Discuss the objectives of psychological assessment. Describe Wechsler Memory Scale III.
Psychological assessment involves neurocognitive assessment (intelligence and memory), personality profile and psychopathology. The tests are selected according to the aim of assessment, e.g., diagnosis, rehabilitation or research. In a clinical setting, these tests are given on an individual basis. Observation of behaviour during testing is as important as the test performance, as the non-verbal clues indicate useful information like motivation, persistence, and concentration.
1 Neuro-cognitive Assessment
This comprises of cognitive functions, namely, attention, concentration, perception, memory and intelligence. Some of the examples of these tests are as follows: 1) Attention and Concentration: All cognitive functions are dependent on attention span and ability to sustain attention. Clinically, attention can be assessed through observation during history taking and in interview sessions. Formally it can be assessed by asking the patient to repeat digits forward and backward. Forward digits are started from 3 and continued till 8 -9 digits. The test is stopped after two consecutive failures. Backward digits are given from 2 to 8. The digits should not be presented either very fast or very slow. The ideal rate of presentation should be one digit per second. These can also be assessed on the subtest of Wechsler’s Adult Intelligence Test namely, Digit span and Digit Symbol test.
The other methods used to assess attention and concentration is letter cancellation, colour cancellation, counting 20 to 1 backwards and serial subtraction 40 -3.
2) Perception: Bender Visual Motor Gestalt Test is a simple and short method of assessing organicity and visuomotor coordination, useful for both children and adults. This test consists of simple 9 designs printed against a white background on a separate card, which are to be copied by the patient on unlined paper. Objective scoring system is available. Evaluation of the _________ ____ _______ ___ ___ ___ _______ _______.
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