PRIVATE & CONFIDENTIAL

FITNESS ASSESSMENT REPORT

Name : Abbas Al Yousef
Age : 62
Gender : Male
Nationality : Emirati
Date of Assessment : 18 & 21 December 2016
Reporting Date : 08 January 2017
The information in this report should be kept Strictly Confidential and should be handled by a qualified professional only. No parts of this
report may be photocopied or reproduced in any way.

I. Background

Abbas Al Yousef is a 62-year-old Emirati. He sought E.D.M.A.’s professional services, in

particular, the psychological evaluation, on his own accord. He came to E.D.M.A. on two
occasions, December 18, 2016 and December 21, 2016.

Prior to his coming to our practice on the 18th of December 2016, Mr. Abbas called our
Center around a couple of times, expressing his desire to secure an appointment with Dr.
Edma Naddaf as earliest as possible. He appeared so earnest about going through the
psychological assessment. In the morning of the day before his scheduled appointment, he
surprisingly showed himself at the Center, thinking that it was the day of his actual
appointment with us.

On 18 Dec 2016, an Intake Session was conducted with him to gather pertinent
information relevant to his background. This was followed by an assessment of his
memory, intellectual ability, neurocognitive ability, and clinical personality. His results
are reported in a section below with analysis and conclusion.

II. Assessment Results and Analysis

Abbas was administered the following assessments over two sessions:

1. Memory Assessment

The Memory assessment is an individually administered battery of tests providing

a detailed assessment of clinically relevant aspects of memory functioning
commonly reported in individuals with suspected memory deficits or diagnosed
with a wide range of neurological, psychiatric, and developmental disorders.

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 Results

Table 1

Brief Cognitive Status Examination- This procedure assesses global cognitive

functioning. The examinee performs simple tasks in a number of different areas including
orientation to time, mental control, clock drawing, incidental recall, automatic and
inhibitory control, and verbal production.
Years of Total Raw Classification Qualitative
Age Group
Education Score Level Descriptor
45 - 69 12+ 34 34-0 Very Low

Table 2

Sum of
Index Percentile Qualitative
Index Description Scaled
Score Rank Descriptor
Scores
AMI measures the
ability to listen to oral
Auditory
information, repeat it
Memory 25 78 7 Borderline
immediately, and then
(AMI)
repeat it again after a
20 to 30 minute delay.
VMI measures the
ability to recall
Visual designs from memory
Low
Memory and draw them or 32 87 19
Average
(VMI) replicate the
placement of designs
in a grid.
VWMI measures the
Visual capacity to remember
Working and manipulate Low
13 80 9
Memory visually presented Average
(VWMI) information in short-
term memory storage.
IMI measures the
ability to remember
Immediate both visually and
Memory orally presented 27 78 7 Borderline
(IMI) information
immediately after it is
presented.
DMI measures the
ability to remember
Delayed
both visually and Low
Memory 30 82 12
orally presented Average
(DMI)
information after a
20-30 minute delay.

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  Analysis

The results of Abbas relevant to the Memory assessment came out to be clearly
unfavorable. The first indicator of his poor performance is his result on the
Brief Cognitive Status Examination, which came out to be Very Low (Table 1).
The Brief Cognitive Status Exam is based on a set of small tasks. It contains
simple instructions and requires basic mental functions and skills, such as, the
ability to tell the date of the day, the ability to draw a clock, etc. Abbas
performed Very Low on this one.

In the other aspects, i.e. Auditory Memory, Visual Memory, Visual Working
Memory, Immediate Memory, and Delayed Memory, his scores were observed
to range from Borderline to utmost Low Average across the different subtests
(Table 2).

In order to assess his performance in other areas of cognitive functioning, not

relevant to memory, he was administered a different test material designed to
assess perceptual and verbal reasoning.

2. Assessment of Perceptual & Verbal Reasoning

This test is an individually administered assessment of the intelligence of

examinees aged 6 years through 90 years. It provides composite scores that
estimate intellectual functioning in two areas, i.e., Verbal Comprehension and
Perceptual Reasoning, and two composite scores that estimate general intellectual
ability.

 Results

Table 3

Sum of T-Scores to Composite Score Conversion

Confidence
Sum of Composite Percentile
Scale Interval Rating
T-Scores Score Rank
(95%)
Verbal
77 81 10 76-88 Low Average
Comprehension
Perceptual
67 73 4 68-81 Borderline
Reasoning
Full Scale IQ-4
(Sum of the T scores
for Vocabulary,
144 75 5 71-81 Borderline
Similarities, Block
Design, & Matrix
Reasoning)
Full Scale IQ-2
(Sum of the T scores
73 77 6 72-85 Borderline
for Vocabulary &
Matrix Reasoning)

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  Analysis

As gathered from the results above, in Table number 3, Abbas scored Low
Average on the Verbal Comprehension test. His score placed him at the 10th
percentile compared to the norms of his age group [55-64]. On the Perceptual
Reasoning test, which is non-verbal, he scored within the Borderline range. In
terms of percentile ranking, this score placed him at the 4th percentile compared to
the norms of the same age group. In both measures, the confidence Interval is
taken at 95% with a measurement error of 5%.

The combined results from this assessment would place Abbas toward the lower
end of the distribution. They tend to indicate the presence of serious deficiencies
in his intellectual performance.

In addition to the above tools, Abbas was given a clinical assessment in order to
explore the presence of personality and/or clinical issues in his case.

3. Clinical Assessment

The clinical tool is primarily intended to assess personality traits and

psychopathology in individuals who are suspected of having mental health and/or
other clinical issues. It has 175 items in total and is designed with 24 clinical and
personality scales which assess 24 major categories of abnormal human behavior.

The clinical assessment results of Abbas show some major areas for concern.
Seven scales came out to be elevated and clinically significant. These scales are:

- Narcissistic (B.R.= 113)

- Sadistic (B.R. = 80)
- Negativistic (B.R. = 77)
- Paranoid (B.R. = 75)
- Anxiety (B.R. = 81)
- Bipolar Manic (B.R. = 75)
- Delusional Disorder (B.R. = 85)

It can be observed from the results listed above that Abbas tends to exhibit a
complex amalgam of clinical and personality traits. The combination of his results
on this assessment would suggest the presence of co-morbidity in his current state.

III. Observed Client’s Dynamics During the Assessment

During the two assessment sessions, Abbas was observed to be in a high mood,
energetic, and outspoken. He was also observed to be open and forthcoming. Hearing
from how he spoke during the memory assessment, one would get the impression that
he was drawing information from memory so smoothly and easily. There was no
visible effort to consciously recall information on his part. Despite this, he was
observed by the Psychologist to be providing incorrect responses in most of the
tests/subtests without him being aware of that. Abbas was under the impression that
he was responding to the demands and exigence of the tasks.

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