Psychiatry: Psychology and Psychiatry: Psychometric and Neuropsychological Testing

PSYCHIATRY
Psychology and Psychiatry:

Psychometric and Neuropsychological Testing
(Chapter 5 – Kaplan and Sadock’s Synopsis of Psychiatry)
Psychological Testing of
Intelligence and Personality
Psychometric and neurological tests are designed to
measure specific aspects of people’s intelligence,
thinking, or personality
Intelligence Testing
 Necessary to establish the degree of mental retardation
Neuropsychological Tests
 Necessary to help quantify and localize brain damage
Types of Tests
OBJECTIVE TESTS PROJECTIVE TESTS
 Typical pencil-and-paper  Present stimuli whose meanings
tests based on specific are not immediately obvious
items and questions  Degree of ambiguity of the
tests forces people to project
 Yields numerical scores
their own needs into the test
situation
 Profiles easily to
mathematical or statistical  Presumably have no right or
analysis wrong answers
 Impute meanings to stimulus,

apparently based on
psychological and emotional
factors
Intelligence
Ability to
 assimilate factual knowledge
 to recall either recent or remote events
 to reason to reason logically
 to manipulate concepts (numbers/words)
 to translate the abstract to the literal and the literal to the
abstract
 to analyze and synthesize forms and to deal meaningfully
and accurately with problems and priorities deemed
important in a particular setting
Alfred Binet introduced the concept of Mental Age (MA)

 Average intellectual level of a particular age
Intelligence
Intelligence Quotient (IQ)
IQ = MA / CA x 100
 IQ = 100 chronological and mental age are equal
 It is an interpretation or classification of a total test score
in relation to norms established by a group.
 Measure of present functioning ability, not necessarily of
future potential
 Does not indicate the origins of its reflected capacities,
genetic or environmental
Weschler Adult Intelligence Scale
Best standardized and most widely used intelligence
test in clinical practice today
Constructed by David Weschler
Comprised of 11 subtests
 6 verbal subtests (comprehension, arithmetic, similarities,
digit span, vocabulary)
 5 performance subtests (block design, picture
arrangement, object assembly, digit symbol)
16-24 years old

 WISC – 5 to 15 years
 WPPSI – 4 to 61/2 years
Weschler Adult Intelligence Scale
Average IQ 90 – 100
 > 120 Superior
 < 70 Mental Retardation
Verbal Scale
 Measures retention of previously acquired factual information
 Sensitive to education
Performance Scale
 Measures vicuospatial capacity, visuomotor speed in problem-
solving tasks
 Sensitive to normal aging
Classification of Intelligence
by IQ Range
Classification IQ Range
Very Superior 130 and above
Superior 120-130
Bright Normal 110-120
Normal 90-110
Dull Normal 80-90
Borderline 70-79
Mild MR 50 -55 to 70
Moderate MR 35-40 to 50-55
Severe MR 20-25 to 35-40
Profound MR Below 20 or 25
Adult Personality Assessment
OBJECTIVE PROJECTIVE
 Structured, standardized  Unstructured, often
measurement which ambiguoustest stimuli
typically are of a self-
 Assumption that when
report nature
confronted with a vague
stimuli and required to
respond to it in some manner,
people cannot help but reveal
information about themselves
 Assess the process and

content
 Idiographic
Minnesota Multiphasic Personality
Inventory
Self-report inventory
Most widely used objective personality assessment
Developed by Starke Hathaway and Charnley Mckinley
Gives scores on 10 standardized clinical scales

Rorshach Test
 Hermann Rorschach
 Use of 10 ambiguous
inkblots
 Scoring of response as to
location, determination,
content and popularity
Thematic Apperception Test
(TAT)
 Designed by Henry Murray
and Christiana Morgan
 Series of 30 pictures and

one blank card
 Requires patients to
construct or create a story
Sentence Completion Test
 Designed to tap patients’
conscious associations to
areas of functioning in
which clinicians may be
interested
 Series of sentences
e.g. “ Sometimes I wish ...”
“I feel guilty...”
 Time pressure is applied

Word Association Technique
 Carl Gustav Jung
 Present stimulus words to

patients and have them
respond with the first word
that come to mind
 Complex indicators include

long reaction times,
blocking difficultiesnin
making responses etc...
Draw-a-Person Test
 First used as a measure of
intelligence in children
 Represents the expression

of the self or the body in
the environment
Neuropsychological Assessment of
Adults
 Aim is to achieve  To determine the course of
quantifiable and an illness,to evaluate
reproducible results that effects of treatment, to
can be compared to the evaluate learning disorders
test scores of normal
people whose age and
demographic background
are similar to those of the
person tested
 Identify cognitive defects,

to differentiate incipient
depression from dementia

Psychiatry: Psychology and Psychiatry: Psychometric and Neuropsychological Testing

Uploaded by

Copyright:

Available Formats

Psychiatry: Psychology and Psychiatry: Psychometric and Neuropsychological Testing

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Psychiatry: Psychology and Psychiatry: Psychometric and Neuropsychological Testing

Uploaded by

Copyright:

Available Formats

PSYCHIATRY

Psychology and Psychiatry:

 Impute meanings to stimulus,

Alfred Binet introduced the concept of Mental Age (MA)

16-24 years old

 Assess the process and

Most widely used objective personality assessment

Developed by Starke Hathaway and Charnley Mckinley

Gives scores on 10 standardized clinical scales

 Series of 30 pictures and

e.g. “ Sometimes I wish ...”

 Time pressure is applied

 Present stimulus words to

 Complex indicators include

 Represents the expression

 Identify cognitive defects,

You might also like