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Clinical Psychology Report September 2009

Clinical Psychology Report September 2009

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Published by glastolully
A valuable document to read if you fear ever being made to sample the hospitality of the mental health sector. I have posted this, following the classic case of a GP sectioning a patient in league with the government when the patient sent an email to Harriet Harman saying 'I think you are a communist' - unbelievable eh?
A valuable document to read if you fear ever being made to sample the hospitality of the mental health sector. I have posted this, following the classic case of a GP sectioning a patient in league with the government when the patient sent an email to Harriet Harman saying 'I think you are a communist' - unbelievable eh?

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Published by: glastolully on Sep 26, 2010
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CLINICAL PSYCHOLOGY REPORTONMAURICE KIRKPENARTH WARDFOR PEER REVIEW ON1
st
SEPTEMBER 2009INTRODUCTION
This report represents a summary of the work undertaken with Maurice Kirk duringhis time at Caswell Clinic. I have met with Maurice on five occasions between 13
tn
and 27
th
August 2009, in order to undertake a number of different assessments. I havealso had access to his internet website and viewed some of the documentationpertaining to his case. This report will be split into five different sections:Results of cognitive assessmentsResults of personality assessmentsA summary of additional information felt to be relevant to Maurice's caseA summary of the clinical contact with MauriceGeneral summary of the report, with my psychological opinion,
COGNITIVE ASSESSMENTSGeneral Intellectual FunctioningWechsler Abbreviated Scale
of 
Intelligence (WASI)
Maurice was assessed using the WASI, which is an abbreviated test of intellectualability from which IQ scores can be derived. The WASI was administered in onesitting and took approximately 45 minutes to complete. Throughout this period,Maurice was able to sustain attention and co-operated fully with the demands of thetasks and the assessment procedure. At some points, aspects of the test remindedMaurice of an anecdote, which he shared briefly before returning to the task in hand.Maurice appeared motivated to complete the tests and the final results were felt to bea fair reflection of his ability.
ResultsIQ/Index ScoresScoreQualitativeDescriptionPercentile*ConfidenceInterval. 95%
Verbal IQ 136
Very Superior 99129-140
Performance IQ 121
Superior 92 115-126 
Full Scale IQ 133
Very Superior 99128-136 
* Confidence
Interval:
The
'estimated'
scores fall
within
the
95%
confidence range shown,
 
The
Full Scale IQ
(FSIQ) is the overall estimate of an individual's general, level of intellectual functioning. Maurice obtained an FSIQ of 133 which places him withinthe
Very Superior 
range of intellectual functioning and above those of approximately99% of his peers.The
Verbal IQ
(VIQ) score is a measure of acquired knowledge, verbal reasoningand attention to verbal information, Maurice obtained a VIQ of 136, which placeshim in the
Very Superior 
range and above those of approximately 99% of his peers.The
Performance IQ
(PIQ) is a measure of fluid reasoning, spatial processing,attentiveness to detail and visual-motor integration. Maurice's PIQ was 121, placinghim in the
Superior 
range and above approximately 92% of his peers. The MatrixReasoning sub-test was Maurice's one area of relative weakness, indicating somedifficulty in manipulating abstract symbols and perceiving the relationship amongstthem. However, his performance in this sub-test would still be categorised as
High- Average.
The difference in Maurice's VIQ and PIQ does reach statistical significance.However, this level of difference is not unusual amongst individuals who have beeneducated to a high level. Such a difference would be observed in approximately 15%of the population with similar levels of intelligence.These results suggest that, when compared to individuals his own age, Maurice hasvery high abilities across all of the domains. His overall IQ places him in the top 1%of the population.
Tests Of Executive FunctioningHayling and Brixton Tests
The Hayling and Brixton tests are designed to assess executive functioning. TheHayling Test provides a measure of basic task initiation speed as well as performanceon a response suppression, task; performance on such tests has been repeatedlyassociated with frontal lobe dysfunction and dysexecutive symptoms in everyday life.The Brixton Test is a rule detection and rule following task; impairments on suchtasks are commonly demonstrated in individuals with dysexecutive problems.In the
Hayling Test,
Maurice's task initiation performance yielded a scaled score of 6out of 7, placing him in the
Average
range of ability. His initiation speed in theunconnected sentence completion was slightly worse, achieving a scaled score of 5out of 8, which placed him in the
Moderate Average
range.When Maurice was asked to produce a word that was unconnected to the previoussentence, he had slight difficulty with this and produced a number of responses thathad some form of connection. He scored 5 out of 8 on this part of the test, placing himin the
Moderate Average
range of ability. Overall, the aggregate of Maurice's scores
2
 
on the Hayling test yielded a scaled score of 5 out of a possible 10, which is classifiedas
Moderate Average.
This score would place him in the 25
th
percentile.In the
Brixton Test,
a task involving spatial anticipation, Maurice achieved a scaledscore of 4 out of 
1
0, which was in the
Low-Average
range of ability. He demonstratedsome difficulty in grasping a new rule but also was noted to make various attempts atpre-empting an upcoming rule-change. This score would place him in the 10thpercentile.Results from the Hayling and Brixton assessments suggest that Maurice has slightdifficulty with response suppression, rule detection and rule following tasks. Thismay indicate a degree of impulsivity but this was not to a degree that would indicatesignificant frontal lobe dysfunction.
Memory AssessmentWechsler Memory Scale 3
rd
Edition Abbreviated (WMS-III Abr)
This is a commonly used scale for measuring the memory ability of adults. It containstwo different sub-tests which, look at immediate and delayed memory in both visualand auditory modalities.
ResultsIndex ScoresScore
95%
ConfidenceIntervalsClassification
Immediate Memory102 92-112
 Average
Delayed Memory112
102-122
 High Average
Total MemoryComposite10798-115
 Average
Maurice's total memory composite was in the
Average
range. His results did indicatethat his delayed memory was a relative strength, demonstrating low rates of forgettingafter a time-delay. However, this difference was not found to be significant.Generally, Maurice performed slightly better on the subtests measuring verbal ratherthan visual memory, but this was not significant. Indeed, a small difference could bepredicted given that his verbal IQ was found to be a relative strength.Maurice's high IQ would predict a Total Memory Composite score of approximately
11
9. His score of 107 was slightly below what would be expected but this differencewas not found to be statistically significant.

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