Tag: Psychology

  • [Solved] Discussion

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    please see attachment emergency assignment due 11:59 pm eastern time – 2 years ago **files (1)** – ## Topic_U1Discussion_AnalyzingNutritionalLabels.pdf **## Topic_U1Discussion_AnalyzingNutritionalLabels.pdf** You must post before seeing replies. Edit history will be available to instructors. No …

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    Assignment Prompt & Instructions

    please see attachment emergency assignment due 11:59 pm eastern time

    – 2 years ago

    **files (1)**

    – ## Topic_U1Discussion_AnalyzingNutritionalLabels.pdf

    **## Topic_U1Discussion_AnalyzingNutritionalLabels.pdf**

    You must post before seeing replies. Edit history will be available to instructors.

    No Due Date 100 points

    U1 Discussion: Analyzing Nutritional Labels

    Search entries or author…

    All Sort View Split Screen

    In this discussion, we will be applying mathematical concepts to analyze nutritional labels commonly
    found on food products. Your task is to choose a nutritional label from a food product, upload a
    picture of it, and then use proportion scaling and mathematical reasoning to analyze and discuss
    various aspects of its nutritional content.

    Discussion Instructions:
    Upload Picture: Take a clear picture of the nutritional label from a food product you have at
    home or can find online. Make sure the label is legible and includes information such as
    serving size, calories, macronutrients (fat, carbohydrates, protein), and any other relevant
    information.

    Analysis: Using proportions, analyze the nutritional content of the food product. Scale at least
    three items from the label for multiple servings, Show the proportion used for each
    calculation.

    Discussion: Post your analysis on the discussion board, including:

    A description of the food product and its nutritional label.
    Your calculations and findings using proportions for at least three items.
    Any insights or observations you have about the nutritional content of the food product.

    Your initial post should be made within 5 days of the beginning of the week. Come back later
    in the week to respond to at least one classmate. In your response use the T-A-G Feedback
    Sentence Starters (https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)
    (https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)
    (https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1) approach (one
    sentence starter from each category).

    [https://learn.vccs.edu/courses/687093/files/180589496?wrap=1](https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)

    [https://learn.vccs.edu/courses/687093/files/180589496?wrap=1](https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    TAG Feedback Sentence Starters

    T-A-G Category Sentence Starters

    T: Tell something you
    liked…

    I think your example was…
    I really enjoyed…because…
    Your work displays…
    The strongest part of your
    work was…
    I could really connect with…

    A: Ask a question…

    What are…?
    What do…?
    Should you…?
    Why is…?
    When does…?
    Did you consider…?

    G: Give a positive
    suggestion…

    One suggestion would be…
    I think you should add…
    Don't forget to…
    Think about adding…
    I'm confused by…
    You might want to change…
    One problem I see…
    One minor mistake…

    Note: You must post before seeing classmates postings or replying.

    Grading:
    This assignment is required and worth a total of 100 points.

    Refer to the attached rubric to determine assignment expectations, including responses to
    classmates' responses. To view Rubric:

    Reply

    **## Topic_U1Discussion_AnalyzingNutritionalLabels.pdf**

    You must post before seeing replies. Edit history will be available to instructors.

    No Due Date 100 points

    U1 Discussion: Analyzing Nutritional Labels

    Search entries or author…

    All Sort View Split Screen

    In this discussion, we will be applying mathematical concepts to analyze nutritional labels commonly
    found on food products. Your task is to choose a nutritional label from a food product, upload a
    picture of it, and then use proportion scaling and mathematical reasoning to analyze and discuss
    various aspects of its nutritional content.

    Discussion Instructions:
    Upload Picture: Take a clear picture of the nutritional label from a food product you have at
    home or can find online. Make sure the label is legible and includes information such as
    serving size, calories, macronutrients (fat, carbohydrates, protein), and any other relevant
    information.

    Analysis: Using proportions, analyze the nutritional content of the food product. Scale at least
    three items from the label for multiple servings, Show the proportion used for each
    calculation.

    Discussion: Post your analysis on the discussion board, including:

    A description of the food product and its nutritional label.
    Your calculations and findings using proportions for at least three items.
    Any insights or observations you have about the nutritional content of the food product.

    Your initial post should be made within 5 days of the beginning of the week. Come back later
    in the week to respond to at least one classmate. In your response use the T-A-G Feedback
    Sentence Starters (https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)
    (https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)
    (https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1) approach (one
    sentence starter from each category).

    [https://learn.vccs.edu/courses/687093/files/180589496?wrap=1](https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)

    [https://learn.vccs.edu/courses/687093/files/180589496?wrap=1](https://learn.vccs.edu/courses/687093/files/180589496?wrap=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    [https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1](https://learn.vccs.edu/courses/687093/files/180589496/download?download_frd=1)

    TAG Feedback Sentence Starters

    T-A-G Category Sentence Starters

    T: Tell something you
    liked…

    I think your example was…
    I really enjoyed…because…
    Your work displays…
    The strongest part of your
    work was…
    I could really connect with…

    A: Ask a question…

    What are…?
    What do…?
    Should you…?
    Why is…?
    When does…?
    Did you consider…?

    G: Give a positive
    suggestion…

    One suggestion would be…
    I think you should add…
    Don't forget to…
    Think about adding…
    I'm confused by…
    You might want to change…
    One problem I see…
    One minor mistake…

    Note: You must post before seeing classmates postings or replying.

    Grading:
    This assignment is required and worth a total of 100 points.

    Refer to the attached rubric to determine assignment expectations, including responses to
    classmates' responses. To view Rubric:

    Reply

  • [Solved] B29 IDR W3

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    review for edits – 2 years ago

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    review for edits

    – 2 years ago

  • [Solved] B29 AB W3

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    review for edits – 2 years ago

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    review for edits

    – 2 years ago

  • [Solved] CIA&OB Week 10 Project

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    **To prepare:** – Review the media, located in this week’s Learning Resources, to familiarize yourself with the analysis of criminal behavior. – Review the Final Project Overview document, located in this week’s Learning Resources, so that you fully understand what is expected of you for the Final P…

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    Assignment Prompt & Instructions

    **To prepare:**

    – Review the media, located in this week’s Learning Resources, to familiarize yourself with the analysis of criminal behavior.
    – Review the Final Project Overview document, located in this week’s Learning Resources, so that you fully understand what is expected of you for the Final Project.
    – Review the other Learning Resources, located in this week’s Learning Resources, to help you successfully complete the Final Project.
    – Choose an offender case study, from the list below, on which to focus for the Final Project:

    **Offender Case Studies** (Select one):

    – Aileen Wuornos
    – Arthur Shawcross
    – Carl Panzram
    – David Berkowitz
    – Dennis Rader
    – Ed Gein
    – Edmund Kemper
    – Gary Ridgway
    – H. Holmes
    – Harold Shipman
    – Henry Lee Lucas
    – Jack the Ripper
    – Jeffrey Dahmer
    – Jerry Brudos
    – Joel Rifkin
    – John Wayne Gacy
    – Ottis Toole
    – Richard Ramirez
    – Rodney James Alcala
    – Ted Bundy
    – Search the Walden Library and the internet for resources (e.g., video documentaries, books, scholarly articles, or websites) relevant to the offender and case you selected.

    **Note**: As part of your Final Project, you are required to include eight to 10 citations derived from your research. Five of these citations must be peer-reviewed articles.
    – Review this week’s Learning Resources addressing how to use PowerPoint and how to create narrated PowerPoint presentations.
    – Use the PowerPoint presentation template, found in this week’s Learning Resources, to create your presentation.
    – Even though you are providing narration for your PowerPoint presentation, please also write detailed speaker notes for every slide to complement the slide content. Speaker notes should be clear, in-depth, and function as augmentation to the slide material.

    **Note:** Your speaker notes should be written with sufficient depth to allow someone else to deliver the presentation. Make sure the PowerPoint presentation reflects graduate-level writing and presentation standards, with professional looking graphics and appropriate fonts, formatting, and spacing.

    **The Assignment (13–15 slides, not including title and reference slides, plus speaker notes and 4–5 minutes of corresponding narration)**

    Your narrated presentation should include the following elements:

    – **Title** (1 slide)
    – **Content**(13–15 slides)

    – **The Offender and Case**
    – Identify and describe the offender case study you selected.
    – Further describe the offender case study from a multicultural perspective (i.e., the offender’s age, gender, ethnicity, race, sexual orientation, socio-economic status, geographic regions, etc.).
    – Describe any ethical considerations and potential bias you identified related to the offender and case.
    – **Criminal Behavior Profile**
    – Describe the following as they relate to the offender case study you selected. Make sure to include information related to serial offending, including murder typologies:
    – Prenatal factors
    – Neurological factors
    – Biological factors
    – Emotional factors
    – Psychological factors
    – Social factors
    – Other factors (e.g., geographic movements, if applicable [see Week 4], crime scene profiling [see Week 3], etc.)
    – **Results of Analysis**
    – Describe the results of your criminal behavior profile and analysis of the case study.
    – Explain how your results might have been different if the offender (or victim[s]) was of a different gender, sexual orientation, race, or ethnicity.
    – Explain how the case might have been different if the offender was from a country other than the United States or if they were a U.S. citizen abroad.
    – Describe any unanswered questions you have based on your analysis. What else might you need to know?
    – Explain how having completed this criminal behavior profile and analysis might inform your future professional practice, as well as your ability to catalyze positive social change.
    – **References** (1–2 slides)

    – 2 years ago
    – 0.25

  • [Solved] TOFP Week 10 Assignment

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    **To prepare for this assignment:** – Review the Learning Resources for this week as well as the resources and consider the depictions of mentally ill offenders and the treatment challenges associated with them, the treatment approaches and programs available as well as the challenges to successful …

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    Assignment Prompt & Instructions

    **To prepare for this assignment:**

    – Review the Learning Resources for this week as well as the resources and consider the depictions of mentally ill offenders and the treatment challenges associated with them, the treatment approaches and programs available as well as the challenges to successful treatment outcomes.

    – Select two challenges related to the treatment of mentally ill offenders in a forensic setting. Think about the steps you would take to overcome these challenges. Finally, consider what treatment approach(es) best addresses these challenges.

    **The assignment (2**– **3** **pages):**

    – Identify at least two challenges related to the treatment of mentally ill offenders in a forensic setting.
    – Explain the challenges you selected and the steps you would take to overcome them.
    – Briefly describe the treatment approach(es) you think best addresses the challenges you identified and why. Be specific.

    _Support your Assignment with specific references to all resources used in its preparation. You are asked to provide a reference list only for those resources_ _**not**_ _included in the Learning Resources for this week._

    – 2 years ago
    – 0.25

  • [Solved] audit 2

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    – 2 years ago **files (1)** – ## auditresponse.docx **## auditresponse.docx** Michelle Blankenship posted Jan 26, 2025 4:35 PM Subscribe The Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C (AUDIT-Consumption) are both designed to assess alcohol use and identify individuals at risk for …

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    – 2 years ago

    **files (1)**

    – ## auditresponse.docx

    **## auditresponse.docx**

    Michelle Blankenship posted Jan 26, 2025 4:35 PM

    Subscribe

         The Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C (AUDIT-Consumption) are both designed to assess alcohol use and identify individuals at risk for alcohol use disorder.

         The full AUDIT consists of 10 items, covering a broad spectrum of alcohol use behaviors and consequences. It takes about 5-10 minutes to complete. It assesses not only the quantity and frequency of alcohol consumption but also alcohol-related harm and dependence symptoms (Babor et al., 2021). It provides a more complete picture of the patient’s alcohol use and related problems, helping to identify not only hazardous drinking but also alcohol dependence and associated harm (Babor et al., 2021).

         The AUDIT is well-suited for comprehensive assessments in settings where there is more time available. It is effective in identifying individuals at risk for alcohol use disorders, including those with more severe symptoms of alcohol dependence. In addition, it helps to detect alcohol-related problems that may be affecting mental health, such as alcohol-related anxiety, depression, or social issues (Fleming et al., 2021).

         AUDIT-C, by contrast, is a shortened version consisting of only three questions that focus on the frequency of alcohol consumption, quantity consumed on a typical drinking day, and frequency of binge drinking episodes. It typically only takes less than two minutes to complete, which is ideal for initial screenings in settings where time is limited (Bradley et al., 2021). While it doesn’t assess alcohol-related harm or dependence, it provides a quick snapshot of whether a person is engaging in risky drinking behaviors.

         The AUDIT-C is usually completed in primary care and urgent care, where time is limited. It is a useful tool for early detection of individuals at risk for alcohol use disorders, particularly for those whose drinking habits may lead to problems in the future. While it is effective for identifying risky drinkers, it does not assess the full range of alcohol-related problems, so a high score typically warrants further assessment (Fleming et al., 2021).

         Both the AUDIT and AUDIT-C are essential tools in clinical practice, but they serve different purposes. The AUDIT is a more detailed, comprehensive tool that is suited for in-depth assessments of alcohol use and its impact, making it ideal for diagnosing alcohol use disorders and associated harm. The AUDIT-C offers a quick, efficient screening tool for identifying risk drinking behaviors, particularly useful in busy clinical settings where time is limited.

    **SECOND RESPONSE:**

    **Vanessa Vinci posted Jan 25, 2025 11:12 PM**

    **Subscribe**

    **The Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated version, Alcohol Use Disorders Identification Test-Concise (AUDIT-C) are psychometrically sound screening tools that can be used to identify hazardous alcohol consumption. The full AUDIT is a 10-item screening questionnaire that comes in a clinician-administered version and a self-report version that assesses three domains: a) quantity and pattern of consumption to identify hazardous drinking associated with risky behaviors (questions 1-3), b) alcohol dependence  (questions 4-6), and c) harmful alcohol use associated with likelihood of causing harm to self or others (questions 7-10) (Chen et al., 2024). As opposed to the full AUDIT, the AUDIT-C is a 3-item self-report questionnaire that solely assesses quantity and pattern of consumption.**

    **Although the full AUDIT is more comprehensive and is more effective at identifying alcohol abuse and dependence, the AUDIT-C is more time efficient and less cumbersome for patients to fill out at each visit which makes it a more practical tool to be implemented in the primary care setting. Furthermore, since AUDIT-C has been found to be more accurate at identifying heavy drinkers as opposed to the full AUDIT, it would be most efficient for AUDIT-C to be administered universally with the 7 remaining AUDIT questions being administered only to those who screen positive on the AUDIT-C with a score of 5 or greater for both men and women (Higgins-Biddle & Babor, 2019; Lembke et al., 2011).**

    **In the event a patient screens positive on the AUDIT-C and requires further evaluation, the score provided by the completed full AUDIT questionnaire can be used to help guide treatment decisions. The four scoring zones and recommended treatment plans outlined by the AUDIT manual include: a) Zone 1: 0-7, low risk; b) Zone 2: 8-15, medium level alcohol problems-patients should be given advice regarding their alcohol consumption; c) Zone 3: 16-19, high level alcohol problems- brief counseling interventions in addition to continued monitoring of alcohol use is recommended; and d) Zone 4: 20-40,  referral to a specialist is indicated for evaluation alcohol dependence and alcohol use disorder (Chen et al., 2024). Although the full AUDIT tool cannot be used to definitively diagnose alcohol use disorder, research suggests that a score greater than 8 is strongly correlated with a diagnosis of alcohol use disorder which makes it a useful tool to use as part of a comprehensive biopsychosocial assessment (Chen et al., 2024).**

    **## auditresponse.docx**

    Michelle Blankenship posted Jan 26, 2025 4:35 PM

    Subscribe

         The Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C (AUDIT-Consumption) are both designed to assess alcohol use and identify individuals at risk for alcohol use disorder.

         The full AUDIT consists of 10 items, covering a broad spectrum of alcohol use behaviors and consequences. It takes about 5-10 minutes to complete. It assesses not only the quantity and frequency of alcohol consumption but also alcohol-related harm and dependence symptoms (Babor et al., 2021). It provides a more complete picture of the patient’s alcohol use and related problems, helping to identify not only hazardous drinking but also alcohol dependence and associated harm (Babor et al., 2021).

         The AUDIT is well-suited for comprehensive assessments in settings where there is more time available. It is effective in identifying individuals at risk for alcohol use disorders, including those with more severe symptoms of alcohol dependence. In addition, it helps to detect alcohol-related problems that may be affecting mental health, such as alcohol-related anxiety, depression, or social issues (Fleming et al., 2021).

         AUDIT-C, by contrast, is a shortened version consisting of only three questions that focus on the frequency of alcohol consumption, quantity consumed on a typical drinking day, and frequency of binge drinking episodes. It typically only takes less than two minutes to complete, which is ideal for initial screenings in settings where time is limited (Bradley et al., 2021). While it doesn’t assess alcohol-related harm or dependence, it provides a quick snapshot of whether a person is engaging in risky drinking behaviors.

         The AUDIT-C is usually completed in primary care and urgent care, where time is limited. It is a useful tool for early detection of individuals at risk for alcohol use disorders, particularly for those whose drinking habits may lead to problems in the future. While it is effective for identifying risky drinkers, it does not assess the full range of alcohol-related problems, so a high score typically warrants further assessment (Fleming et al., 2021).

         Both the AUDIT and AUDIT-C are essential tools in clinical practice, but they serve different purposes. The AUDIT is a more detailed, comprehensive tool that is suited for in-depth assessments of alcohol use and its impact, making it ideal for diagnosing alcohol use disorders and associated harm. The AUDIT-C offers a quick, efficient screening tool for identifying risk drinking behaviors, particularly useful in busy clinical settings where time is limited.

    **SECOND RESPONSE:**

    **Vanessa Vinci posted Jan 25, 2025 11:12 PM**

    **Subscribe**

    **The Alcohol Use Disorders Identification Test (AUDIT) and its abbreviated version, Alcohol Use Disorders Identification Test-Concise (AUDIT-C) are psychometrically sound screening tools that can be used to identify hazardous alcohol consumption. The full AUDIT is a 10-item screening questionnaire that comes in a clinician-administered version and a self-report version that assesses three domains: a) quantity and pattern of consumption to identify hazardous drinking associated with risky behaviors (questions 1-3), b) alcohol dependence  (questions 4-6), and c) harmful alcohol use associated with likelihood of causing harm to self or others (questions 7-10) (Chen et al., 2024). As opposed to the full AUDIT, the AUDIT-C is a 3-item self-report questionnaire that solely assesses quantity and pattern of consumption.**

    **Although the full AUDIT is more comprehensive and is more effective at identifying alcohol abuse and dependence, the AUDIT-C is more time efficient and less cumbersome for patients to fill out at each visit which makes it a more practical tool to be implemented in the primary care setting. Furthermore, since AUDIT-C has been found to be more accurate at identifying heavy drinkers as opposed to the full AUDIT, it would be most efficient for AUDIT-C to be administered universally with the 7 remaining AUDIT questions being administered only to those who screen positive on the AUDIT-C with a score of 5 or greater for both men and women (Higgins-Biddle & Babor, 2019; Lembke et al., 2011).**

    **In the event a patient screens positive on the AUDIT-C and requires further evaluation, the score provided by the completed full AUDIT questionnaire can be used to help guide treatment decisions. The four scoring zones and recommended treatment plans outlined by the AUDIT manual include: a) Zone 1: 0-7, low risk; b) Zone 2: 8-15, medium level alcohol problems-patients should be given advice regarding their alcohol consumption; c) Zone 3: 16-19, high level alcohol problems- brief counseling interventions in addition to continued monitoring of alcohol use is recommended; and d) Zone 4: 20-40,  referral to a specialist is indicated for evaluation alcohol dependence and alcohol use disorder (Chen et al., 2024). Although the full AUDIT tool cannot be used to definitively diagnose alcohol use disorder, research suggests that a score greater than 8 is strongly correlated with a diagnosis of alcohol use disorder which makes it a useful tool to use as part of a comprehensive biopsychosocial assessment (Chen et al., 2024).**

  • [Solved] Help !!

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    – [\ \ IMG_3349.png](https://www.sweetstudy.com/files/img-3349-png-10169751 "IMG_3349.png") – 2 years ago

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    \
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    – 2 years ago

  • [Solved] Psychology Homework

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    ###### **Family System Application** Using the following family case example, apply Bowen’s 8 interlocking concepts to explain family functioning. Presenting Issue and Basic Assessment: Guero and Jane Diaz requested an intake session for help with their 15-year-old son, Martin, after Jane found mari…

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    ###### **Family System Application**

    Using the following family case example, apply Bowen’s 8 interlocking concepts to explain family functioning.

    Presenting Issue and Basic Assessment: Guero and Jane Diaz requested an intake session for help with their 15-year-old son, Martin, after Jane found marijuana in his room in a plastic bag at the bottom of one of his dresser drawers. You meet with all three family members for an assessment, and you find that the marijuana incident is the most recent in a long series of battles between mother and son. After assessing for a possible substance use disorder issue, you conclude that it is teen experimentation, but there is not a pattern of use or other concerns which would lead to a diagnosis of a drug or alcohol disorder. However, you do have concerns about the frequency of arguments between mother and son, and the increase in the intensity of the conflictual encounters.  There also seem to be some issues with school adjustment for Martin, which worries both you and his parents. Family History:  Guero’s father died when Guero was young, and he and his sister were raised by their mother. His mother was devoted, overbearing, and critical at times. She struggled with allowing them to have activities or interests outside of the family home, and by late adolescence, Guero was avoiding his mother whenever he could. He left home at age 25 and cut off all contact with his mother. His sister continues to remain single and lives at home with their mother.Jane is one of 5 siblings and had a very close relationship with her family growing up. She considers her siblings her best friends of her childhood. Janet’s parents believed that girls should stay at home after high school and focus on finding a husband and starting a family of their own. Janet did not want to take this path and struggled loudly with her parents about her desire to go to college. Her parents struggled to keep her at home, and she struggled to leave. She was successful in leaving for college and has been estranged from her parents since that time. Early Relationship:Guero and Jane met and felt a close connection to each other as neither had close family ties at that time. Their dating and engagement time was very short, and they married quickly. However, conflict soon arose as Guero was very sensitive to criticism from Jane, and Jane was very sensitive to any efforts of Guero to distance himself from her. Jane sought closeness and companionship, while Guero felt comfort in space. Guero showed a high level of sensitivity to any demands on his time, and Jane showed a high level of sadness and frustration whenever Guero indicated he did not want to engage in an activity with her that she suggested.  After a period of conflict, the couple settled into a norm for them in which Guero put all his energy into his work, and Jane adjusted to spending time by herself and feeling distant from her husband. Not long after, Martin was born.Family Development:They were a bit excited about Martin’s birth but in different ways. Guero saw Martin as a positive and fun addition to their home, and Jane saw Martin as a way to fill her need for someone to be close to. Martin was her world. She was a doting and responsive mother who cared for his every need, often before he even had to fuss or cry. Jane hovered so much over her son, even when Guero attempted to spend time with him that Guero became frustrated and backed off, allowing Martin to be in Jane’s care and under her oversight all of the time. Jane was so close to Martin that she allowed him everything he wanted and allowed him to structure their days by what he wanted. She felt hurt when he cried, as if she was a bad parent, so she did everything possible to keep him satisfied and pacified, even when that meant buying more toys, eating off schedule, allowing toys and household items to be destroyed, and naps and baths to be skipped. Martin grew up believing he was the center of the family, and he never heard the word no. Rarely did he tantrum for more than one minute before his mother gave in to whatever he wanted. As Martin’s behavior became more intolerable in his toddler and preschool years, Guero spent more and more time at work. Jane continued to pour all her time and attention into Martin which also distracted her from her lack of a marital relationship.      Martin’s school problems began in earnest in elementary school when he was faced with firm boundaries and rules in the classroom. He had tantrums at school and made few friends as he was seen as a bully and inflexible in his interactions with peers.  He mimicked his father’s behaviors when others tried to control him, and his mother always sided with Martin when she was called into the school, explaining that she did not think the school knew how to handle such as creative child as Martin.Martin grew into adolescence with few friends aside from his mother. He continued to have difficulties at school and did not follow rules or submit assignments by due dates. He rarely was prepared for class, and occasionally completed homework. He told his teachers and administrators that he did not need school and that he was too smart for school, both things he had repeatedly heard his mother say in the past. When adolescence started, the crisis at home boiled over as Martin attempted to form interests and activities outside of the home and Jane held on tight to him as if her life depended on him staying at home constantly. Guero continued to lengthen his hours at work to escape from the conflict at home. Even in Jane and Martin’s battles, they continued to remain the center of each other’s lives. Martin spent more time battling his mother than on any other activities in his life. (Case study from Nichols, 2013, pgs. 82-83).

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    **## Week1CaseStudyRubricrevised11.30.18.docx**

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    **Case Study 1 Instructions**

    Make sure to fully respond to each question and to use the
    rubric to guide your writing (the rubric is used to determine your grade). Your assignments should be written in accordance with APA 6th edition guidelines and contain two professional sources (your text-book may count as one of your resources). Although there is no minimum page length requirement for this assignment, you will likely write a minimum of five to six pages to full address all of the prompts.

    **Case Scenario**

    **The Case of Bob**

    Bob is a 42-year-old Caucasian male who presented for assessment and treatment for nervousness, anxiety, frustration, irritability, anger outbursts, and insomnia. Bob was somewhat disheveled in the initial assessment.

    Bob married his wife at the age of 19. They divorced after 4 years because he had an affair. He has been married to his current wife, Anna, for 16 years and they have two children, James 14, and Teresa 12. The children are active in school extracurricular activities and both make better than average grades. James was diagnosed with ADHD and takes medication for that. Bob and Anna have recently had conflicts in their marriage and argue frequently.

    Bob’s mother and father are alive at the ages of 62 and 66, respectively, and he is the second of three children from his family of origin. Bob gets along well with his mother, older brother, and younger sister, but has a distant relationship with his father. His mother and father divorced when he was 10 and he lived with his mother until he graduated from high school. He later found out his father had affairs while married to his mother. He briefly attended collage where he met his first wife but dropped out to go to work so they could marry. He and Anna met several years later through a mutual friend, dated for about six months and married.

    He reported no remarkable family history of psychiatric difficulties, alcohol or substance abuse, but said his cousin twice attempted suicide. He did not know much about his father’s family. Bob reported no inpatient or outpatient mental health admissions or treatment with the exception of the two visits to a counselor.

    He was diagnosed with Generalized Anxiety Disorder by a counselor. He saw the counselor twice but did not return for additional psychotherapy. He was prescribed Xanax 1 mg as needed, with a monthly quantity of 30, for anxiety by his PCP. He reported no other current medical conditions.

    In the first assessment, he was given the Beck Anxiety Inventory and scored 21, placing him in the moderate anxiety category. He did not report any other symptoms at that time and said he was confused as to why his physician said he would not prescribe a higher dosage of Xanax. He addressed his anxiety and irritability in session and was educated on mindfulness techniques, controlled breathing, and guided imagery to help reduce his anxiety and irritability. He was educated and encouraged to use the components of the anger wheel of choice to initiate anger management cognitive awareness.

    He returned for therapy one week later, reported he had implemented the interventions with only slightly noticeable improvement. He was re-educated on the techniques and encouraged to continue with them. He reported no anger outbursts but said his wife had “been nagging me to come here.” During that session he was quiet and reserved with a low energy level. He was prompted several times for session continuity but reported no new problems or difficulties during the session. He was encouraged to continue implementing the interventions and given additional education and material on anger management techniques.

    In the third session he was accompanied by his wife who came because she wanted to ensure complete communication. She reported domestic disharmony, said they have arguments frequently and have recently talked of divorce. His wife said he becomes angry and isolates himself after they argue. She also reported he cries often and tells her he cannot “stand the pressure at work.” They seldom have sex and, when they do, he frequently is unable to engage satisfactorily.

    She reported suspicions of infidelity in the first few years of their marriage but there had been no specific evidence other than her suspicions based on his behavior of being gone without explanation at times. He stopped that behavior years ago and she reported no current suspicions of infidelity.

    The client said little as his wife talked and he became more withdrawn. He volunteered little information in that session but said he will work with his wife to improve their marriage when she suggested that. She reported Bob’s mother struggled with depression when he was young and his cousin attempted suicide twice. She also said his mood changes, oftentimes abruptly, moving from anxiousness and irritability to withdrawal from the family and isolation accompanied by crying spells. The client made no comment to her assertions.

    When asked, he did not want to talk about his use of anxiety interventions and anger awareness communication and said he preferred to wait until the next session. Bob did not address his goal of reducing his anger and anxiety until his wife left the room. Bob then talked of his wife “nagging me to be happier and do more things around the house.” He reported anger outbursts and said he has difficulty remaining pleasant to her. He commented on the stresses at his job and said people there “do not understand me.” He reported instances of conflicts with others at his job but no major anger outbursts. He sometimes goes into the restroom to cry while at work.

    **Directions: Please answer all the following questions and provide scholarly support. Your responses should be written in APA format.**

    **Questions**

    · Given the diagnosis originally made by the first counselor, the prescription written by the PCP, and the information given and comments made by the client in the first session, analyze and discuss the rationale for the diagnosis and treatment plan from that assessment.

    · What might account for the client’s mediocre response to the suggested interventions? What points of discussion might be incorporated into the next session?

    · Describe the benefits and detriments of using the class of medications Xanax is in and potential for impact on the client. Provide an analysis of the pharmacodynamics and pharmacokinetics of the anxiolytic class of drugs. Include at least five pharmacodynamic and pharmacokinetic principles and a chart that summarizes the information.

    · What ethical considerations should be included in the discussion with the client about medications? Describe the advisability of consultation with the original prescribing physician, topics for discussion and communication points. Describe concerns to be taken into consideration when speaking with the prescribing doctor about medications and related disease states.

    · Describe how you will integrate the information presented by his wife, Anna. Include additional therapy topics to be addressed in the next session, possible assessment instruments to use, diagnoses to consider, and potential medication changes.

    · This assignment is worth 100 points.

    · All assignments should be written in APA format. Please include a title page, the body of your paper, and a reference page. All papers should include an introduction and conclusion.

    · Submit the assignment by 11:59 CST on Day 7 of the week.

    **Week One Case Study Rubric**

    | | | | | |
    | — | — | — | — | — |
    | **Criteria** | **Exemplary** | **Well Developed** | **In Development** | **Needs development** |
    | **Question 1 15 points**<br>Analyze and discuss the rationale for the diagnosis and treatment plan from the assessment. (2 paragraphs) | **14-15 points**<br>Question is accurately and thoroughly answered. Provides clear information about the diagnosis and the treatment plan. (2 paragraphs). | **11-13 points**<br>Question is partially accurate Thoroughly addressed for diagnosis or treatment plan with basic analysis of the other. (2 paragraphs). | **7-10 points**<br>Question is partially accurate for diagnosis and treatment plan OR is complete for one and missing for the other. Provides minimal information. | 0-6 points <br>Question is not thoroughly addressed, is inaccurate, or missing. Information about the diagnosis and treatment plan is minimal, has errors, or is missing. |
    | **Accuracy of responses Question 2 15 points**<br>Analysis of client’s response to interventions and development of future discussion points. Include discussion point rational. | **14-15 points**<br>Questions are accurately and thoroughly answered. Clearly identifies response rationale and identifies potential discussion points. | **11-13 points**<br>Questions are partially accurate but most to all are answered. Identifies more than 1 reason for response and more than 1 point for future discussion. | **7-10 points**<br>Answers are more inaccurate than accurate OR are unanswered. Identifies at least 1 reason for response and 1 point for future discussion. | **0-6 points**<br>Answers are completely inaccurate or missing. Minimally identifies response rationale and future discussion points. |
    | **Accuracy of responses Question 3 – 12 points**<br>Benefits and disadvantages of the anxiolytic class of medications. <br>**8 points**<br>Include an analysis of the pharmacodynamics and pharmacokinetics of the substances used in the case study (provide a chart that summarizes the information). | **11-12 points**<br>Benefits and disadvantages of anxiolytics are accurately and thoroughly discussed. <br>**7-8 points**<br>Provides a comprehensive analysis of at least five pharmaco-dynamic and pharmacokinetic principles. Chart is included and complete. | **9-10 points**<br>Benefits and disadvantages of anxiolytics partially accurate.<br>**6-7 points**<br>Provides an examination of 3-5 pharmacodynamic and pharmacokinetic principles. Chart is included and mostly complete. | **7-8 points**<br>Benefits and disadvantages of anxiolytics are more inaccurate than accurate. <br>**4-5 points**<br>Provides a minimal review of pharmaco-dynamics and pharmacokinetics. <br>Chart is present but incomplete or somewhat inaccurate. | **0-6 points**<br>Benefits and disadvantages of anxiolytics are completely inaccurate or missing. <br>**0-3 points**<br>Answers are inaccurate or missing. Review of pharmacodynamics and pharmacokinetics is inaccurate or missing. Chart is incomplete or missing. |
    | **Accuracy of responses Question 4 – 15 points**<br>Ethical considerations in client and prescribing physician discussions about medication. (2 paragraphs minimum). | **14-15 points**<br>Questions are accurately and thoroughly answered. | **11-13 points**<br>Questions are partially accurate but both client and physician discussions are included | **8-10 points**<br>Responses are more inaccurate than accurate OR inadequately addressed. | **0-9 points**<br>Responses are completely inaccurate or missing. |
    | **Accuracy of responses Question 5 – 20 points**<br>Described how you will use Anna’s information in the next session. Include assessment instruments to use, alternative diagnoses, and possible medication changes. (1-2 pages) | **18-20 points**<br>Questions are accurately and thoroughly answered. Clearly analyzes and discusses how Anna’s information will be used, provides at least 3 topics for future discussion, at least 2 possible assessment instruments to consider, and potential for medication change. (1-2 pages) | **16-17 points**<br>Questions are partially accurate but most to all are answered. Questions are accurately and thoroughly answered. Provides a broad analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction (1-2 pages) | **14-15 points**<br>Answers are more inaccurate than accurate OR many are unanswered. Provides a minimal analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction | **0-13 points**<br>Answers are completely inaccurate or missing. Analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction is missing or inaccurate. |
    | **Writing Mechanics and APA Grammar and Format: 10 points**<br>Papers are written using APA 6th edition formatting | **9-10 points**<br>No more than three grammatical, spelling, punctuation, and/or APA errors. Clarity of paper was not influenced by the errors. | **7-8 points**<br>More than three grammatical, spelling, punctuation, or APA errors. Clarity of paper was not strongly influenced by the errors. | **4-6 points**<br>More than three grammatical, spelling, punctuation, or APA errors that had a negative influence on the clarity of the paper. | **1-3 points**<br>More than three grammatical, spelling, punctuation, or APA errors that had a strong negative influence on the clarity of the paper. |
    | **Sources: 5 points**<br>Two professional sources are used to support points | **5 points**<br>2 professional source (e.g., journal article, textbook) or more are used throughout the paper as appropriate to thoroughly support ideas, and was documented in the references list. | **4 points**<br>2 professional sources were used to adequately support ideas and was documented in the reference list. | **3 points**<br>1-2 sources/not a professional source was used to support ideas and is documented in the reference list. | **1-2 points**<br>0-1 sources were used. Ideas were insufficiently supported. |
    | Total: 100 points | | | | |

    ## image1.png

    **## Week1CaseStudyRubricrevised11.30.18.docx**

    **![../../Downloads/LogoSig.png](https://www.sweetstudy.com/questions/help-20879187)**

    **Case Study 1 Instructions**

    Make sure to fully respond to each question and to use the
    rubric to guide your writing (the rubric is used to determine your grade). Your assignments should be written in accordance with APA 6th edition guidelines and contain two professional sources (your text-book may count as one of your resources). Although there is no minimum page length requirement for this assignment, you will likely write a minimum of five to six pages to full address all of the prompts.

    **Case Scenario**

    **The Case of Bob**

    Bob is a 42-year-old Caucasian male who presented for assessment and treatment for nervousness, anxiety, frustration, irritability, anger outbursts, and insomnia. Bob was somewhat disheveled in the initial assessment.

    Bob married his wife at the age of 19. They divorced after 4 years because he had an affair. He has been married to his current wife, Anna, for 16 years and they have two children, James 14, and Teresa 12. The children are active in school extracurricular activities and both make better than average grades. James was diagnosed with ADHD and takes medication for that. Bob and Anna have recently had conflicts in their marriage and argue frequently.

    Bob’s mother and father are alive at the ages of 62 and 66, respectively, and he is the second of three children from his family of origin. Bob gets along well with his mother, older brother, and younger sister, but has a distant relationship with his father. His mother and father divorced when he was 10 and he lived with his mother until he graduated from high school. He later found out his father had affairs while married to his mother. He briefly attended collage where he met his first wife but dropped out to go to work so they could marry. He and Anna met several years later through a mutual friend, dated for about six months and married.

    He reported no remarkable family history of psychiatric difficulties, alcohol or substance abuse, but said his cousin twice attempted suicide. He did not know much about his father’s family. Bob reported no inpatient or outpatient mental health admissions or treatment with the exception of the two visits to a counselor.

    He was diagnosed with Generalized Anxiety Disorder by a counselor. He saw the counselor twice but did not return for additional psychotherapy. He was prescribed Xanax 1 mg as needed, with a monthly quantity of 30, for anxiety by his PCP. He reported no other current medical conditions.

    In the first assessment, he was given the Beck Anxiety Inventory and scored 21, placing him in the moderate anxiety category. He did not report any other symptoms at that time and said he was confused as to why his physician said he would not prescribe a higher dosage of Xanax. He addressed his anxiety and irritability in session and was educated on mindfulness techniques, controlled breathing, and guided imagery to help reduce his anxiety and irritability. He was educated and encouraged to use the components of the anger wheel of choice to initiate anger management cognitive awareness.

    He returned for therapy one week later, reported he had implemented the interventions with only slightly noticeable improvement. He was re-educated on the techniques and encouraged to continue with them. He reported no anger outbursts but said his wife had “been nagging me to come here.” During that session he was quiet and reserved with a low energy level. He was prompted several times for session continuity but reported no new problems or difficulties during the session. He was encouraged to continue implementing the interventions and given additional education and material on anger management techniques.

    In the third session he was accompanied by his wife who came because she wanted to ensure complete communication. She reported domestic disharmony, said they have arguments frequently and have recently talked of divorce. His wife said he becomes angry and isolates himself after they argue. She also reported he cries often and tells her he cannot “stand the pressure at work.” They seldom have sex and, when they do, he frequently is unable to engage satisfactorily.

    She reported suspicions of infidelity in the first few years of their marriage but there had been no specific evidence other than her suspicions based on his behavior of being gone without explanation at times. He stopped that behavior years ago and she reported no current suspicions of infidelity.

    The client said little as his wife talked and he became more withdrawn. He volunteered little information in that session but said he will work with his wife to improve their marriage when she suggested that. She reported Bob’s mother struggled with depression when he was young and his cousin attempted suicide twice. She also said his mood changes, oftentimes abruptly, moving from anxiousness and irritability to withdrawal from the family and isolation accompanied by crying spells. The client made no comment to her assertions.

    When asked, he did not want to talk about his use of anxiety interventions and anger awareness communication and said he preferred to wait until the next session. Bob did not address his goal of reducing his anger and anxiety until his wife left the room. Bob then talked of his wife “nagging me to be happier and do more things around the house.” He reported anger outbursts and said he has difficulty remaining pleasant to her. He commented on the stresses at his job and said people there “do not understand me.” He reported instances of conflicts with others at his job but no major anger outbursts. He sometimes goes into the restroom to cry while at work.

    **Directions: Please answer all the following questions and provide scholarly support. Your responses should be written in APA format.**

    **Questions**

    · Given the diagnosis originally made by the first counselor, the prescription written by the PCP, and the information given and comments made by the client in the first session, analyze and discuss the rationale for the diagnosis and treatment plan from that assessment.

    · What might account for the client’s mediocre response to the suggested interventions? What points of discussion might be incorporated into the next session?

    · Describe the benefits and detriments of using the class of medications Xanax is in and potential for impact on the client. Provide an analysis of the pharmacodynamics and pharmacokinetics of the anxiolytic class of drugs. Include at least five pharmacodynamic and pharmacokinetic principles and a chart that summarizes the information.

    · What ethical considerations should be included in the discussion with the client about medications? Describe the advisability of consultation with the original prescribing physician, topics for discussion and communication points. Describe concerns to be taken into consideration when speaking with the prescribing doctor about medications and related disease states.

    · Describe how you will integrate the information presented by his wife, Anna. Include additional therapy topics to be addressed in the next session, possible assessment instruments to use, diagnoses to consider, and potential medication changes.

    · This assignment is worth 100 points.

    · All assignments should be written in APA format. Please include a title page, the body of your paper, and a reference page. All papers should include an introduction and conclusion.

    · Submit the assignment by 11:59 CST on Day 7 of the week.

    **Week One Case Study Rubric**

    | | | | | |
    | — | — | — | — | — |
    | **Criteria** | **Exemplary** | **Well Developed** | **In Development** | **Needs development** |
    | **Question 1 15 points**<br>Analyze and discuss the rationale for the diagnosis and treatment plan from the assessment. (2 paragraphs) | **14-15 points**<br>Question is accurately and thoroughly answered. Provides clear information about the diagnosis and the treatment plan. (2 paragraphs). | **11-13 points**<br>Question is partially accurate Thoroughly addressed for diagnosis or treatment plan with basic analysis of the other. (2 paragraphs). | **7-10 points**<br>Question is partially accurate for diagnosis and treatment plan OR is complete for one and missing for the other. Provides minimal information. | 0-6 points <br>Question is not thoroughly addressed, is inaccurate, or missing. Information about the diagnosis and treatment plan is minimal, has errors, or is missing. |
    | **Accuracy of responses Question 2 15 points**<br>Analysis of client’s response to interventions and development of future discussion points. Include discussion point rational. | **14-15 points**<br>Questions are accurately and thoroughly answered. Clearly identifies response rationale and identifies potential discussion points. | **11-13 points**<br>Questions are partially accurate but most to all are answered. Identifies more than 1 reason for response and more than 1 point for future discussion. | **7-10 points**<br>Answers are more inaccurate than accurate OR are unanswered. Identifies at least 1 reason for response and 1 point for future discussion. | **0-6 points**<br>Answers are completely inaccurate or missing. Minimally identifies response rationale and future discussion points. |
    | **Accuracy of responses Question 3 – 12 points**<br>Benefits and disadvantages of the anxiolytic class of medications. <br>**8 points**<br>Include an analysis of the pharmacodynamics and pharmacokinetics of the substances used in the case study (provide a chart that summarizes the information). | **11-12 points**<br>Benefits and disadvantages of anxiolytics are accurately and thoroughly discussed. <br>**7-8 points**<br>Provides a comprehensive analysis of at least five pharmaco-dynamic and pharmacokinetic principles. Chart is included and complete. | **9-10 points**<br>Benefits and disadvantages of anxiolytics partially accurate.<br>**6-7 points**<br>Provides an examination of 3-5 pharmacodynamic and pharmacokinetic principles. Chart is included and mostly complete. | **7-8 points**<br>Benefits and disadvantages of anxiolytics are more inaccurate than accurate. <br>**4-5 points**<br>Provides a minimal review of pharmaco-dynamics and pharmacokinetics. <br>Chart is present but incomplete or somewhat inaccurate. | **0-6 points**<br>Benefits and disadvantages of anxiolytics are completely inaccurate or missing. <br>**0-3 points**<br>Answers are inaccurate or missing. Review of pharmacodynamics and pharmacokinetics is inaccurate or missing. Chart is incomplete or missing. |
    | **Accuracy of responses Question 4 – 15 points**<br>Ethical considerations in client and prescribing physician discussions about medication. (2 paragraphs minimum). | **14-15 points**<br>Questions are accurately and thoroughly answered. | **11-13 points**<br>Questions are partially accurate but both client and physician discussions are included | **8-10 points**<br>Responses are more inaccurate than accurate OR inadequately addressed. | **0-9 points**<br>Responses are completely inaccurate or missing. |
    | **Accuracy of responses Question 5 – 20 points**<br>Described how you will use Anna’s information in the next session. Include assessment instruments to use, alternative diagnoses, and possible medication changes. (1-2 pages) | **18-20 points**<br>Questions are accurately and thoroughly answered. Clearly analyzes and discusses how Anna’s information will be used, provides at least 3 topics for future discussion, at least 2 possible assessment instruments to consider, and potential for medication change. (1-2 pages) | **16-17 points**<br>Questions are partially accurate but most to all are answered. Questions are accurately and thoroughly answered. Provides a broad analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction (1-2 pages) | **14-15 points**<br>Answers are more inaccurate than accurate OR many are unanswered. Provides a minimal analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction | **0-13 points**<br>Answers are completely inaccurate or missing. Analysis and discussion on how the mental health issues in the case study are either caused by or exacerbated by substance addiction is missing or inaccurate. |
    | **Writing Mechanics and APA Grammar and Format: 10 points**<br>Papers are written using APA 6th edition formatting | **9-10 points**<br>No more than three grammatical, spelling, punctuation, and/or APA errors. Clarity of paper was not influenced by the errors. | **7-8 points**<br>More than three grammatical, spelling, punctuation, or APA errors. Clarity of paper was not strongly influenced by the errors. | **4-6 points**<br>More than three grammatical, spelling, punctuation, or APA errors that had a negative influence on the clarity of the paper. | **1-3 points**<br>More than three grammatical, spelling, punctuation, or APA errors that had a strong negative influence on the clarity of the paper. |
    | **Sources: 5 points**<br>Two professional sources are used to support points | **5 points**<br>2 professional source (e.g., journal article, textbook) or more are used throughout the paper as appropriate to thoroughly support ideas, and was documented in the references list. | **4 points**<br>2 professional sources were used to adequately support ideas and was documented in the reference list. | **3 points**<br>1-2 sources/not a professional source was used to support ideas and is documented in the reference list. | **1-2 points**<br>0-1 sources were used. Ideas were insufficiently supported. |
    | Total: 100 points | | | | |

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    – 2 years ago **files (2)** – ## ArticleCritiqueAPATemplate5334-2.doc – ## WAISIIIandWISCIVforSpecialEducation.pdf **## ArticleCritiqueAPATemplate5334-2.doc** [removed] **## WAISIIIandWISCIVforSpecialEducation.pdf** Comparison of the WAIS-III and WISC-IV in 16-Year-Old Special Education Students S…

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    **files (2)**

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    **## WAISIIIandWISCIVforSpecialEducation.pdf**

    Comparison of the WAIS-III and WISC-IV
    in 16-Year-Old Special Education Students
    Shirley Gordon*, Simon Duff�, Terry Davidson� and Simon Whitaker§

    *Glen Acre House Child and Family Service, Lindley, Huddersfield, UK; �Division of Clinical Psychology, University of Liverpool,

    Quadrangle, Liverpool, UK; �CASPD, Salomons, David Salomans Estate, Southborough, Tunbridge Wells, Kent, UK;
    §The Learning Disability Research Unit, University of Huddersfield, Queensgate, Huddersfield, UK

    Accepted for publication 20 November 2008

    Background Previous research with earlier versions of

    the WISC and WAIS has demonstrated that when

    administered to people who have intellectual disabili-

    ties, the WAIS produced higher IQ scores than the

    WISC. The aim of this study was to examine whether

    these differences still exist. A comparison of the

    Wechsler Adult Intelligence Scale – Third Edition

    (WAIS-III) with the Wechsler Intelligence Scale for

    Children – Fourth Edition (WISC-IV) was conducted

    with individuals who were 16 years old and receiving

    special education.

    Materials and Methods All participants completed the

    WAIS-III (UK) and WISC-IV (UK). The order of admin-

    istration was counterbalanced; the mean Full Scale IQ

    and Index scores on the WAIS-III and WISC-IV were

    compared.

    Results The WAIS-III mean Full Scale IQ was 11.82

    points higher than the mean Full Scale IQ score on the

    WISC-IV. Significant differences were also found

    between the Verbal Comprehension Index, Perceptual

    Reasoning ⁄ Organization Index and Processing Speed

    Index on the WAIS-III and WISC-IV, all with the WAIS-

    III scoring higher.

    Conclusions The findings suggest that the WAIS-III pro-

    duces higher scores than the WISC-IV in people with

    intellectual disabilities. This has implications for defini-

    tions of intellectual disability and suggests that Psychol-

    ogists should be cautious when interpreting and

    reporting IQ scores on the WAIS-III and WISC-IV.

    Keywords: intellectual disability diagnosis, intelligence

    test, WAIS-III, WISC-IV

    Introduction

    Definitions of intellectual disabilities tend to include

    three core criteria: significant impairment of intellectual

    functioning, significant impairment of adaptive ⁄ social

    functioning and age of onset before adulthood (British

    Psychological Society, 2000). A significant impairment in

    intellectual functioning is generally regarded as an IQ

    below 70, assessed on a well-standardized and reliable

    assessment on intellectual functioning. The Wechsler

    Adult Intelligence Scale – Third Edition (WAIS-III,

    Wechsler 1997; UK edition, Wechsler 1998a,b) and the

    Wechsler Intelligence Scale for Children – Fourth Edi-

    tion (WISC-IV, Wechsler 2003; UK edition, Wechsler

    2004) are probably the most widely used tests of intelli-

    gence in children and adults. Although these tests have

    been found to be highly reliable and valid when used

    with individuals functioning within the normal range of

    intelligence (Wechsler 1997, 2003) there have been some

    concerns about how accurately these tests measure intel-

    lectual functioning at the extreme ends of the range

    (Whitaker 2008; Whitaker & Wood 2008). Previous

    research (Nagle & Lazarus 1979; Spitz 1988) has sug-

    gested that earlier versions of the WAIS produced

    higher scores than earlier versions of the WISC, in indi-

    viduals who were functioning in the low IQ range.

    Nagle & Lazarus (1979) compared the WAIS with the

    WISC-R in a group of 30 participants who received spe-

    cial education classes for children with an IQ between

    55 and 75. The WAIS yielded significantly higher IQ

    scores, scoring 13 points higher on the Full Scale IQ

    than the WISC-R. Significant correlations between the

    corresponding subtests and IQ scales were found, sug-

    gesting that the content was related, despite the non-

    equivalence of scores. Spitz (1988) investigated whether

    the difference between the WAIS-R and WISC-R was

    Journal of Applied Research in Intellectual Disabilities 2010, 23, 197–200

    � 2010 Blackwell Publishing Ltd 10.1111/j.1468-3148.2009.00538.x

    Published for the British Institute of Learning Disabilities

    consistent across different levels of IQ. He looked at

    existing data from seven previously published studies

    and combined this with the data from two new studies,

    giving a total of 236 participants overall. He found that

    ‘there was an inverse relationship between the size of

    the WISC-R ⁄ WAIS-R score disparity and the level of the

    WISC-R IQ, such that the lower the WISC-R IQ, the

    higher the increment in IQ derived from the WAIS-R’

    (Spitz 1988, p. 377). However, there has been a lack of

    recent research to replicate these findings using the most

    recent versions of the tests and also a lack of research

    using a sample of participants from the UK. Whitaker &

    Wood (2008) and Whitaker (2008) examined the criteria

    for gaining a scaled score of two, as outlined in the

    manuals for the WISC-IV (UK), the WISC-III (UK) and

    the WAIS-III (UK). On the basis of this they suggested

    that the WAIS-III (UK) would produce significantly

    higher IQs in the low ability range than either the

    WISC-IIII or WISC-IV. An unpublished dissertation

    (Bresnahan 2008), reported an American study where

    the WISC-IV and WAIS-III were given to 20 school chil-

    dren with IQs less than 75. The results showed that the

    mean Full Scale IQ score on the WISC-IV was 14 points

    lower than the mean Full Scale IQ score on the WAIS-

    III. Therefore, there is a need to look at the relationship

    between the UK versions of these tests.

    Methods

    Participants

    Participants were selected from four special education

    schools within one Local Authority area. The inclusion

    criteria for participants were that they had to be able

    to speak English, be 16 years of age (the age at which

    both the WISC-IV and the WAIS-III can be given) and

    attend a special school. Adolescents who had severe

    or profound intellectual disabilities and would not be

    able to complete the IQ assessments were excluded

    from the study. A total of 17 participants were

    recruited to the study, which included eight female

    and nine male students. The mean age of participants

    at the time of the first testing was 16 years 2 months

    with a range between 16 years 0 months and 16 years

    6 months.

    Design and procedure

    The research proposal was approved by Division of

    Clinical Psychology Research Committee at Liverpool

    University, who also considered the ethical issues. The

    head teachers of each of the schools involved gave writ-

    ten informed consent to take part in the study.

    The WAIS-III UK Edition (Wechsler 1998a,b) and The

    WISC-IV UK Edition (Wechsler 2004) were administered

    to all participants. The standardized instructions were fol-

    lowed for both tests. All the compulsory subtests were

    administered alongside the optional subtests if they

    appeared on both the WAIS-III and the WISC-IV. A total

    of 13 WAIS-III subtests and 13 WISC-IV subtests were

    administered. There were four participants who did not

    complete the optional subtests on the WISC-IV (Picture

    Completion, Information and Arithmetic); however, anal-

    ysis using these subtests is not reported in this paper.

    A repeated measures design was used, with the

    administration order of the tests counterbalanced to

    reduce practice effects. Participants were randomly

    assigned to groups. Group 1 consisted of nine partici-

    pants who completed the WAIS-III first followed by the

    WISC-IV. Group 2 consisted of eight participants who

    completed the WISC-IV first and then the WAIS-III. The

    testing sessions took place during school hours and in a

    suitable quiet room within each school. The number of

    sessions needed to complete the two tests ranged

    between two and three. The mean test–retest interval

    was 2 weeks and ranged between 1 and 10 weeks. A

    total of 12 participants had their tests administered and

    scored by the principal researcher, with an assistant psy-

    chologist administering and scoring the tests for five

    participants. There were no systematic differences

    between the two examiners. Paired samples t-tests were

    used to compare the mean results of Group 1 and

    Group 2.

    Results

    Table 1 provides a summary of the means and standard

    deviations of the Full Scale IQ and Index scores. The

    mean Full Scale IQ score on the WAIS-III was 64.82,

    (SD = 8.51) and 53.00 (SD = 10.08) on the WISC-IV,

    11.82 points lower. A paired samples t-test was used to

    determine the significance of difference between the IQ

    and Index scores on the WAIS-III and the WISC-IV. The

    results were that the WAIS-III yielded significantly

    higher scores on the Full Scale IQ [t(16) = 13.02,

    P < 0.001], Verbal Comprehension Index [t(16) = 7.98,

    P < 0.001], Perceptual Organization ⁄ Perceptual Reason-

    ing Index [t(16) = 3.68, P < 0.002] and Processing Speed

    Index [t(16) = 4.86, P < 0.001] than on the WISC-IV.

    There was no significant difference between the WAIS-

    III and WISC-IV scores on the Working Memory Index

    [t(16) = 1.93, P < 0.071].

    198 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Significant correlations were found between the

    WAIS-III and WISC-IV Full Scale IQ scores (r = 0.93,

    P < 0.001), Verbal Comprehension Index scores (r = 0.77,

    P < 0.001), Perceptual Organization ⁄ Reasoning Index

    scores (r = 0.76, P < 0.001), Processing Speed

    Index scores (r = 0.88, P < 0.001) and Working Memory

    Index scores (r = 0.67, P < 0.005), which suggests that

    the content of the IQ and Index scores on the two tests

    was strongly related.

    The differences between participant’s Full Scale IQ

    scores on the WAIS-III and WISC-IV ranged between 5

    and 20 points and all participants had a higher score on

    the WAIS-III. There was a negative correlation

    (r = )0.57, P < 0.05) between these differences and the

    WISC-IV Full Scale IQ, suggesting a greater disparity in

    Full Scale IQ between the two tests at lower IQ levels. It

    is also notable that four participants’ Full Scale IQ scores

    on the WISC-IV were 40, which was also the modal

    score for this test. This is also the lowest Full Scale IQ

    obtainable on the WISC-IV, which suggests the possibil-

    ity of a floor effect. The lowest Full Scale IQ score

    obtained on the WAIS-III was 49, which was well above

    the test’s lowest obtainable score of 45. With regard to

    the diagnosis of intellectual disabilities, using the WISC-

    IV only one participant had a Full Scale IQ of 70 or

    greater; however, on the WAIS-III six participants had

    Full Scale IQ scores of 70 or more.

    Discussion

    The WAIS-III produced a significantly higher mean Full

    Scale IQ score than the WISC-IV, in a sample of 16 year

    olds who attended special school. The difference

    between the mean Full Scale IQ score on the WAIS-III

    and the WISC-IV was 11.82 points, with the WAIS-III

    scoring higher. All the participants scored lower on the

    WISC-IV than the WAIS-III, the smallest difference

    between any participant’s scores was 5 points. The

    Index scores, with the exception of Working Memory,

    were also significant higher on the WAIS-III, with the

    differences ranging between 9.50 and 12.58 points.

    Although this result was obtained with a small sample,

    it is consistent with the predictions made by Whitaker

    (2008), a similar unpublished study by Bresnahan (2008)

    in the US and studies comparing earlier versions of the

    WISC and WAIS.

    Part of this almost 12 point difference is likely to be

    due the Flynn Effect, which is the trend for the intellec-

    tual ability of the population as a whole, including peo-

    ple with low intellectual ability, to increase from one

    generation to the next (Flynn 2006). Flynn has estimated

    this growth in ability to be about 0.3 of an IQ point per

    year. Since the WISC-IV was standardized 6 years after

    the WAIS-III, it would be expected to score two points

    less than the WAIS-III. Therefore, there is likely to be a

    10 points difference between the two assessments in the

    low IQ range that is due to factors other than the Flynn

    Effect. It is not clear why the remaining 10 points differ-

    ence in scores occurs and further research is clearly

    called for.

    The large difference in scores obtained by special edu-

    cation students on the WAIS-III and WISC-IV, which

    has been found in this study, clearly has implications

    for professionals working with people who have

    intellectual disabilities. Currently the WAIS-III and

    WISC-IV are both used to measure an individual’s intel-

    lectual ability, to determine whether they meet the diag-

    nostic criteria of having an IQ less that 70 for a

    diagnosis of intellectual disability. Having a diagnosis of

    intellectual disability can influence many decisions

    Table 1 Comparison of WAIS-III and

    WISC-IV means, standard deviations (SD),

    t scores and correlation coefficients (r) for

    the Full Scale IQ and Index scores

    IQ scale ⁄ Index

    score

    WAIS-III WISC-IV

    Diff t RM SD M SD

    FS IQ 64.82 8.51 53 10.08 11.82 13.02*** 0.93***

    VCI 67.59 7.62 55.76 9.50 11.83 7.97*** 0.77***

    PRI ⁄ POI 70.29 10.59 62.88 12.58 7.41 3.68** 0.76***

    WMI 64.35 9.21 60.71 10.09 3.65 1.93 0.68**

    PSI 71.41 10.38 64.82 11.89 6.59 4.86*** 0.88***

    *P < 0.05, **P < 0.005, ***P < 0.001.

    WAIS-III, Wechsler Adult Intelligence Scale – Third Edition; WISC-IV, Wechsler Intel-

    ligence Scale for Children – Fourth Edition; FS, Full Scale; VCI, Verbal Comprehension

    Index; PRI, Perceptual Reasoning Index; POI, Perceptual Organization Index; WMI,

    Working Memory Index; PSI, Processing Speed Index.

    Journal of Applied Research in Intellectual Disabilities 199

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    about an individual’s life, including parenting assess-

    ments, capacity to consent, access to services and access

    to educational courses. If the tests are producing differ-

    ent scores, and it is unclear which test is producing the

    most accurate results, then important decisions are

    being made on the basis of inaccurate information.

    Therefore, professionals working with people who have

    intellectual disabilities need to exercise caution when

    interpreting IQ scores on the WAIS-III and WISC-IV,

    particularly when the IQ score is in the mild or border-

    line ability range.

    This study has provided the first empirical compari-

    son of the WAIS-III and WISC-IV in people with intel-

    lectual disabilities in the UK. However, the study is

    limited by the use of a small sample of adolescents, who

    were all aged 16 and from a single area of the UK.

    There was also a relatively a large range of test–retest

    intervals. Therefore, further investigations are needed

    using larger samples in other countries to add support

    to these findings. Further research is also needed to

    investigate the reasons for these differences. The results

    of such research could help to improve the process of

    standardization of future versions of the Wechsler tests.

    Acknowledgments

    Thank you to all the schools and young people who

    gave their time to participate in the study.

    Correspondence

    Any correspondence should be directed to Shirley

    Gordon, Clinical Psychologist, Glen Acre House Child

    and Family Service, 21 Acre House Avenue, Lindley,

    Huddersfield, HD3 3BB, 07901 503898, UK (e-mail:

    shirley_gordon@hotmail.com).

    References

    Bresnahan J. A. (2008) A preliminary study of WISC-iv and WAIS-

    III IQ scores for students with extremely low cognitive functioning.

    Dissertation Abstracts International: Section B: The Science

    and Engineering. Fairleigh Dickinson University, Teaneck,

    NJ, USA.

    British Psychological Society (2000) Learning Disability: Defini-

    tions and Contexts. British Psychological Society, Leicester.

    Flynn J. R. (2006) Tethering the elephant: capital cases, IQ and

    the Flynn Effect. Psychology, Public Policy and Law 12, 170–189.

    Nagle R. J. & Lazarus S. C. (1979) The comparability of the

    WISC-R and WAIS-R among 16 year-old EMR children. Jour-

    nal of School Psychology 17, 362–367.

    Spitz H. H. (1988) Inverse relationship between the WISC-

    R ⁄ WAIS-R score disparity and IQ level in the lower range of

    intelligence. American Journal on Mental Retardation 92, 376–

    378.

    Wechsler D. (1997) WAIS-III, WMS-III: Technical and Interpretive

    Manual. The Psychological Corporation, San Antonio, TX.

    Wechsler D. (1998a) Wechsler Adult Intelligence Scale – Third Edi-

    tion, UK edition. The Psychological Corporation, London.

    Wechsler D. (1998b) Wechsler Adult Intelligence Scale – Third UK

    Edition: Administrative and Scoring Manual. The Psychological

    Corporation, London.

    Wechsler D. (2003) Wechsler Intelligence Scale for Children –

    Fourth Edition: Technical and Interpretive Manual. The Psycho-

    logical Corporation, San Antonio, TX.

    Wechsler D. (2004) Wechsler Intelligence Scale for Children –

    Fourth UK Edition: Administrative and Scoring Manual. The Psy-

    chological Corporation, London.

    Whitaker S. (2008) WISC-IV and low IQ: review and compari-

    son with the WAIS-III. Educational Psychology in Practice 24,

    129–137.

    Whitaker S. & Wood C. (2008) The distribution of scaled scores

    and possible floor effects in the WISC-III and WAIS-III. Jour-

    nal of Applied Research in Intellectual Disabilities 21, 136–141.

    200 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Copyright of Journal of Applied Research in Intellectual Disabilities is the property of Blackwell Publishing

    Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the

    copyright holder's express written permission. However, users may print, download, or email articles for

    individual use.

    **## WAISIIIandWISCIVforSpecialEducation.pdf**

    Comparison of the WAIS-III and WISC-IV
    in 16-Year-Old Special Education Students
    Shirley Gordon*, Simon Duff�, Terry Davidson� and Simon Whitaker§

    *Glen Acre House Child and Family Service, Lindley, Huddersfield, UK; �Division of Clinical Psychology, University of Liverpool,

    Quadrangle, Liverpool, UK; �CASPD, Salomons, David Salomans Estate, Southborough, Tunbridge Wells, Kent, UK;
    §The Learning Disability Research Unit, University of Huddersfield, Queensgate, Huddersfield, UK

    Accepted for publication 20 November 2008

    Background Previous research with earlier versions of

    the WISC and WAIS has demonstrated that when

    administered to people who have intellectual disabili-

    ties, the WAIS produced higher IQ scores than the

    WISC. The aim of this study was to examine whether

    these differences still exist. A comparison of the

    Wechsler Adult Intelligence Scale – Third Edition

    (WAIS-III) with the Wechsler Intelligence Scale for

    Children – Fourth Edition (WISC-IV) was conducted

    with individuals who were 16 years old and receiving

    special education.

    Materials and Methods All participants completed the

    WAIS-III (UK) and WISC-IV (UK). The order of admin-

    istration was counterbalanced; the mean Full Scale IQ

    and Index scores on the WAIS-III and WISC-IV were

    compared.

    Results The WAIS-III mean Full Scale IQ was 11.82

    points higher than the mean Full Scale IQ score on the

    WISC-IV. Significant differences were also found

    between the Verbal Comprehension Index, Perceptual

    Reasoning ⁄ Organization Index and Processing Speed

    Index on the WAIS-III and WISC-IV, all with the WAIS-

    III scoring higher.

    Conclusions The findings suggest that the WAIS-III pro-

    duces higher scores than the WISC-IV in people with

    intellectual disabilities. This has implications for defini-

    tions of intellectual disability and suggests that Psychol-

    ogists should be cautious when interpreting and

    reporting IQ scores on the WAIS-III and WISC-IV.

    Keywords: intellectual disability diagnosis, intelligence

    test, WAIS-III, WISC-IV

    Introduction

    Definitions of intellectual disabilities tend to include

    three core criteria: significant impairment of intellectual

    functioning, significant impairment of adaptive ⁄ social

    functioning and age of onset before adulthood (British

    Psychological Society, 2000). A significant impairment in

    intellectual functioning is generally regarded as an IQ

    below 70, assessed on a well-standardized and reliable

    assessment on intellectual functioning. The Wechsler

    Adult Intelligence Scale – Third Edition (WAIS-III,

    Wechsler 1997; UK edition, Wechsler 1998a,b) and the

    Wechsler Intelligence Scale for Children – Fourth Edi-

    tion (WISC-IV, Wechsler 2003; UK edition, Wechsler

    2004) are probably the most widely used tests of intelli-

    gence in children and adults. Although these tests have

    been found to be highly reliable and valid when used

    with individuals functioning within the normal range of

    intelligence (Wechsler 1997, 2003) there have been some

    concerns about how accurately these tests measure intel-

    lectual functioning at the extreme ends of the range

    (Whitaker 2008; Whitaker & Wood 2008). Previous

    research (Nagle & Lazarus 1979; Spitz 1988) has sug-

    gested that earlier versions of the WAIS produced

    higher scores than earlier versions of the WISC, in indi-

    viduals who were functioning in the low IQ range.

    Nagle & Lazarus (1979) compared the WAIS with the

    WISC-R in a group of 30 participants who received spe-

    cial education classes for children with an IQ between

    55 and 75. The WAIS yielded significantly higher IQ

    scores, scoring 13 points higher on the Full Scale IQ

    than the WISC-R. Significant correlations between the

    corresponding subtests and IQ scales were found, sug-

    gesting that the content was related, despite the non-

    equivalence of scores. Spitz (1988) investigated whether

    the difference between the WAIS-R and WISC-R was

    Journal of Applied Research in Intellectual Disabilities 2010, 23, 197–200

    � 2010 Blackwell Publishing Ltd 10.1111/j.1468-3148.2009.00538.x

    Published for the British Institute of Learning Disabilities

    consistent across different levels of IQ. He looked at

    existing data from seven previously published studies

    and combined this with the data from two new studies,

    giving a total of 236 participants overall. He found that

    ‘there was an inverse relationship between the size of

    the WISC-R ⁄ WAIS-R score disparity and the level of the

    WISC-R IQ, such that the lower the WISC-R IQ, the

    higher the increment in IQ derived from the WAIS-R’

    (Spitz 1988, p. 377). However, there has been a lack of

    recent research to replicate these findings using the most

    recent versions of the tests and also a lack of research

    using a sample of participants from the UK. Whitaker &

    Wood (2008) and Whitaker (2008) examined the criteria

    for gaining a scaled score of two, as outlined in the

    manuals for the WISC-IV (UK), the WISC-III (UK) and

    the WAIS-III (UK). On the basis of this they suggested

    that the WAIS-III (UK) would produce significantly

    higher IQs in the low ability range than either the

    WISC-IIII or WISC-IV. An unpublished dissertation

    (Bresnahan 2008), reported an American study where

    the WISC-IV and WAIS-III were given to 20 school chil-

    dren with IQs less than 75. The results showed that the

    mean Full Scale IQ score on the WISC-IV was 14 points

    lower than the mean Full Scale IQ score on the WAIS-

    III. Therefore, there is a need to look at the relationship

    between the UK versions of these tests.

    Methods

    Participants

    Participants were selected from four special education

    schools within one Local Authority area. The inclusion

    criteria for participants were that they had to be able

    to speak English, be 16 years of age (the age at which

    both the WISC-IV and the WAIS-III can be given) and

    attend a special school. Adolescents who had severe

    or profound intellectual disabilities and would not be

    able to complete the IQ assessments were excluded

    from the study. A total of 17 participants were

    recruited to the study, which included eight female

    and nine male students. The mean age of participants

    at the time of the first testing was 16 years 2 months

    with a range between 16 years 0 months and 16 years

    6 months.

    Design and procedure

    The research proposal was approved by Division of

    Clinical Psychology Research Committee at Liverpool

    University, who also considered the ethical issues. The

    head teachers of each of the schools involved gave writ-

    ten informed consent to take part in the study.

    The WAIS-III UK Edition (Wechsler 1998a,b) and The

    WISC-IV UK Edition (Wechsler 2004) were administered

    to all participants. The standardized instructions were fol-

    lowed for both tests. All the compulsory subtests were

    administered alongside the optional subtests if they

    appeared on both the WAIS-III and the WISC-IV. A total

    of 13 WAIS-III subtests and 13 WISC-IV subtests were

    administered. There were four participants who did not

    complete the optional subtests on the WISC-IV (Picture

    Completion, Information and Arithmetic); however, anal-

    ysis using these subtests is not reported in this paper.

    A repeated measures design was used, with the

    administration order of the tests counterbalanced to

    reduce practice effects. Participants were randomly

    assigned to groups. Group 1 consisted of nine partici-

    pants who completed the WAIS-III first followed by the

    WISC-IV. Group 2 consisted of eight participants who

    completed the WISC-IV first and then the WAIS-III. The

    testing sessions took place during school hours and in a

    suitable quiet room within each school. The number of

    sessions needed to complete the two tests ranged

    between two and three. The mean test–retest interval

    was 2 weeks and ranged between 1 and 10 weeks. A

    total of 12 participants had their tests administered and

    scored by the principal researcher, with an assistant psy-

    chologist administering and scoring the tests for five

    participants. There were no systematic differences

    between the two examiners. Paired samples t-tests were

    used to compare the mean results of Group 1 and

    Group 2.

    Results

    Table 1 provides a summary of the means and standard

    deviations of the Full Scale IQ and Index scores. The

    mean Full Scale IQ score on the WAIS-III was 64.82,

    (SD = 8.51) and 53.00 (SD = 10.08) on the WISC-IV,

    11.82 points lower. A paired samples t-test was used to

    determine the significance of difference between the IQ

    and Index scores on the WAIS-III and the WISC-IV. The

    results were that the WAIS-III yielded significantly

    higher scores on the Full Scale IQ [t(16) = 13.02,

    P < 0.001], Verbal Comprehension Index [t(16) = 7.98,

    P < 0.001], Perceptual Organization ⁄ Perceptual Reason-

    ing Index [t(16) = 3.68, P < 0.002] and Processing Speed

    Index [t(16) = 4.86, P < 0.001] than on the WISC-IV.

    There was no significant difference between the WAIS-

    III and WISC-IV scores on the Working Memory Index

    [t(16) = 1.93, P < 0.071].

    198 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Significant correlations were found between the

    WAIS-III and WISC-IV Full Scale IQ scores (r = 0.93,

    P < 0.001), Verbal Comprehension Index scores (r = 0.77,

    P < 0.001), Perceptual Organization ⁄ Reasoning Index

    scores (r = 0.76, P < 0.001), Processing Speed

    Index scores (r = 0.88, P < 0.001) and Working Memory

    Index scores (r = 0.67, P < 0.005), which suggests that

    the content of the IQ and Index scores on the two tests

    was strongly related.

    The differences between participant’s Full Scale IQ

    scores on the WAIS-III and WISC-IV ranged between 5

    and 20 points and all participants had a higher score on

    the WAIS-III. There was a negative correlation

    (r = )0.57, P < 0.05) between these differences and the

    WISC-IV Full Scale IQ, suggesting a greater disparity in

    Full Scale IQ between the two tests at lower IQ levels. It

    is also notable that four participants’ Full Scale IQ scores

    on the WISC-IV were 40, which was also the modal

    score for this test. This is also the lowest Full Scale IQ

    obtainable on the WISC-IV, which suggests the possibil-

    ity of a floor effect. The lowest Full Scale IQ score

    obtained on the WAIS-III was 49, which was well above

    the test’s lowest obtainable score of 45. With regard to

    the diagnosis of intellectual disabilities, using the WISC-

    IV only one participant had a Full Scale IQ of 70 or

    greater; however, on the WAIS-III six participants had

    Full Scale IQ scores of 70 or more.

    Discussion

    The WAIS-III produced a significantly higher mean Full

    Scale IQ score than the WISC-IV, in a sample of 16 year

    olds who attended special school. The difference

    between the mean Full Scale IQ score on the WAIS-III

    and the WISC-IV was 11.82 points, with the WAIS-III

    scoring higher. All the participants scored lower on the

    WISC-IV than the WAIS-III, the smallest difference

    between any participant’s scores was 5 points. The

    Index scores, with the exception of Working Memory,

    were also significant higher on the WAIS-III, with the

    differences ranging between 9.50 and 12.58 points.

    Although this result was obtained with a small sample,

    it is consistent with the predictions made by Whitaker

    (2008), a similar unpublished study by Bresnahan (2008)

    in the US and studies comparing earlier versions of the

    WISC and WAIS.

    Part of this almost 12 point difference is likely to be

    due the Flynn Effect, which is the trend for the intellec-

    tual ability of the population as a whole, including peo-

    ple with low intellectual ability, to increase from one

    generation to the next (Flynn 2006). Flynn has estimated

    this growth in ability to be about 0.3 of an IQ point per

    year. Since the WISC-IV was standardized 6 years after

    the WAIS-III, it would be expected to score two points

    less than the WAIS-III. Therefore, there is likely to be a

    10 points difference between the two assessments in the

    low IQ range that is due to factors other than the Flynn

    Effect. It is not clear why the remaining 10 points differ-

    ence in scores occurs and further research is clearly

    called for.

    The large difference in scores obtained by special edu-

    cation students on the WAIS-III and WISC-IV, which

    has been found in this study, clearly has implications

    for professionals working with people who have

    intellectual disabilities. Currently the WAIS-III and

    WISC-IV are both used to measure an individual’s intel-

    lectual ability, to determine whether they meet the diag-

    nostic criteria of having an IQ less that 70 for a

    diagnosis of intellectual disability. Having a diagnosis of

    intellectual disability can influence many decisions

    Table 1 Comparison of WAIS-III and

    WISC-IV means, standard deviations (SD),

    t scores and correlation coefficients (r) for

    the Full Scale IQ and Index scores

    IQ scale ⁄ Index

    score

    WAIS-III WISC-IV

    Diff t RM SD M SD

    FS IQ 64.82 8.51 53 10.08 11.82 13.02*** 0.93***

    VCI 67.59 7.62 55.76 9.50 11.83 7.97*** 0.77***

    PRI ⁄ POI 70.29 10.59 62.88 12.58 7.41 3.68** 0.76***

    WMI 64.35 9.21 60.71 10.09 3.65 1.93 0.68**

    PSI 71.41 10.38 64.82 11.89 6.59 4.86*** 0.88***

    *P < 0.05, **P < 0.005, ***P < 0.001.

    WAIS-III, Wechsler Adult Intelligence Scale – Third Edition; WISC-IV, Wechsler Intel-

    ligence Scale for Children – Fourth Edition; FS, Full Scale; VCI, Verbal Comprehension

    Index; PRI, Perceptual Reasoning Index; POI, Perceptual Organization Index; WMI,

    Working Memory Index; PSI, Processing Speed Index.

    Journal of Applied Research in Intellectual Disabilities 199

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    about an individual’s life, including parenting assess-

    ments, capacity to consent, access to services and access

    to educational courses. If the tests are producing differ-

    ent scores, and it is unclear which test is producing the

    most accurate results, then important decisions are

    being made on the basis of inaccurate information.

    Therefore, professionals working with people who have

    intellectual disabilities need to exercise caution when

    interpreting IQ scores on the WAIS-III and WISC-IV,

    particularly when the IQ score is in the mild or border-

    line ability range.

    This study has provided the first empirical compari-

    son of the WAIS-III and WISC-IV in people with intel-

    lectual disabilities in the UK. However, the study is

    limited by the use of a small sample of adolescents, who

    were all aged 16 and from a single area of the UK.

    There was also a relatively a large range of test–retest

    intervals. Therefore, further investigations are needed

    using larger samples in other countries to add support

    to these findings. Further research is also needed to

    investigate the reasons for these differences. The results

    of such research could help to improve the process of

    standardization of future versions of the Wechsler tests.

    Acknowledgments

    Thank you to all the schools and young people who

    gave their time to participate in the study.

    Correspondence

    Any correspondence should be directed to Shirley

    Gordon, Clinical Psychologist, Glen Acre House Child

    and Family Service, 21 Acre House Avenue, Lindley,

    Huddersfield, HD3 3BB, 07901 503898, UK (e-mail:

    shirley_gordon@hotmail.com).

    References

    Bresnahan J. A. (2008) A preliminary study of WISC-iv and WAIS-

    III IQ scores for students with extremely low cognitive functioning.

    Dissertation Abstracts International: Section B: The Science

    and Engineering. Fairleigh Dickinson University, Teaneck,

    NJ, USA.

    British Psychological Society (2000) Learning Disability: Defini-

    tions and Contexts. British Psychological Society, Leicester.

    Flynn J. R. (2006) Tethering the elephant: capital cases, IQ and

    the Flynn Effect. Psychology, Public Policy and Law 12, 170–189.

    Nagle R. J. & Lazarus S. C. (1979) The comparability of the

    WISC-R and WAIS-R among 16 year-old EMR children. Jour-

    nal of School Psychology 17, 362–367.

    Spitz H. H. (1988) Inverse relationship between the WISC-

    R ⁄ WAIS-R score disparity and IQ level in the lower range of

    intelligence. American Journal on Mental Retardation 92, 376–

    378.

    Wechsler D. (1997) WAIS-III, WMS-III: Technical and Interpretive

    Manual. The Psychological Corporation, San Antonio, TX.

    Wechsler D. (1998a) Wechsler Adult Intelligence Scale – Third Edi-

    tion, UK edition. The Psychological Corporation, London.

    Wechsler D. (1998b) Wechsler Adult Intelligence Scale – Third UK

    Edition: Administrative and Scoring Manual. The Psychological

    Corporation, London.

    Wechsler D. (2003) Wechsler Intelligence Scale for Children –

    Fourth Edition: Technical and Interpretive Manual. The Psycho-

    logical Corporation, San Antonio, TX.

    Wechsler D. (2004) Wechsler Intelligence Scale for Children –

    Fourth UK Edition: Administrative and Scoring Manual. The Psy-

    chological Corporation, London.

    Whitaker S. (2008) WISC-IV and low IQ: review and compari-

    son with the WAIS-III. Educational Psychology in Practice 24,

    129–137.

    Whitaker S. & Wood C. (2008) The distribution of scaled scores

    and possible floor effects in the WISC-III and WAIS-III. Jour-

    nal of Applied Research in Intellectual Disabilities 21, 136–141.

    200 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Copyright of Journal of Applied Research in Intellectual Disabilities is the property of Blackwell Publishing

    Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the

    copyright holder's express written permission. However, users may print, download, or email articles for

    individual use.

    **## ArticleCritiqueAPATemplate5334-2.doc**

    [removed]

    **## WAISIIIandWISCIVforSpecialEducation.pdf**

    Comparison of the WAIS-III and WISC-IV
    in 16-Year-Old Special Education Students
    Shirley Gordon*, Simon Duff�, Terry Davidson� and Simon Whitaker§

    *Glen Acre House Child and Family Service, Lindley, Huddersfield, UK; �Division of Clinical Psychology, University of Liverpool,

    Quadrangle, Liverpool, UK; �CASPD, Salomons, David Salomans Estate, Southborough, Tunbridge Wells, Kent, UK;
    §The Learning Disability Research Unit, University of Huddersfield, Queensgate, Huddersfield, UK

    Accepted for publication 20 November 2008

    Background Previous research with earlier versions of

    the WISC and WAIS has demonstrated that when

    administered to people who have intellectual disabili-

    ties, the WAIS produced higher IQ scores than the

    WISC. The aim of this study was to examine whether

    these differences still exist. A comparison of the

    Wechsler Adult Intelligence Scale – Third Edition

    (WAIS-III) with the Wechsler Intelligence Scale for

    Children – Fourth Edition (WISC-IV) was conducted

    with individuals who were 16 years old and receiving

    special education.

    Materials and Methods All participants completed the

    WAIS-III (UK) and WISC-IV (UK). The order of admin-

    istration was counterbalanced; the mean Full Scale IQ

    and Index scores on the WAIS-III and WISC-IV were

    compared.

    Results The WAIS-III mean Full Scale IQ was 11.82

    points higher than the mean Full Scale IQ score on the

    WISC-IV. Significant differences were also found

    between the Verbal Comprehension Index, Perceptual

    Reasoning ⁄ Organization Index and Processing Speed

    Index on the WAIS-III and WISC-IV, all with the WAIS-

    III scoring higher.

    Conclusions The findings suggest that the WAIS-III pro-

    duces higher scores than the WISC-IV in people with

    intellectual disabilities. This has implications for defini-

    tions of intellectual disability and suggests that Psychol-

    ogists should be cautious when interpreting and

    reporting IQ scores on the WAIS-III and WISC-IV.

    Keywords: intellectual disability diagnosis, intelligence

    test, WAIS-III, WISC-IV

    Introduction

    Definitions of intellectual disabilities tend to include

    three core criteria: significant impairment of intellectual

    functioning, significant impairment of adaptive ⁄ social

    functioning and age of onset before adulthood (British

    Psychological Society, 2000). A significant impairment in

    intellectual functioning is generally regarded as an IQ

    below 70, assessed on a well-standardized and reliable

    assessment on intellectual functioning. The Wechsler

    Adult Intelligence Scale – Third Edition (WAIS-III,

    Wechsler 1997; UK edition, Wechsler 1998a,b) and the

    Wechsler Intelligence Scale for Children – Fourth Edi-

    tion (WISC-IV, Wechsler 2003; UK edition, Wechsler

    2004) are probably the most widely used tests of intelli-

    gence in children and adults. Although these tests have

    been found to be highly reliable and valid when used

    with individuals functioning within the normal range of

    intelligence (Wechsler 1997, 2003) there have been some

    concerns about how accurately these tests measure intel-

    lectual functioning at the extreme ends of the range

    (Whitaker 2008; Whitaker & Wood 2008). Previous

    research (Nagle & Lazarus 1979; Spitz 1988) has sug-

    gested that earlier versions of the WAIS produced

    higher scores than earlier versions of the WISC, in indi-

    viduals who were functioning in the low IQ range.

    Nagle & Lazarus (1979) compared the WAIS with the

    WISC-R in a group of 30 participants who received spe-

    cial education classes for children with an IQ between

    55 and 75. The WAIS yielded significantly higher IQ

    scores, scoring 13 points higher on the Full Scale IQ

    than the WISC-R. Significant correlations between the

    corresponding subtests and IQ scales were found, sug-

    gesting that the content was related, despite the non-

    equivalence of scores. Spitz (1988) investigated whether

    the difference between the WAIS-R and WISC-R was

    Journal of Applied Research in Intellectual Disabilities 2010, 23, 197–200

    � 2010 Blackwell Publishing Ltd 10.1111/j.1468-3148.2009.00538.x

    Published for the British Institute of Learning Disabilities

    consistent across different levels of IQ. He looked at

    existing data from seven previously published studies

    and combined this with the data from two new studies,

    giving a total of 236 participants overall. He found that

    ‘there was an inverse relationship between the size of

    the WISC-R ⁄ WAIS-R score disparity and the level of the

    WISC-R IQ, such that the lower the WISC-R IQ, the

    higher the increment in IQ derived from the WAIS-R’

    (Spitz 1988, p. 377). However, there has been a lack of

    recent research to replicate these findings using the most

    recent versions of the tests and also a lack of research

    using a sample of participants from the UK. Whitaker &

    Wood (2008) and Whitaker (2008) examined the criteria

    for gaining a scaled score of two, as outlined in the

    manuals for the WISC-IV (UK), the WISC-III (UK) and

    the WAIS-III (UK). On the basis of this they suggested

    that the WAIS-III (UK) would produce significantly

    higher IQs in the low ability range than either the

    WISC-IIII or WISC-IV. An unpublished dissertation

    (Bresnahan 2008), reported an American study where

    the WISC-IV and WAIS-III were given to 20 school chil-

    dren with IQs less than 75. The results showed that the

    mean Full Scale IQ score on the WISC-IV was 14 points

    lower than the mean Full Scale IQ score on the WAIS-

    III. Therefore, there is a need to look at the relationship

    between the UK versions of these tests.

    Methods

    Participants

    Participants were selected from four special education

    schools within one Local Authority area. The inclusion

    criteria for participants were that they had to be able

    to speak English, be 16 years of age (the age at which

    both the WISC-IV and the WAIS-III can be given) and

    attend a special school. Adolescents who had severe

    or profound intellectual disabilities and would not be

    able to complete the IQ assessments were excluded

    from the study. A total of 17 participants were

    recruited to the study, which included eight female

    and nine male students. The mean age of participants

    at the time of the first testing was 16 years 2 months

    with a range between 16 years 0 months and 16 years

    6 months.

    Design and procedure

    The research proposal was approved by Division of

    Clinical Psychology Research Committee at Liverpool

    University, who also considered the ethical issues. The

    head teachers of each of the schools involved gave writ-

    ten informed consent to take part in the study.

    The WAIS-III UK Edition (Wechsler 1998a,b) and The

    WISC-IV UK Edition (Wechsler 2004) were administered

    to all participants. The standardized instructions were fol-

    lowed for both tests. All the compulsory subtests were

    administered alongside the optional subtests if they

    appeared on both the WAIS-III and the WISC-IV. A total

    of 13 WAIS-III subtests and 13 WISC-IV subtests were

    administered. There were four participants who did not

    complete the optional subtests on the WISC-IV (Picture

    Completion, Information and Arithmetic); however, anal-

    ysis using these subtests is not reported in this paper.

    A repeated measures design was used, with the

    administration order of the tests counterbalanced to

    reduce practice effects. Participants were randomly

    assigned to groups. Group 1 consisted of nine partici-

    pants who completed the WAIS-III first followed by the

    WISC-IV. Group 2 consisted of eight participants who

    completed the WISC-IV first and then the WAIS-III. The

    testing sessions took place during school hours and in a

    suitable quiet room within each school. The number of

    sessions needed to complete the two tests ranged

    between two and three. The mean test–retest interval

    was 2 weeks and ranged between 1 and 10 weeks. A

    total of 12 participants had their tests administered and

    scored by the principal researcher, with an assistant psy-

    chologist administering and scoring the tests for five

    participants. There were no systematic differences

    between the two examiners. Paired samples t-tests were

    used to compare the mean results of Group 1 and

    Group 2.

    Results

    Table 1 provides a summary of the means and standard

    deviations of the Full Scale IQ and Index scores. The

    mean Full Scale IQ score on the WAIS-III was 64.82,

    (SD = 8.51) and 53.00 (SD = 10.08) on the WISC-IV,

    11.82 points lower. A paired samples t-test was used to

    determine the significance of difference between the IQ

    and Index scores on the WAIS-III and the WISC-IV. The

    results were that the WAIS-III yielded significantly

    higher scores on the Full Scale IQ [t(16) = 13.02,

    P < 0.001], Verbal Comprehension Index [t(16) = 7.98,

    P < 0.001], Perceptual Organization ⁄ Perceptual Reason-

    ing Index [t(16) = 3.68, P < 0.002] and Processing Speed

    Index [t(16) = 4.86, P < 0.001] than on the WISC-IV.

    There was no significant difference between the WAIS-

    III and WISC-IV scores on the Working Memory Index

    [t(16) = 1.93, P < 0.071].

    198 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Significant correlations were found between the

    WAIS-III and WISC-IV Full Scale IQ scores (r = 0.93,

    P < 0.001), Verbal Comprehension Index scores (r = 0.77,

    P < 0.001), Perceptual Organization ⁄ Reasoning Index

    scores (r = 0.76, P < 0.001), Processing Speed

    Index scores (r = 0.88, P < 0.001) and Working Memory

    Index scores (r = 0.67, P < 0.005), which suggests that

    the content of the IQ and Index scores on the two tests

    was strongly related.

    The differences between participant’s Full Scale IQ

    scores on the WAIS-III and WISC-IV ranged between 5

    and 20 points and all participants had a higher score on

    the WAIS-III. There was a negative correlation

    (r = )0.57, P < 0.05) between these differences and the

    WISC-IV Full Scale IQ, suggesting a greater disparity in

    Full Scale IQ between the two tests at lower IQ levels. It

    is also notable that four participants’ Full Scale IQ scores

    on the WISC-IV were 40, which was also the modal

    score for this test. This is also the lowest Full Scale IQ

    obtainable on the WISC-IV, which suggests the possibil-

    ity of a floor effect. The lowest Full Scale IQ score

    obtained on the WAIS-III was 49, which was well above

    the test’s lowest obtainable score of 45. With regard to

    the diagnosis of intellectual disabilities, using the WISC-

    IV only one participant had a Full Scale IQ of 70 or

    greater; however, on the WAIS-III six participants had

    Full Scale IQ scores of 70 or more.

    Discussion

    The WAIS-III produced a significantly higher mean Full

    Scale IQ score than the WISC-IV, in a sample of 16 year

    olds who attended special school. The difference

    between the mean Full Scale IQ score on the WAIS-III

    and the WISC-IV was 11.82 points, with the WAIS-III

    scoring higher. All the participants scored lower on the

    WISC-IV than the WAIS-III, the smallest difference

    between any participant’s scores was 5 points. The

    Index scores, with the exception of Working Memory,

    were also significant higher on the WAIS-III, with the

    differences ranging between 9.50 and 12.58 points.

    Although this result was obtained with a small sample,

    it is consistent with the predictions made by Whitaker

    (2008), a similar unpublished study by Bresnahan (2008)

    in the US and studies comparing earlier versions of the

    WISC and WAIS.

    Part of this almost 12 point difference is likely to be

    due the Flynn Effect, which is the trend for the intellec-

    tual ability of the population as a whole, including peo-

    ple with low intellectual ability, to increase from one

    generation to the next (Flynn 2006). Flynn has estimated

    this growth in ability to be about 0.3 of an IQ point per

    year. Since the WISC-IV was standardized 6 years after

    the WAIS-III, it would be expected to score two points

    less than the WAIS-III. Therefore, there is likely to be a

    10 points difference between the two assessments in the

    low IQ range that is due to factors other than the Flynn

    Effect. It is not clear why the remaining 10 points differ-

    ence in scores occurs and further research is clearly

    called for.

    The large difference in scores obtained by special edu-

    cation students on the WAIS-III and WISC-IV, which

    has been found in this study, clearly has implications

    for professionals working with people who have

    intellectual disabilities. Currently the WAIS-III and

    WISC-IV are both used to measure an individual’s intel-

    lectual ability, to determine whether they meet the diag-

    nostic criteria of having an IQ less that 70 for a

    diagnosis of intellectual disability. Having a diagnosis of

    intellectual disability can influence many decisions

    Table 1 Comparison of WAIS-III and

    WISC-IV means, standard deviations (SD),

    t scores and correlation coefficients (r) for

    the Full Scale IQ and Index scores

    IQ scale ⁄ Index

    score

    WAIS-III WISC-IV

    Diff t RM SD M SD

    FS IQ 64.82 8.51 53 10.08 11.82 13.02*** 0.93***

    VCI 67.59 7.62 55.76 9.50 11.83 7.97*** 0.77***

    PRI ⁄ POI 70.29 10.59 62.88 12.58 7.41 3.68** 0.76***

    WMI 64.35 9.21 60.71 10.09 3.65 1.93 0.68**

    PSI 71.41 10.38 64.82 11.89 6.59 4.86*** 0.88***

    *P < 0.05, **P < 0.005, ***P < 0.001.

    WAIS-III, Wechsler Adult Intelligence Scale – Third Edition; WISC-IV, Wechsler Intel-

    ligence Scale for Children – Fourth Edition; FS, Full Scale; VCI, Verbal Comprehension

    Index; PRI, Perceptual Reasoning Index; POI, Perceptual Organization Index; WMI,

    Working Memory Index; PSI, Processing Speed Index.

    Journal of Applied Research in Intellectual Disabilities 199

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    about an individual’s life, including parenting assess-

    ments, capacity to consent, access to services and access

    to educational courses. If the tests are producing differ-

    ent scores, and it is unclear which test is producing the

    most accurate results, then important decisions are

    being made on the basis of inaccurate information.

    Therefore, professionals working with people who have

    intellectual disabilities need to exercise caution when

    interpreting IQ scores on the WAIS-III and WISC-IV,

    particularly when the IQ score is in the mild or border-

    line ability range.

    This study has provided the first empirical compari-

    son of the WAIS-III and WISC-IV in people with intel-

    lectual disabilities in the UK. However, the study is

    limited by the use of a small sample of adolescents, who

    were all aged 16 and from a single area of the UK.

    There was also a relatively a large range of test–retest

    intervals. Therefore, further investigations are needed

    using larger samples in other countries to add support

    to these findings. Further research is also needed to

    investigate the reasons for these differences. The results

    of such research could help to improve the process of

    standardization of future versions of the Wechsler tests.

    Acknowledgments

    Thank you to all the schools and young people who

    gave their time to participate in the study.

    Correspondence

    Any correspondence should be directed to Shirley

    Gordon, Clinical Psychologist, Glen Acre House Child

    and Family Service, 21 Acre House Avenue, Lindley,

    Huddersfield, HD3 3BB, 07901 503898, UK (e-mail:

    shirley_gordon@hotmail.com).

    References

    Bresnahan J. A. (2008) A preliminary study of WISC-iv and WAIS-

    III IQ scores for students with extremely low cognitive functioning.

    Dissertation Abstracts International: Section B: The Science

    and Engineering. Fairleigh Dickinson University, Teaneck,

    NJ, USA.

    British Psychological Society (2000) Learning Disability: Defini-

    tions and Contexts. British Psychological Society, Leicester.

    Flynn J. R. (2006) Tethering the elephant: capital cases, IQ and

    the Flynn Effect. Psychology, Public Policy and Law 12, 170–189.

    Nagle R. J. & Lazarus S. C. (1979) The comparability of the

    WISC-R and WAIS-R among 16 year-old EMR children. Jour-

    nal of School Psychology 17, 362–367.

    Spitz H. H. (1988) Inverse relationship between the WISC-

    R ⁄ WAIS-R score disparity and IQ level in the lower range of

    intelligence. American Journal on Mental Retardation 92, 376–

    378.

    Wechsler D. (1997) WAIS-III, WMS-III: Technical and Interpretive

    Manual. The Psychological Corporation, San Antonio, TX.

    Wechsler D. (1998a) Wechsler Adult Intelligence Scale – Third Edi-

    tion, UK edition. The Psychological Corporation, London.

    Wechsler D. (1998b) Wechsler Adult Intelligence Scale – Third UK

    Edition: Administrative and Scoring Manual. The Psychological

    Corporation, London.

    Wechsler D. (2003) Wechsler Intelligence Scale for Children –

    Fourth Edition: Technical and Interpretive Manual. The Psycho-

    logical Corporation, San Antonio, TX.

    Wechsler D. (2004) Wechsler Intelligence Scale for Children –

    Fourth UK Edition: Administrative and Scoring Manual. The Psy-

    chological Corporation, London.

    Whitaker S. (2008) WISC-IV and low IQ: review and compari-

    son with the WAIS-III. Educational Psychology in Practice 24,

    129–137.

    Whitaker S. & Wood C. (2008) The distribution of scaled scores

    and possible floor effects in the WISC-III and WAIS-III. Jour-

    nal of Applied Research in Intellectual Disabilities 21, 136–141.

    200 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Copyright of Journal of Applied Research in Intellectual Disabilities is the property of Blackwell Publishing

    Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the

    copyright holder's express written permission. However, users may print, download, or email articles for

    individual use.

    **## ArticleCritiqueAPATemplate5334-2.doc**

    [removed]

    **## WAISIIIandWISCIVforSpecialEducation.pdf**

    Comparison of the WAIS-III and WISC-IV
    in 16-Year-Old Special Education Students
    Shirley Gordon*, Simon Duff�, Terry Davidson� and Simon Whitaker§

    *Glen Acre House Child and Family Service, Lindley, Huddersfield, UK; �Division of Clinical Psychology, University of Liverpool,

    Quadrangle, Liverpool, UK; �CASPD, Salomons, David Salomans Estate, Southborough, Tunbridge Wells, Kent, UK;
    §The Learning Disability Research Unit, University of Huddersfield, Queensgate, Huddersfield, UK

    Accepted for publication 20 November 2008

    Background Previous research with earlier versions of

    the WISC and WAIS has demonstrated that when

    administered to people who have intellectual disabili-

    ties, the WAIS produced higher IQ scores than the

    WISC. The aim of this study was to examine whether

    these differences still exist. A comparison of the

    Wechsler Adult Intelligence Scale – Third Edition

    (WAIS-III) with the Wechsler Intelligence Scale for

    Children – Fourth Edition (WISC-IV) was conducted

    with individuals who were 16 years old and receiving

    special education.

    Materials and Methods All participants completed the

    WAIS-III (UK) and WISC-IV (UK). The order of admin-

    istration was counterbalanced; the mean Full Scale IQ

    and Index scores on the WAIS-III and WISC-IV were

    compared.

    Results The WAIS-III mean Full Scale IQ was 11.82

    points higher than the mean Full Scale IQ score on the

    WISC-IV. Significant differences were also found

    between the Verbal Comprehension Index, Perceptual

    Reasoning ⁄ Organization Index and Processing Speed

    Index on the WAIS-III and WISC-IV, all with the WAIS-

    III scoring higher.

    Conclusions The findings suggest that the WAIS-III pro-

    duces higher scores than the WISC-IV in people with

    intellectual disabilities. This has implications for defini-

    tions of intellectual disability and suggests that Psychol-

    ogists should be cautious when interpreting and

    reporting IQ scores on the WAIS-III and WISC-IV.

    Keywords: intellectual disability diagnosis, intelligence

    test, WAIS-III, WISC-IV

    Introduction

    Definitions of intellectual disabilities tend to include

    three core criteria: significant impairment of intellectual

    functioning, significant impairment of adaptive ⁄ social

    functioning and age of onset before adulthood (British

    Psychological Society, 2000). A significant impairment in

    intellectual functioning is generally regarded as an IQ

    below 70, assessed on a well-standardized and reliable

    assessment on intellectual functioning. The Wechsler

    Adult Intelligence Scale – Third Edition (WAIS-III,

    Wechsler 1997; UK edition, Wechsler 1998a,b) and the

    Wechsler Intelligence Scale for Children – Fourth Edi-

    tion (WISC-IV, Wechsler 2003; UK edition, Wechsler

    2004) are probably the most widely used tests of intelli-

    gence in children and adults. Although these tests have

    been found to be highly reliable and valid when used

    with individuals functioning within the normal range of

    intelligence (Wechsler 1997, 2003) there have been some

    concerns about how accurately these tests measure intel-

    lectual functioning at the extreme ends of the range

    (Whitaker 2008; Whitaker & Wood 2008). Previous

    research (Nagle & Lazarus 1979; Spitz 1988) has sug-

    gested that earlier versions of the WAIS produced

    higher scores than earlier versions of the WISC, in indi-

    viduals who were functioning in the low IQ range.

    Nagle & Lazarus (1979) compared the WAIS with the

    WISC-R in a group of 30 participants who received spe-

    cial education classes for children with an IQ between

    55 and 75. The WAIS yielded significantly higher IQ

    scores, scoring 13 points higher on the Full Scale IQ

    than the WISC-R. Significant correlations between the

    corresponding subtests and IQ scales were found, sug-

    gesting that the content was related, despite the non-

    equivalence of scores. Spitz (1988) investigated whether

    the difference between the WAIS-R and WISC-R was

    Journal of Applied Research in Intellectual Disabilities 2010, 23, 197–200

    � 2010 Blackwell Publishing Ltd 10.1111/j.1468-3148.2009.00538.x

    Published for the British Institute of Learning Disabilities

    consistent across different levels of IQ. He looked at

    existing data from seven previously published studies

    and combined this with the data from two new studies,

    giving a total of 236 participants overall. He found that

    ‘there was an inverse relationship between the size of

    the WISC-R ⁄ WAIS-R score disparity and the level of the

    WISC-R IQ, such that the lower the WISC-R IQ, the

    higher the increment in IQ derived from the WAIS-R’

    (Spitz 1988, p. 377). However, there has been a lack of

    recent research to replicate these findings using the most

    recent versions of the tests and also a lack of research

    using a sample of participants from the UK. Whitaker &

    Wood (2008) and Whitaker (2008) examined the criteria

    for gaining a scaled score of two, as outlined in the

    manuals for the WISC-IV (UK), the WISC-III (UK) and

    the WAIS-III (UK). On the basis of this they suggested

    that the WAIS-III (UK) would produce significantly

    higher IQs in the low ability range than either the

    WISC-IIII or WISC-IV. An unpublished dissertation

    (Bresnahan 2008), reported an American study where

    the WISC-IV and WAIS-III were given to 20 school chil-

    dren with IQs less than 75. The results showed that the

    mean Full Scale IQ score on the WISC-IV was 14 points

    lower than the mean Full Scale IQ score on the WAIS-

    III. Therefore, there is a need to look at the relationship

    between the UK versions of these tests.

    Methods

    Participants

    Participants were selected from four special education

    schools within one Local Authority area. The inclusion

    criteria for participants were that they had to be able

    to speak English, be 16 years of age (the age at which

    both the WISC-IV and the WAIS-III can be given) and

    attend a special school. Adolescents who had severe

    or profound intellectual disabilities and would not be

    able to complete the IQ assessments were excluded

    from the study. A total of 17 participants were

    recruited to the study, which included eight female

    and nine male students. The mean age of participants

    at the time of the first testing was 16 years 2 months

    with a range between 16 years 0 months and 16 years

    6 months.

    Design and procedure

    The research proposal was approved by Division of

    Clinical Psychology Research Committee at Liverpool

    University, who also considered the ethical issues. The

    head teachers of each of the schools involved gave writ-

    ten informed consent to take part in the study.

    The WAIS-III UK Edition (Wechsler 1998a,b) and The

    WISC-IV UK Edition (Wechsler 2004) were administered

    to all participants. The standardized instructions were fol-

    lowed for both tests. All the compulsory subtests were

    administered alongside the optional subtests if they

    appeared on both the WAIS-III and the WISC-IV. A total

    of 13 WAIS-III subtests and 13 WISC-IV subtests were

    administered. There were four participants who did not

    complete the optional subtests on the WISC-IV (Picture

    Completion, Information and Arithmetic); however, anal-

    ysis using these subtests is not reported in this paper.

    A repeated measures design was used, with the

    administration order of the tests counterbalanced to

    reduce practice effects. Participants were randomly

    assigned to groups. Group 1 consisted of nine partici-

    pants who completed the WAIS-III first followed by the

    WISC-IV. Group 2 consisted of eight participants who

    completed the WISC-IV first and then the WAIS-III. The

    testing sessions took place during school hours and in a

    suitable quiet room within each school. The number of

    sessions needed to complete the two tests ranged

    between two and three. The mean test–retest interval

    was 2 weeks and ranged between 1 and 10 weeks. A

    total of 12 participants had their tests administered and

    scored by the principal researcher, with an assistant psy-

    chologist administering and scoring the tests for five

    participants. There were no systematic differences

    between the two examiners. Paired samples t-tests were

    used to compare the mean results of Group 1 and

    Group 2.

    Results

    Table 1 provides a summary of the means and standard

    deviations of the Full Scale IQ and Index scores. The

    mean Full Scale IQ score on the WAIS-III was 64.82,

    (SD = 8.51) and 53.00 (SD = 10.08) on the WISC-IV,

    11.82 points lower. A paired samples t-test was used to

    determine the significance of difference between the IQ

    and Index scores on the WAIS-III and the WISC-IV. The

    results were that the WAIS-III yielded significantly

    higher scores on the Full Scale IQ [t(16) = 13.02,

    P < 0.001], Verbal Comprehension Index [t(16) = 7.98,

    P < 0.001], Perceptual Organization ⁄ Perceptual Reason-

    ing Index [t(16) = 3.68, P < 0.002] and Processing Speed

    Index [t(16) = 4.86, P < 0.001] than on the WISC-IV.

    There was no significant difference between the WAIS-

    III and WISC-IV scores on the Working Memory Index

    [t(16) = 1.93, P < 0.071].

    198 Journal of Applied Research in Intellectual Disabilities

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    Significant correlations were found between the

    WAIS-III and WISC-IV Full Scale IQ scores (r = 0.93,

    P < 0.001), Verbal Comprehension Index scores (r = 0.77,

    P < 0.001), Perceptual Organization ⁄ Reasoning Index

    scores (r = 0.76, P < 0.001), Processing Speed

    Index scores (r = 0.88, P < 0.001) and Working Memory

    Index scores (r = 0.67, P < 0.005), which suggests that

    the content of the IQ and Index scores on the two tests

    was strongly related.

    The differences between participant’s Full Scale IQ

    scores on the WAIS-III and WISC-IV ranged between 5

    and 20 points and all participants had a higher score on

    the WAIS-III. There was a negative correlation

    (r = )0.57, P < 0.05) between these differences and the

    WISC-IV Full Scale IQ, suggesting a greater disparity in

    Full Scale IQ between the two tests at lower IQ levels. It

    is also notable that four participants’ Full Scale IQ scores

    on the WISC-IV were 40, which was also the modal

    score for this test. This is also the lowest Full Scale IQ

    obtainable on the WISC-IV, which suggests the possibil-

    ity of a floor effect. The lowest Full Scale IQ score

    obtained on the WAIS-III was 49, which was well above

    the test’s lowest obtainable score of 45. With regard to

    the diagnosis of intellectual disabilities, using the WISC-

    IV only one participant had a Full Scale IQ of 70 or

    greater; however, on the WAIS-III six participants had

    Full Scale IQ scores of 70 or more.

    Discussion

    The WAIS-III produced a significantly higher mean Full

    Scale IQ score than the WISC-IV, in a sample of 16 year

    olds who attended special school. The difference

    between the mean Full Scale IQ score on the WAIS-III

    and the WISC-IV was 11.82 points, with the WAIS-III

    scoring higher. All the participants scored lower on the

    WISC-IV than the WAIS-III, the smallest difference

    between any participant’s scores was 5 points. The

    Index scores, with the exception of Working Memory,

    were also significant higher on the WAIS-III, with the

    differences ranging between 9.50 and 12.58 points.

    Although this result was obtained with a small sample,

    it is consistent with the predictions made by Whitaker

    (2008), a similar unpublished study by Bresnahan (2008)

    in the US and studies comparing earlier versions of the

    WISC and WAIS.

    Part of this almost 12 point difference is likely to be

    due the Flynn Effect, which is the trend for the intellec-

    tual ability of the population as a whole, including peo-

    ple with low intellectual ability, to increase from one

    generation to the next (Flynn 2006). Flynn has estimated

    this growth in ability to be about 0.3 of an IQ point per

    year. Since the WISC-IV was standardized 6 years after

    the WAIS-III, it would be expected to score two points

    less than the WAIS-III. Therefore, there is likely to be a

    10 points difference between the two assessments in the

    low IQ range that is due to factors other than the Flynn

    Effect. It is not clear why the remaining 10 points differ-

    ence in scores occurs and further research is clearly

    called for.

    The large difference in scores obtained by special edu-

    cation students on the WAIS-III and WISC-IV, which

    has been found in this study, clearly has implications

    for professionals working with people who have

    intellectual disabilities. Currently the WAIS-III and

    WISC-IV are both used to measure an individual’s intel-

    lectual ability, to determine whether they meet the diag-

    nostic criteria of having an IQ less that 70 for a

    diagnosis of intellectual disability. Having a diagnosis of

    intellectual disability can influence many decisions

    Table 1 Comparison of WAIS-III and

    WISC-IV means, standard deviations (SD),

    t scores and correlation coefficients (r) for

    the Full Scale IQ and Index scores

    IQ scale ⁄ Index

    score

    WAIS-III WISC-IV

    Diff t RM SD M SD

    FS IQ 64.82 8.51 53 10.08 11.82 13.02*** 0.93***

    VCI 67.59 7.62 55.76 9.50 11.83 7.97*** 0.77***

    PRI ⁄ POI 70.29 10.59 62.88 12.58 7.41 3.68** 0.76***

    WMI 64.35 9.21 60.71 10.09 3.65 1.93 0.68**

    PSI 71.41 10.38 64.82 11.89 6.59 4.86*** 0.88***

    *P < 0.05, **P < 0.005, ***P < 0.001.

    WAIS-III, Wechsler Adult Intelligence Scale – Third Edition; WISC-IV, Wechsler Intel-

    ligence Scale for Children – Fourth Edition; FS, Full Scale; VCI, Verbal Comprehension

    Index; PRI, Perceptual Reasoning Index; POI, Perceptual Organization Index; WMI,

    Working Memory Index; PSI, Processing Speed Index.

    Journal of Applied Research in Intellectual Disabilities 199

    � 2010 Blackwell Publishing Ltd, 23, 197–200

    about an individual’s life, including parenting assess-

    ments, capacity to consent, access to services and access

    to educational courses. If the tests are producing differ-

    ent scores, and it is unclear which test is producing the

    most accurate results, then important decisions are

    being made on the basis of inaccurate information.

    Therefore, professionals working with people who have

    intellectual disabilities need to exercise caution when

    interpreting IQ scores on the WAIS-III and WISC-IV,

    particularly when the IQ score is in the mild or border-

    line ability range.

    This study has provided the first empirical compari-

    son of the WAIS-III and WISC-IV in people with intel-

    lectual disabilities in the UK. However, the study is

    limited by the use of a small sample of adolescents, who

    were all aged 16 and from a single area of the UK.

    There was also a relatively a large range of test–retest

    intervals. Therefore, further investigations are needed

    using larger samples in other countries to add support

    to these findings. Further research is also needed to

    investigate the reasons for these differences. The results

    of such research could help to improve the process of

    standardization of future versions of the Wechsler tests.

    Acknowledgments

    Thank you to all the schools and young people who

    gave their time to participate in the study.

    Correspondence

    Any correspondence should be directed to Shirley

    Gordon, Clinical Psychologist, Glen Acre House Child

    and Family Service, 21 Acre House Avenue, Lindley,

    Huddersfield, HD3 3BB, 07901 503898, UK (e-mail:

    shirley_gordon@hotmail.com).

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