Basics of Psychological Assessments
Basics of Psychological Assessments
INTRODUCTION
A psychological assessment is the attempt of a skilled professional, usually a psychologist, to
use the techniques and tools of psychology to learn either general or specific facts about another
individual, either to inform others of how they function now, or to predict their behavior and functioning
in the future. The point of assessment is often diagnosis, management plan, placement in job or
selection of personnel in military etc. Psychological assessment is a broad area which includes
intelligence, personality, projective tests, and neuropsychological assessment. (Singh, 1997)
HISTORICAL VIEW
The progress of psychology and psychological test started with Wilhelm Wundt (1832-1920) who
established the first psychological laboratory in 1879, in Leipzig, Germany. In 1905 Binet and Simon
invent the first modern intelligence test. Stern introduced the concept of IQ, or Intelligence quotient in
1914. In 1917 Robert Woodworth develops the personal data sheet, the first personality test. These are
few milestones in the field of psychological assessment. Psychological assessment has its extensive
history within the field of mental health also. Psychological testing in its modern form originated little
more than one hundred years ago in laboratory studies of sensory discrimination, motor skills and
reaction time. History of psychological testing is a captivating story that has a substantial relevance to
present day practice.
(Appendix I)
The more common and evident contributions of psychological assessment in clinical field can be
organized into four general categories (Maruish, 1999).
1. Problem Identification- Problem Identification is the most common use of psychological
assessment.
2. Problem Clarification- Psychological assessment can often assist in the clarification of three most
important types of information, the severity of the problem, complexity of the problem & degree to
which the problem impairs the patient’s ability to function in one or more life roles.
3. Identification of important patient characteristics - Identifying patient characteristics reveals the
strengths and weaknesses of the patient that helps in achieving the therapeutic goals.
4. Monitoring of progress - The information from repeated assessment during the treatment process
can help the clinician to determine, if the treatment plan is appropriate for the patient at a given point
of time.
Essential component of individual testing is that examiner must be familiar with the material and
directions before the administration of test.
Examiners are urged to establish rapport. In testing rapport is a comfortable warm atmosphere that
serves to motivate examinees and elicit cooperation.
Another important ingredient of valid testing is sensitivity to disabilities in the examinee.
Technical Aspect in Psychological Testing:
1. Standardization- Standardization refers to uniformity of procedures in administering and scoring the
test (Anastasi, 1997). Thus a test is said to be standardized if test administration procedures,
materials, instructions, recording and scoring are as constant as possible at all times(Korchin,1999).
2. Norms- Norms refer to the average performance of a representative sample on a given test. Test
developers are advised to publish norms describing the frequency distribution of scores, obtained in
as broad sample as possible of the relevant population (APA, 1974).
3. Objectivity- A test is said to be objective when the administration, scoring, and interpretation are
independent of the subjective judgment of the particular examiner. It means that the assessment
must be free from subjective element so that there is complete interpersonal agreement among
experts regarding the meaning of the items and scoring of the test. (Anastasi, 1997).
4. Reliability- The reliability of an assessment refers to its degree of stability, consistency,
predictability, and accuracy (Groth & Marnat, 2003). It refers to self correlation of the assessment
which shows the extent to which the results obtained are consistent when it is administered once or
more than once on the same sample with a reasonable time gap. There are four types of reliability:
Split Half Reliability is known to be the best technique in which the test is given only once. The
items are split in half, and the two halves are correlated. To determine it, the test is often split on
the basis of odd and even items. The reliability coefficient is the correlation of scores obtains by
same person on the two halves (Groth & Marnat, 2003).
Interscorer Reliability is one which is obtained by scoring of a test by more than one expert of a
single client
(Groth & Marnat, 2003).
Test-Retest Reliability which is determined by administering the test and then repeating it on a
second condition. The reliability coefficient is the correlation of scores obtains by same person
on the two different administrations (Groth & Marnat, 2003).
Alternate Forms Reliability is determined by administering the parallel forms of the test on a
person. The reliability coefficient is the correlation of scores obtains by same person on the two
parallel forms (Groth & Marnat, 2003).
5. Validity- Validity indicates the extent to which the test measures what it intended to measure and
should also produce information useful to clinician (Groth & Marnat, 2003). The degree of validity of
a test depends on the magnitude of the errors present in the measures obtained from it. Some
indication of the validity of a given test is gained from a study of the correlation between scores on a
given test and scores from other tests designed to measure the same factor. They are of the
following types:
Content Validity refers to the representativeness and relevance of the assessment instrument to
the construct being measured.
Criterion Validity also known as Empirical Validity is determined by comparing test scores with
some sort of performance on an outside measure. It is further divided into Concurrent Validity
and Predictive Validity.
Concurrent Validity refers to measurements taken at the same, or approximately the same time
of the test administration (Groth & Marnat, 2003).To determine concurrent validity, test scores
and criterion are obtained simultaneously (Gregory, 2004).
Predictive Validity refers to outside measurements that were taken some time after the test score
were derived (Groth & Marnat, 2003).
Construct Validity refers to the extent of measurement to which the test measures a theoretical
construct or trait (Groth & Marnat, 2003).
Descriptive Validity requires that the characteristics or variable being measured is unique to the
condition that they are supposed to define.
These were the main types of psychological test according to Gregory (2004). On the basis of
the criterion of administrative conditions tests are of two types-Individual and Group tests. On the basis
of criteria of scoring the tests are classified into Objective and Subjective tests. Where, Intelligence
test measures individuals’ ability in relatively global spheres. Aptitude test measures the capabilities for
a relatively specific task or type of skill. Achievement test measures a person’s degree of learning
success and accomplishments in a subject or task. Creativity tests assess novel original thinking.
Personality tests measure the trait, qualities and behaviors. Interest inventory measures individuals’
preference for certain activity or topics. Neuropsychological tests measure cognitive, sensory,
perceptual and motor performance (Gregory, 2004). On the basis of criterion of time limit in producing
the response are the power and speed test. Power tests are those that have generous time limits so
that most examinees are able to attempt every item. Speed tests are those that have severe time limits
(Appendix-II and III).
A. Objective Test ( – It is commonly known as personality inventories or paper pencil tests in which the
individual describes his/her own feelings, environment, and reaction of others towards him/her.
Objectivity referred to be fairly clearly structured tests for which scoring would be identical if performed
by competent persons.Objectivity to an approach to personality testing, disclaimed use of the term but
believed what is meant is two- fold:
(1) Minimization of errors of observing and recording
(2) Minimization of variability in the task conditions on separate occasion. It is form of the personality
inventory, the check-list, and the rating scale. Most of these inventories or assessment techniques
measures traits present in an individual. It may even be administered on a computer. The important
tests are as follows:
Two coding type namely Hathaway and Welsh are there. It has been widely used for detection of
malingering, personality disorders, aggression etc. The reasons of revision are inadequacy of
sample, item content, language, poor grammar and punctuation and in order to enhance the validity
of this tool & new validity scales have been added in MMPI-II.
6. Neo-PI-Revised:
This test has been developed by Costa & Mc Crae in the year 1992. Initially it was designed for use
by adults, revised in the year 1992 and made usable for people as young as 10 years. It contains
240 items that assess 30 specific traits (or facets), 6 for each personality dimension:
The items are answered in a 5- point Likert scale, ranging from strongly agreeable to strongly
disagreeable. There are two forms: parallel self report (Form S) and observer rating (Form R).
Four validity scales: Runs, Rarity, True and Like- unlike and alternate versions of self report, informant
ratings and interviewer’s ratings are there (Clonninger et al, 1994).
B. Projective Techniques
The term “Projective test” was popularized by L. K. Frank (1939). In this, the person whose traits
are to be studied is asked to describe an unstructured stimulus or situation and through his responses,
his needs, drives, motives, fears, etc, are revealed.
Instruction: Give the first card in the subject’s hand and ask “what might this be?” (This is the basic
instruction and nothing should be added). If the subject responds by saying that “this is an ink-blot”,
acknowledge it and further say “that is right. This is ink-blot test, and I want you to tell me what it
might be.” On the first card, before giving any response or after giving one response, if the subject
asks “How many things should I find” the standard answer is “If you take your own time, I am sure
you will find more than one.” If after giving more than one response the subject asks “How many
should I see?” the standard response is “It is up to you.” If the subject gives more than 6 responses
on card number one, the card should be taken back. Same procedure should be followed if on other
cards the number of responses is more than 5. However, if on card number 1, the subject has given
less than 6 responses and on other cards he is giving more than 5 responses, he should be allowed
to do so. Verbatim of all the responses should be recorded. Position of card should be noted.
Inquiry phase: In this phase examiner should read the responses. The instruction in the inquiry phase
should be “Show me where it is and what there is that makes it to look like that.”
Location:
Developmental Quality
+ Synthesized More than one percept. At least one percept has
definite form demand
V/+ Synthesized None of the percept has any form demand
O Ordinary One percept with definite form demand
V Vague One percept without any form demand
Determinants
1.Form F 6.Shading dimension V
FV
VF
2.Movement M 7.Shading diffused Y
FM YF
m FY
3.Chromatic Colour C 8.Form Dimension FD
CF FC Cn
4.Achromatic Colour C’ 9.Pairs and reflections (2)
C’F rF
F’C Fr
5.Shading texture T
TF
FT
Blends
• Form quality: +, O, U, -
• Content
• Special scores
Unusual verbalizations
1. Deviant verbalization
a. Neologism b.Redundancy
2. Deviant response
a.Inappropriate b.Circumustantial
phrases response
Inappropriate combinations
1.Incongruous 2. Fabulized 3. Contamination
combinations combinations
Inappropriate logic
Perseveration
Confabulation
Special content characteristics
C. Observational Methods
In Observational Method, the person whose personality traits are to be observed are put either in
structured or unstructured situations and observations are made by the observers (Groth & Marnat,
2003).
1. Interview:
Interview is a face to face interpersonal situation which has a clear sequence and relevant themes
that helps the interviewer to achieve the defined goals (Groth & Marnat, 2003).
2. Rating Scale:
A rating scale is defined as a technique through which the observer or ratter categorized the
objects, events or persons on a continuum, represented by a series of continuous numerals. Some
commonly used rating scale in clinical practice are Brief Psychiatric Rating Scale(BPRS), Positive
and Negative Syndrome Scale(PANSS),Young Mania Rating Scale(YMRS),Hamilton Rating Scale
For Depression(HAM-D),Beck Depression Inventory(BDI),Yale Brown Obsessive Compulsive Scale
(Y-BOCS) etc.
Developmental Quotient (DQ), Intelligence Quotient (IQ), Performance quotient (PQ) and
assessment of adaptive functioning in terms of Social Quotient (SQ) are widely used concepts in
intelligence.
Intelligent Quotient (IQ) - The term Intelligence Quotient (IQ) was devised in 1912 by William Stern. It
is an expression of an individual’s ability level at a given point of time, in relation to the available age
norms. IQ=MA/CA X 100 (Anastasi, 1997).
Basal Level-A level for tests in which subtest items are ranked from easiest to hardest and below
which the examinee would almost certainly answer all questions correctly ( Gregory, 2004).
Ceiling Level-A level for tests in which subtest items are ranked from easiest to hardest and above
which the examinee would almost certainly fail all remaining questions (Gregory, 2004).
Mental Level- The child’s score on the test can be expressed as mental level corresponding to the age
of normal children whose performance he or she equaled (Anastasi, 1997). It is also called Mental Age
(MA).
Chronological Age- The age from birth to the time of testing is called chronological age. The mental
age does not increase in a rapid orderly fashion after middle teens (Morgan et al, 1993). Therefore
even for adults the chronological age mostly taken to be 16 while calculating the IQ ratio.
General intellectual functioning is determined by the used of standardized tests of intelligence, and the
term significantly sub-average is defined as an intelligence quotient (IQ) of approximately 70 or below
or two standard deviations below the mean for the particular test. Adaptive functioning can be
measured by using a standardized scale.
aAccording to the fourth edition of Diagnostic an Statistical Manual of Mental Disorder (DSM-IV)
The most commonly used intelligence tests may be classified into three types:
A. Schedules of develoment and B. Verbal C. Non verbal and
socioadaptive functioning Tests Performance tests
Developmental Schedules for infants and preschool children:
These are most useful as screening instruments for assessing the developmental level
of children up to five years of age.
1. Developmental Screening Test (DST):
The Developmental Screening Test by Bharat Raj (1977) is designed to measure
mental development of children from birth to 15 years of age by a semi-structured
interview with the child and a parent or a person well acquainted with the child.
There are 88 items distributed according to the age scales. It provides
Developmental Age, DA and Developmental Quotient, DQ (Bharat Raj, 1977).
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4. Arithmetic: 14 mental arithmetic brief story type problems. Test distractibility as
well as numerical reasoning.
5. Comprehension: 16 questions which focus on issues of social awareness.
6. Similarities: A measure of concept formation. Subjects are asked to say how two
seemingly dissimilar items might in fact be similar.
• Performance WAIS scales
7. Picture Completion: 20 small pictures that all have one vital detail missing.A test
of attention to fine detail.
8. Picture Arrangement: 10 sets of small pictures, where the subject is required to
arrange them into a logical sequence.
9. Block Design: Involves putting sets of blocks together to match patterns on cards.
10. Digit Symbol: Involves copying a coding pattern.
11. Object Assembly: Four small jig-saw type puzzles.
WECHSLER ADULT PERFORMANCE INTELLIGENCE SCALE AND VERBAL
INTELLIGENCE SCALE
• Performance part of WAIS has been adopted for Indian population by
Prabharamalinga Swamy in 1974
• Verbal part of WAIS has been adopted for Indian population by Prasad and Verma
(age range 20-69 years)
Performance Verbal
Picture completion Information
Digit symbol Comprehension
Block design Arithmetic
Picture arrangement Digit span
Object assembly
IMPORTANT POINTS:
Verbal – I, S.V.C
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2. Pass Along Test (Originally by Alexander) 8 patterns
3. Pattern Drawing Test - (8 patterns)
4. Immediate Memory of Sounds/digits
5. Picture Construction Test – 5 item
The test can be administered on persons of 11 years of the age and above. All five
sub tests are administered in a sequence as given above. The obtained raw score
are converted into mental age (MA) which can be used to calculate I.Q. (Intelligence
Quotient) of a person. This test is not to be use on mentally retarded persons
(Bhatia, 1971).
3 yrs.
4 yrs
5 yrs
6 yrs.
7yrs
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III. Neuropsychological Assessment
Neuropsychological assessment as began in the 1950s is a well defined
discipline with the work of Halstead, Reitan, and Goldstein in the United States, Ray in
France, and Luria of the Soviet Union. It is used for screening and assessing the
presence of possible neuropsychological impairment.
1. Bender Visual Motor Gestalt Test (BVMGT) :
It is developed by Lauretta Bender in 1938. It cannot be used with the children below
age 3 years. There are total nine cards in which card A is the orientation card. It
assesses visual acuity and motor functioning. There are several scoring methods
available in which Pascal and Hain’s are most commonly used. In Hain’s method
(1964) of scoring which was followed by Bhargava and Sadhu (1987), the protocol
must be scored on the basis of 15 signs. In this the maximum score is 34. The
score of 9 and above shows severe dysfunction.
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There is one slight change to the optional Information and Orientation
subtest and one item has been deleted and six items added to the Mental
Control subtest.
The Figural Memory, Visual Paired Associated, and card B of Visual
Reproduction subtests have been dropped.
There are slight wording and administration changes in Logical Memory,
and added subtests help to assess various aspects of visual memory.
Requires strict and discreet timing for certain subtests
Reading Arithmetic
Right Streognosis calculation
tempor
al
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6. Cambridge Neuropsychological Test Automated Battery (CANTAB) :
CANTAB developed at University of Cambridge, provide an effective method of
cognitive assessment by assessing
1. General memory and learning,
2. Working memory and executive function,
3. Visual memory,
4. Attention and reaction time (RT),
5. Semantic/verbal memory, and decision making and
6. Response control.
This is a language-independent test which has a touch screen technology that
delivers rapid and non invasive cognitive assessment. It contains 19 tests in
which one can run tests individually or can set up a battery of a number of tests.
ASSESSING SPECIAL POPULATION
To assess the special population, who cannot be properly or adequately,
examined with traditional instruments the performance, non language and non verbal
tests are widely used. Mentally Retarded Persons, Person with Physical Disabilities
comes under this group (Anastasi, 1997).Following tests have been developed for these
populations:
1. Assessment of Disability in Persons Suffering from Mental Retardation
(ADPMR):
Individual tests for intelligence and measure for adaptive behavior in everyday life are
widely used to assess the strengths and deficit areas of mentally retarded persons.
ADPMR is a scale for measuring and quantifying disability in person with mental
retardation, developed by A. Nizamie, V.K. Singh and B.N.P. Sinha in 2005. It
comprised of five areas, namely
,
1.Perceptual 2. Self- 3.Communication 4. Social 5. 6.Occupational
-Motor Care Academic
The duration of illness at least 2 years - the number of months the patient was
symptomatic in last 2 years should be determined.
3. Assessment for Person with Physical Disabilities:
It is possible to administer verbal tests on the person with hearing impairment; if the
oral questions are typed on cards. Some of the earliest performance scales, such as the
Pintner-Paterson Performance Scale, The Arthur Performance Scale, and the WISC-R
Performance Scale has been the most widely used in this area. For blind persons oral
tests can be most readily adapted while the performance tests are least likely to be
applicable. The Wechsler scales have been adapted for blind persons and widely used
in western scenario. Person with motor impairment found it difficult to work against the
strict time limit or in strange situation, for them there are steps taken by adapting some
tests, like Porteus Maze Test. Peabody Picture Vocabulary Test is one which is widely
used in this area. (Anastasi, 1997)The assessment of physically disabled children at
an early age is very important in order to provide appropriate educational experiences
from the outset. This helps to prevent the cumulative learning deficits that would
magnify the effects of the disability on intellectual development.
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Mental health professionals eagerly embraced technology in their quest to
improve the efficiency and accuracy of testing as the scoring of psychological tests by
hand is a tedious, time consuming, and error prone.The umbrella term Computer
Assisted Psychological Assessment (CAPA) refers to the entire range of computer
applications in psychological assessment. Strong Vocational Interest Blank (SVIB)
development was the first step towards this technical revolution in the field of mental
health. By the 1970s, it was realized that computers could be integrated into the entire
process of psychological assessment. By the 1980s, CAPA was so prevalent that
virtually every psychological test in existence could be interpreted by computers.
Computing in mental health has included not only computer assisted assessment but
also computer interviews, computerized diagnosis, computer aided instruction, clinical
consultation and simulated psychiatric interviews. (Groth & Marnat, 2003).For example,
MMPI, WAIS-R, WISC-R, CANTAB and many more psychological tools has computer
versions.
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which the individual is reared and psychological tests measure the behavioural aspect
of an individual, the performance is bound to be affected due to the cultural impact.
Thus the term culture free was replaced by terms as “culture common”, “culture fair” and
“cross- cultural” (Anastasi, 1997).
Measures of deterioration and premorbid IQ
The deterioration in cognitive functioning with age can be accessed through the
overall scatter between the scores of the Wechsler subtests. Wechsler (1998) proposed
that the relation of Verbal to performance IQ, and Hold to Don’t Hold tests can measure
the deterioration.
Don’t Hold - Digit Span, Similarities, Digit Symbol, and Block Design are those which
normally decline with age
Hold tests - Vocabulary, Information, Object Assembly, and Picture Completion tend
to remain stable through age (Korchin, 1986).
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Other factors caused by the examiner also have been identified that affects
the psychological assessments are:
Impact of rapport establishment: Rapport establishment is a comfortable, warm
atmosphere that serves to motivate examinees and elicit cooperation. Initiating a
cordial testing milieu is a crucial aspect of valid testing. A tester who fails to establish
rapport may cause a subject to react with anxiety, passive-aggressive
noncooperation, or open hostility. Failure to establish rapport distorts test findings:
ability is underestimated and personality is misjudged.
Influence of gender, race, and experience in psychological assessment: A wide
body of research has sought to determine whether certain characteristics of the
examiner cause examinee scores to be raised or lowered on psychological
assessment. Interview and interactive testing procedures create ample opportunity
for an examiner’s age, gender, ethnicity or other characteristics to make
respondents feel more or less comfortable and more or less inclined to be
forthcoming. Examiners accordingly need to be alert to instances in which such
personal qualities may be influencing the nature and amount of the data they are
collecting. Most studies find that sex, experience and race of the examiner make
little, if any, difference. In isolated instances, particular examiner characteristics
might very well have a large effect on examinee test scores. (Gregory 2004)
Background and motivation of the examinee: Examiner not always is at fault,
psychological assessments are also affected by the examinee. Examinee differ not
only in the characteristics that examiner to assess, but also in other extraneous
ways that might confound the test results. There are multiple factors that play an
important role like interest, motivation, test anxiety, malingering, or cultural
background. Test results might be inaccurate if the examinee has reasons to
perform in an inadequate or unrepresentative manner. A motivation to deceive or to
fake will affect the test findings. (Gregory 2004)
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apply tests which are least affected by cultural variables. Tests such as Ravens
Progressive Matrices or the performance part of other intelligence tests can be used.
Flynn effect: Flynn effect is the rise of the average intelligence quotient over
generations. Norm revision in every 10 years is an essential part of intelligence
testing. The exposure of children enhances with the change with time, hence the
children tested on older norms would score higher so the intelligence test becomes
somewhat of little use if the norms are not revised after a period of ten years.
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At times no abnormality is observed on structural imaging; still the behavioural
changes are observed which may be indicating organicity.
It is used to assess brain functioning in progressive brain disease.
It is used to assess the neuropsychological sequel of psychiatric disorders.
ii) Contra-indicators- Neuropsychological findings at times may not be relevant,
even if the assessment prerequisites have been checked. There are several factors
which may render the results of neuropsychological findings as unreliable ( Groth &
Marnat, 2003), some of them are:
Physical problem may affect the test performance. Also the sensory or motor
difficulties may affect the test findings.
Current or pre-existing psychiatric disorders or learning disability may affect
psychiatric disorders (Lezak, 1995).
Congenital & pre-existing neurological conditions including prior brain injury,
insult or epilepsy are also relevant factors that may affect results.
Language problem may also be an important factor as those who have a different
mother tongue may perform poorly.
Cultural biasness is observed in some of the test which may affect the test
findings.
Assessment in sessions may affect the test results for a variety of reasons.
i) Length: A psychological report along with proper history and behavioral observation
should be around five or seven single spaced pages (Singh 1997). However the
length can substantially vary depending upon the nature of report.
ii) Style: The style of report writing may depend upon the primary training and
orientation of the examiner. The American Psychological Association (1992)
recommends that regardless the form followed in report writing the report should
have accuracy, clarity, integration and readability.
iii) Presenting the test interpretation: There are three ways in which clinician presents
the interpretation of the test. The first one is the hypothesis oriented focuses upon the
referral question. The second one is the domain oriented divided over specific topics
such as abilities, interpersonal relationships, vocational abilities or sexuality. The third
approach is test-by-test interpretation, in which the clinician simply gives relevant
findings according to each test (Tallent, 1992).
iv) Topics: In the case of domain oriented report writing there are a few broad topics
under which the report is written. They are the cognitive function, personality&
interpersonal relationship. Furthermore if the test is for diagnostic clarification then it
must include the diagnostic indicators also.
v) What to include? – The guideline to write a report relates to the needs of the referral
setting, background of the readers, purpose of testing, relative usefulness of the
information, and whether the information describes the unique characteristic of the
person. The clinician should emphasis relative intensity of client’s behaviour. (APA,
1992). And it is very important that the report writer should always try to avoid
technical words in reports means the terminology should be very simple ( Groth &
Marnat, 2003). And there should be some specific rule regarding the length of
information.
vi) Summary and recommendation: This is the final stage of report writing when the
clinician must give an overall summary of the relevant findings in a brief manner
followed by proper recommendations for future assessment and treatment planning.
Related Controversies:
Psychological assessment has been criticized for violating ethical issues.
It is often sited that psychological tests lead to invasion of privacy. Although
this problem can logically be related to personality test it is often used against any kind
of test.
Furthermore the problem of confidentiality is another area for which the
psychological tests have been seen through skepticism.
The “self-fulfilling prophecy” has often been sighted against testing, as it
affects the individual’s self concept and the behaviour of his associates around
him.
Indian Scenario
In India majority of work has been done on adaptation of tests. Tests such as the
PGI Battery of Brain Dysfunction (Prasad &Verma, 1989), Bhatia Battery of
Performance Test of Intelligence (Bhatia, 1955), WISC-R(Verbal scale was also
translated in Hindi by Sharma in 1997).Stanford- Binet Intelligence Test(Kulshreshtha,
1971),Developmental Screening Test (Raj, 1977), Multiphasic Personality
Questionnaire (Murthy, 1975) have been adapted.There has been effort in Central
Institute of Psychiatry to standardize the norms of several tests such as the construct
validity of Luria Nebraska Neuropsychological Battery (LNNB),and standardization of
few subtests of Cambridge Neuropsychological Test Automated Battery
(CANTAB).There is AIIMS Neuropsychological battery which is a Hindi adaptation of
Luria Nebraska Neuropsychological Battery (LNNB). Moreover National Institute of
Mental Health & Neurosciences (NIMHANS) has published the norms of tests like
Stroop test, Trail Making and Wisconsin Card Sorting Test and development of tests in
different areas.Hindi Adaptation of Kaufman Assessment Battery for Children was also
done in Ranchi Institute of Neuro Psychiatry and Allied Sciences (RINPAS). But still,
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Indian Psychologist need to take further efforts in order to develop new psychological
tests as well as to prepare norm for Indian population and revising of existing norms.
Future Direction
Professional, moral, ethical, social and even legal issues have interacted to
produce today’s trends in psychological testing. New tests keep coming out all the time,
with no end in sight. There are hundreds of new tests being publishes each year. But
there is safety in predicting continued controversy and disagreement in the testing field,
which will no doubt produce further change. Disagreement and controversy are second
nature to psychologists; because of disagreement, however, new data are sought,
found, and ultimately produce some clarification of old controversies along with band-
new contradictions and battle lines. As a consequence, change will be constant
characteristics of the fields. Improved technology is currently being applied in the testing
field. Because of advances in computer technology, statistical procedures can be
performed with great ease. This technology thus contributes to the current trend toward
better future. Psychologists continue to be optimistic because of the change as
ultimately resulting in more empirical data, better theories, continuing innovations, and
higher standards (Groth-Marnat, 2003). Ideal approaches for Psychological assessment
should be comprehensive and multi-faceted in techniques and theoretical frameworks.
They should also be flexible and adaptable to the unique needs of each individual. And
the test should be more standardized and the norms should not be out dated.
Appendix-I
Intelligence: An integrate or global capacity of the individual to think rationally, to act
purposefully and deal effectively with the environment.
Inventory: In inventory the individual describes his/her own feelings, environment, and
reaction of others towards him/her.
Personality: Personality is a dynamic organization, inside the person, of
psychophysical systems that create a person’s characteristic patterns of behaviour,
thoughts, and feelings.
Diagnosis: Determining the nature and source of a person’s abnormal behavior, and
classifying the behavior pattern within an accepted diagnostic system
Assessment: Appraising or estimating the level or magnitude of some attribute of a
person; testing is one small part of assessment which also incorporates observations,
interviews, rating scales and checklists.
Psychometrics: Psychometrics is the field of study concerned with the theory and
technique of educational and psychological measurement, which includes the
measurement of knowledge, abilities, attitudes, and personality traits. The field is
primarily concerned with the construction and validation of measurement instruments,
such as questionnaires, tests, and personality assessments.
Lahiri D., Sayeed N., Mishra J.: Basics of psychological assessment Page 25
Personality Developmental Test Syndrome Scale
Questionnaire Schedule
(MPQ)-
Neo-PI-Revised Stanford -Binet test Post Graduate Institute Conner’s Rating Scale
Battery of Brain
Dysfunction
Rorschach Inkblot test Wechsler Wechsler Memory Scale – The Child Behavior
Intelligence Scale 3rd edition Checklist
Thematic Apperception Malin’s Intelligence Luria-Nebraska The Childhood Autism
Test Scale for Indian Neuropsychological Battery Rating Scale
Children
The Draw A Person Bhatia’s Cambridge Young Mania Rating
Test Performance Test Neuropsychological Test Scale
Automated Battery
Children Personality Gesell Drawing Test Trail making Hamilton Rating Scale
Questionnaire For Depression
Children Self Report Seguin Form Board Stroop Beck Depression
and Projective Inventory Test Inventory
Children’s The Vineland Social Boston Aphasia test Beck Scale For
Apprerception Test Maturity Scale Suicidal Ideation
Minnesota Multiphasic Behavioural Alcohol Disorder
Personality Inventory -II Assessment Scale Identification Test
for Indian Children
with Mental
Retardation
Millon Clinical Multiaxial Vinland Social CAGE Questionnaire
Inventory- III Maturity Scale
Temperament and Human Figure Yale Brown Obsessive
Character Inventory drawing test Compulsive Scale
Sentence Completion General Health
Test questionnaire
Zung Depression
Scale
Schedule for the
Assessment of
Positive Symptoms
Schedule for the
Assessment of
Negetive Symptoms
Lahiri D., Sayeed N., Mishra J.: Basics of psychological assessment Page 26
Retention Test 5 by Abigail Benton Memory
Sivan,1992)
Defence Mechanism N. R. Mrinal & Uma Measure of Defences
Inventory(DMI) Singhal,1984
Dementia Rating Scale- Paul J. Jurica, Christopher L. Dementia
2(DRS-2) Leitten, Mattis, 1988,2001.
Behavioural Barbara A. Wilson, Nick Executive Function
Assessment of the Alderman, Paul W. Burgess,
Dysexecutive Hazel Emslie, Jonathon J.
Syndrome(BADS) Evans, 1996
The Rivermead Barbara A. Wilson, Janet Memory
Behavioural Memory Cockburn, Alan
Test-II Baddeley,1985,2003
Constructive Thinking Seymour Epstein,2001 Constructive Thinking
Inventory(CTI)
Suicidal Ideation William M. Reynolds,1988 Suicidal Ideation
Questionnaire(SIQ)
Amsterdam Short-term Ben Schmand & Jaap Short- term Memory
Memory Test Lindeboom with collaboration
of Thomas Mertin & Scott R.
Millis,2005
Cognitive Distortion John Briere,2000 Cognitive Distortions
Scales(CDS)
Grade Level Jayanthi Narayan, 1999. Learning Problem in Schools
Assessment Device For
Children With Learning
Problems In
School(GLADS)
Autism Diagnostic Ann Le Couteur, Catherine Autism
Interview– Lord, Michael Rutter,2003
Revised(ADI-R)
Nimhans Bhoomika R. Kar, Shobjini Neuropsychological function
Neuropsychological L.Rao, B.A. Chandramouli, K.
Battery For Children Thennaraus,2004
Objects Sorting Test Craig J. Gonsalvez, Ida P. Thought Deviation
(OST) Barnabas, and Marisa L.
Lobo
Raven’s Progressive John C.Ravens.2002 Abstract Reasoning
Matrices
Porteus Maze Test Stanley Portues1952 Non verbal test of intelligence
Preschool Behavior Jaxqueline McGuire and Focusing on children
Checklist Naomi Richman ,1998 need ,parental involvement,
change over time, obtaining
resourses
Behaviour rating GenardA.gioia, K. To assess executive function
inventory of Executive Isquith,L.Kenworthy,2004 behavior
Functioning
Childhood Autism Schoper, Riechler and Identify children with autism
Rating Scale Renner ,1971
Children’s Self Report Ziffer and Shapiro,1992 Understanding the inner world
And Projetive Inventory of the child ,social –emotional
functioning
Universal Nonverbal Bruce A. Bacon and To assess the general
Intelligence Test R.S.McCallum intelligence and cognitive ability
Behavior Rating RuttenBerg,Schien and Evaluate the Status of autistic ,
Instrument For Autistic Wenar,2004 atypical or other low functioning
And other Atypical Children
Children-II
Portage Guide to early Doan,Wollenburg and To assess the domain of
education-II Wilson,1976 impaired behavior in a child
Lahiri D., Sayeed N., Mishra J.: Basics of psychological assessment Page 27
Appendix IV: Important findings in different clinical conditions: Kahn and Giffen
(1960)
ORGANIC BRAIN SCHIZOPHRENIA MANIA DEPRESSION ANXIETY Suicidal
PATHOLOGY Ideation
Piotrowski signs on Bender-Gestalt test Rorschach Rorschach Rorschach Rorscha
Rorschach Complete Decreased Less Average or ch
Number of deviance from reaction time number of slightly poor FV
responses less gestalt More number responses form level
than 15 Complete of responses Vista Average
Response time rotation Colour responses ≥ number of
greater than 60 Added angles dominated 1 poplar
seconds Giving new form FC’+C’F+C’ responses
Less than two names to the responses >2 High number
human designs More number Morbid of texture
movements Rorschach of responses responses > responses (≥
F+% is less than Perceptual on chromatic 3 1)
70 disturbances cards as Form level High number
Less than 4 X+%(<70) compared to average or of vista
popular F+% (<70) achromatic slightly poor responses (≥
responses X-% (>20) cards 1)
Persevaration of Thought Poor form Thematic
responses at disturbances level (<70)Apperception
least 3 times special Test
without regard to scores (>4) Inconclusive
form accuracy (incom,fabcom,alog, ends (I don’t
Impotence contam, DV, DR) know what
Perplexity Perseveration will happen)
Automatic Few or no Thematic Usually
phrases that are human Apperception negative
illogical and movement Test outcomes of
irrelevant to the responses Unorganized the stories
task Pure colour stories Indecisivene
responses Lack of ss (may be
Rejections coherence a boy or a
Less number girl)
On Bender-Gestalt of responses Suicidal
Test Thematic intents
Serious Apperception Test Short
disturbance of stories (at
gestalt Rigidity and times mere
Modification or refusal to description
substitution of elaborate of pictures)
parts of figure Negation
Micrographia or Déjà vu
macrographia reaction
Difficulty with Projection of
angles threatening or
Partial rotation evil intentions
Vagueness and and
Lahiri D., Sayeed N., Mishra J.: Basics of psychological assessment Page 28
sketchiness homosexual
Loss of detail and attributes
fragmentation Prolonged
Perseveration, reaction time
overlapping etc. Grossly
The Draw-A-Person disproportion
Test ate emphasis
Lack of details on relatively
Erasures unimportant
infrequent details
Figures may be Frequent
large perusal of the
Lines heavy and back of the
simple card
Proportions poor Draw-a-Person test
Synthesis weak Omission of
Omissions of important
parts parts
Bizarre
additions
Grossly
exaggerated
size
Presence of
sexual
organs in
drawing
Lahiri D., Sayeed N., Mishra J.: Basics of psychological assessment Page 29
Observati
injury
on
Personality Not ESDST,BMVGT,MCMI-III/MMPI-
Assesment/diagn
osis
signific
ant
II,
TAT,SSCT,RORSCHACH(Basic
tests of assessment. But, other
tests can be used depending
upon the situation)
Neuropsychologi ESDST,BMVGT,PGIBBD/
cal
Assessment
CANTAB/LNBB
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