile associated with organic brain syndrome or the search of others for patterns that are pathognomonic of schizophrenia, psychotic depression, and countless other disorders. However, the fact that the search for characteristic profiles for groups has usually been unsuccessful does not alter the value of a diversity of theoretical and clinical approaches for gaining true in-
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Horn and Bannatyne formulations to interpret a variety of potentially meaningful dimensions. In addition to the sequential steps that examine the IQs and indexes, a method for calculating standard scores (mean = 100, SD = 15) for alternative subtest configurations is provided in this chapter. Examiners who choose to use these standard scores for Bannatyne and Horn clusters
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will be able to apply the empirical system that is provided for determining significant strengths and weaknesses in a person s Horn or Bannatyne profile. Because the two interpretive approaches overlap to some extent, and both overlap with the four WAIS-III factor indexes, guidelines are discussed to help clinicians select the most appropriate system.
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WAIS-III Profile Interpretation: Steps 8 and 9
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This chapter integrates the logical analysis of each WAIS-III subtest ( 10) with the empirical treatment of the subtest profile to convert an individual s array of WAIS-III scaled scores into clinically meaningful hypotheses about his or her cognitive functioning. The two steps described in depth in this chapter (8 and 9) follow directly after Steps 1 7 presented in 11.
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Our goal in this chapter is to structure the examiner s task of identifying meaningful cognitive hypotheses that may be embedded in a person s WAIS-III profile by restructuring and regrouping the component subtests. Where these hypotheses have reasonably consistent research support re-
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garding their clinical, behavioral, or neuropsychological meaning, that support is indicated. Profile analysis is partitioned into two steps: 8 and 9 in the sections that follow, with emphasis on the identification and not necessarily the clinical interpretation of diverse strengths and weaknesses within the adolescent s or adult s cognitive and behavioral spectrum. This chapter is organized in three sections, two of which reflect different approaches to WAIS-III profile attack, depending on the examiner s preferred processing style: (1) a sequential approach to profile attack Steps 8 and 9 (to follow Steps 1 7 in 11); (2) a simultaneous approach to profile attack; and (3) illustrative case reports, which demonstrate the outcome of the various hypothesis generation methods and the integration of WAIS-III data with background information, test behaviors, and data from other tests.
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