Neuropsychological assessment with the Visual Gestalt Test: psychometric properties and differential diagnostic probabilities

The Visual Gestalt Test is a neuropsychological instrument developed for evaluation of learning and memory of visuo-spatial material. A revised strategy of scoring has motivated the present study, where data from 153 normal persons, 99 epilepsy patients, and 24 depressed patients are presented and compared. The Visual Gestalt Test is observed to discriminate between normal and diagnosed groups in several ways. Additionally it is found to discriminate between depressed and brain damage subgroups of patients. Data are presented in order to supplement previously published ways of scoring and norms. Practical guidelines for the clinical applications of the test are suggested as perspectives.     

Classical Test Theory as a first-order Item Response Theory: Application to true-score prediction from a possibly nonparallel test

We give an account of Classical Test Theory (CTT) in terms of the more fundamental ideas of Item Response Theory (IRT). This approach views classical test theory as a very general version of IRT, and the commonly used IRT models as detailed elaborations of CTT for special purposes. We then use this approach to CTT to derive some general results regarding the prediction of the true-score of a test from an observed score on that test as well from an observed score on a different test. This leads us to a new view of linking tests that were not developed to be linked to each other. In addition we propose true-score prediction analogues of the Dorans and Holland measures of the population sensitivity of test linking functions. We illustrate the accuracy of the first-order theory using simulated data from the Rasch model, and illustrate the effect of population differences using a set of real data.This research is collaborative in every respect and the order of authorship is alphabetical. It was begun when both authors were on the faculty of the Graduate School of Education at the University of California, Berkeley.We would like to thank both Neil Dorans, Skip Livingston and two anonymous referees for many suggestions that have greatly improved this paper.     

The Ecological Validity of Neuropsychological Tests: A Review of the Literature on Everyday Cognitive Skills

Evaluating the ecological validity of neuropsychological tests has become an increasingly important topic over the past decade. In this paper, we provide a comprehensive review of the research on the ecological validity of neuropsychological tests, as it pertains to everyday cognitive skills. This review is presented in the context of several theoretical issues facing ecological validity research. Overall, the research suggests that many neuropsychological tests have a moderate level of ecological validity when predicting everyday cognitive functioning. The strongest relationships were noted when the outcome measure corresponded to the cognitive domain assessed by the neuropsychological tests. Several other factors that may moderate the degree of ecological validity established for neuropsychological tests are in need of further exploration. These factors include the effects of the population being tested, the approach utilized (verisimilitude vs. veridicality), the person completing the outcome measure (significant other vs. clinician), illness severity, and time from injury until evaluation. In addition, a standard measurement of outcome for each cognitive domain is greatly needed to allow for comparison across studies.     

States of identity: a perspective drawing upon Fordham's model and infant studies

This paper examines the Jungian concept of identity and distinguishes it from projective identification and participation mystique which also refer to non-differentiation between self and object but involve projective mechanisms. Clinical work by Fordham and a psychoanalytic infant observation are used to illustrate early perceptual operations defined by experimental researches. These operations are understood to be expressions of the primary self which manifest themselves before the structuring necessary for normal projective identification. This paper attempts to describe an intersubjective experience between mother and baby that allows for their separate ways of relating, but does not depend on projective mechanisms that can exist only after there has been adequate development.     

A two-stage algorithm for assessing violations of additivity via axiomatic and numerical conjoint analysis

An algorithm for assessing additivity conjunctively via both axiomatic conjoint analysis and numerical conjoint scaling is described. The algorithm first assesses the degree of individual differences among sets of rankings of stimuli, and subsequently examines either individual or averaged data for violations of axioms necessary for an additive model. The axioms are examined at a more detailed level than has been previously done. Violations of the axioms are broken down into different types. Finally, a nonmetric scaling of the data can be done based on either or both of two different badness-of-fit scaling measures. The advantages of combining all of these features into one algorithm for improving the diagnostic value of axiomatic conjoint measurement in evaluating additivity are discussed.     

Normative data for eight neuropsychological tests based on a Danish sample

Normative neuropsychological data have been provided using a sample of 101 persons aged 20 to 54 years. Eighty-seven of the subjects were recruited among patients who had undergone minor surgery, and 14 subjects were volunteers from the staff at the hospital laundry. The measures consisted of seven subjects from the WAIS-R, the trail-making test, symbol digit modalities test, auditory-verbal learning test, story recall test, visual gestalt test, recurring figures test, verbal fluency, and Purdue pegboard test. These measures were selected because of suitability in regard to time taken for testing each subject and their sensitivity to subtle changes in neuropsychological functioning. The sample was arbitrarily divided into three age groups, and for each of the three samples, mean, standard deviation, and range were calculated for each test. The results of the Information and Vocabulary subtests from the WAIS-R, education, and social status were applied as independent variables in linear regression analyses where each of the neuropsychological tests, in turn, was the dependent variable. For the oldest age group, age in addition was used as an independent variable. Significant linear relationships, which accounted for an optimal part of the variance, were selected for clinical application.     

A note on reliability estimation for a test with components of unknown functional lengths

This research note proposes two reliability coefficients for tests with components of unknown functional lengths. The derived coefficients are extensions of the techniques devised by Kristof and Feldt and do not require a reduction of test components into parts. Simulation study indicates that the new coefficients yield reasonably stable reliability estimates when the number of test components is small.     

Embodying analysis: the body and the therapeutic process

This paper considers the transfer of somatic effects from patient to analyst, which gives rise to embodied countertransference, functioning as an organ of primitive communication. By means of processes of projective identification, the analyst experiences somatic disturbances within himself or herself that are connected to the split‐off complexes of the analysand. The analysty’s own attempt at mind‐body integration ushers the patient towards a progressive understanding and acceptance of his or her inner suffering. Such experiences of psychic contagion between patient and analyst are related to Jung’s ‘psychology of the transference’ and the idea of the ‘subtle body’ as an unconscious shared area. The re‐attribution of meaning to pre‐verbal psychic experiences within the ‘embodied reverie’ of the analyst enables the analytic dyad to reach the archetypal energies and structuring power of the collective unconscious. A detailed case example is presented of how the emergence of the vitalizing connection between the psyche and the soma, severed through traumatic early relations with parents or carers, allows the instinctual impulse of the Self to manifest, thereby reactivating the process of individuation.     

Rasch's model for reading speed with manifest explanatory variables

In educational and psychological measurement we find the distinction between speed and power tests. Although most tests are partially speeded, the speed element is usually neglected. Here we consider a latent trait model developed by Rasch for the response time on a (set of) pure speed test(s), which is based on the assumption that the test response times are approximately gamma distributed, with known shape parameters and scale parameters depending on subject ability and test difficulty parameters. In our approach the subject parameters are treated as random variables having a common gamma distribution. From this, maximum marginal likelihood estimators are derived for the test difficulties and the parameters of the latent subject distribution. This basic model can be extended in a number of ways. Explanatory variables for the latent subject parameters and for the test parameters can be incorporated in the model. Our methods are illustrated by the analysis of a simulated and an empirical data set.