Neuropsychology Review

, Volume 2, Issue 3, pp 205–231 | Cite as

Forensic neuropsychology: The art of practicing a science that does not yet exist

  • David Faust


Despite its future promise, neuropsychological evidence generally lacks scientifically demonstrated value for resolving legal issues, and thus, if admitted into court, should be accorded little or no weight. In support of this contention, examples of problems and limits in forensic neuropsychology are described. These include contrasts between the clinical and forensic context; the base-rate problem; lack of standardized practices; problems assessing credibility or malingering; difficulties determining prior functioning, limits in the capacity to integrate complex data; and the lack of relation between judgmental accuracy and education, experience, or credentials. Some possible counterarguments are also addressed.

Key words

forensic neuropsychology clinical assessment neuropsychological methods intellectual functioning 


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  1. Alekoumbides, A., Charter, R. A., Adkins, T. G., and Seacat, G. F. (1987). The diagnosis of brain damage by the WAIS, WMS, and Reitan Battery utilizing standardized scores corrected for age and education.The International Journal of Clinical Neuropsychology 9: 11–28.Google Scholar
  2. Baird, A. D., Adams, K. M., Ausman, J. I., and Diaz, F. G. (1985). Medical, neuropsychological, and quality-of-life correlates of cerebrovascular disease.Rehabilitation Psychology 30: 145–155.Google Scholar
  3. Barona, A., Reynolds, C. R., and Chastain, R. (1984). A demographically based index of premorbid intelligence for the WAIS-R.Journal of Consulting and Clinical Psychology 52: 885–887.Google Scholar
  4. Bigler, E. D. (1990). Neuropsychology and malingering: Comment on Faust, Hart, and Guilmette (1988).Journal of Consulting and Clinical Psychology 58: 244–247.Google Scholar
  5. Binder, L. M., and Pankratz, L. (1987). Neuropsychological evidence of a factitious memory complaint.Journal of Clinical and Experimental Neuropsychology 9: 167–171.Google Scholar
  6. Blankenhorn, A., and Cerbus, G. (1975). Clinical and actuarial evaluation of organic brain damage by psychologists and non-psychologists using the Memory for Designs.Perceptual and Motor Skills 40: 99–102.Google Scholar
  7. Boyd, J. L. (1982). Reply to Woodward.Journal of Consulting and Clinical Psychology 50: 289–290.Google Scholar
  8. Chapman, L. J., and Chapman, J. P. (1967). Genesis of popular but erroneous psychodiagnostic observations.Journal of Abnormal Psychology 72: 193–204.Google Scholar
  9. Chapman, L. J., and Chapman, J. P. (1969). Illusory correlation as an obstacle to the use of valid psychodiagnostic signs.Journal of Abnormal Psychology 74: 271–280.Google Scholar
  10. Clark, C. M., and Spreen, O. (1983). Psychometric properties of dichotic words tests.Journal of Clinical Neuropsychology 5: 169–179.Google Scholar
  11. Costa, L. (1988). Clinical neuropsychology: Prospects and problems.The Clinical Neuropsychologist 2: 3–11.Google Scholar
  12. Dawes, R. M. (1986). Representative thinking in clinical judgment.Clinical Psychology Review 6: 425–441.Google Scholar
  13. Dawes, R. M., Faust, D., and Meehl, P. E. (1989). Clinical versus actuarial judgment.Science 243: 1668–1674.Google Scholar
  14. Dodrill, C. B., and Clemmons, D. (1984). Use of neuropsychological tests to identify high school students with epilepsy who later demonstrate inadequate performances in life.Journal of Consulting and Clinical Psychology 52: 520–527.Google Scholar
  15. Faust, D. (1984).The Limits of Scientific Reasoning, University of Minnesota Press, Minneapolis.Google Scholar
  16. Faust, D. (1986). Research on human judgment and its application to clinical practice.Professional Psychology: Research and Practice 17: 420–430.Google Scholar
  17. Faust, D. (1990). Data integration in legal evaluations: Can clinicians deliver on their premises?Behavioral Sciences and the Law 7: 469–483.Google Scholar
  18. Faust, D. (in press). The use of neuropsychological tests to describe and prescribe: Why polishing the crystal ball won't help. In Glueckauf, R., Sechrest, L., Bond, G., and McDonel, B. (eds.),Improving the Quality of Assessment Practices in Rehabilitation Psychology, Sage, London.Google Scholar
  19. Faust, D., and Guilmette, T. J. (1990). To say it's not so doesn't prove that it isn't. Research on the detection of malingering. Reply to Bigler.Journal of Consulting and Clinical Psychology 58: 248–250.Google Scholar
  20. Faust, D., Guilmette, T. J., Hart, K., Arkes, H. R., Fishburne, F. J., and Davey, L. (1988). Neuropsychologists' training, experience, and judgment accuracy.Archives of Clinical Neuropsychology 3: 145–163.Google Scholar
  21. Faust, D., Hart, K., and Guilmette, T. J. (1988). Pediatric malingering: The capacity of children to fake believable deficits on neuropsychological testing.Journal of Consulting and Clinical Psychology 56: 578–582.Google Scholar
  22. Faust, D., Hart, K., Guilmette, T. J., and Arkes, H. R. (1988). Neuropsychologists' capacity to detect adolescent malingerers.Professional Psychology: Research and Practice 19: 508–515.Google Scholar
  23. Faust, D., and Nurcombe, B. (1989). Improving the accuracy of clinical judgment.Psychiatry 52: 197–208.Google Scholar
  24. Faust, D., and Ziskin, J. (1988). The expert witness in psychology and psychiatry.Science 241: 31–35.Google Scholar
  25. Faust, D., Ziskin, J., and Hiers, J. B. (1991).Brain Damage Claims: Coping with Neuropsychological Evidence (Vols. 1 and 2), Law and Psychology Press, Los Angeles.Google Scholar
  26. Fischhoff, B. (1982). Debiasing. In Kahneman, D., Slovic, P., and Tversky, A. (eds.),Judgment Under Uncertainty: Heuristics and Biases, Cambridge University Press, New York, pp. 422–444.Google Scholar
  27. Gardner, H. (1975).The Shattered Mind: The Person After Brain Damage, Knopf, New York.Google Scholar
  28. Goldberg, L. R. (1959). The effectiveness of clinicians' judgments: The diagnosis of organic brain damage from the Bender-Gestalt Test.Journal of Consulting Psychology 23: 28–33.Google Scholar
  29. Golden, C. J. (1986). Forensic neuropsychology: Introduction and overview. In Golden, C. J., and Strider, M. A. (eds.),Forensic Neuropsychology, Plenum, New York, pp. 1–47.Google Scholar
  30. Golden, C. J., Ariel, R. N., McKay, S. E., Wilkening, G. N., Wolf, B. A., and MacInnes, W. D. (1982). The Luria-Nebraska Neuropsychological Battery: Theoretical orientation and comment.Journal of Consulting and Clinical Psychology 50: 291–300.Google Scholar
  31. Goldstein, G., and Shelly, C. (1984). Discriminative validity of various intelligence and neuropsychological tests.Journal of Consulting and Clinical Psychology 52: 383–389.Google Scholar
  32. Gouvier, W. D., Uddo-Crane, M., and Brown, L. M. (1988). Base rates for post-concussional symptoms.Archives of Clinical Neuropsychology 3: 273–278.Google Scholar
  33. Greene, R. L. (1988). Assessment of malingering and defensiveness by objective personality inventories. In Rogers, R. (ed.),Clinical Assessment of Malingering and Deception Guilford, New York, pp. 123–158.Google Scholar
  34. Guilmette, T. J., Faust, D., Hart, K., and Arkes, H. R. (1990). A national survey of psychologists who offer neuropsychological services.Archives of Clinical Neuropsychology 5: 373–392.Google Scholar
  35. Heaton, R. K., Chelune, G. J., and Lehman, R. A. W. (1978). Using neuropsychological and personality tests to assess the likelihood of patient employment.The Journal of Nervous and Mental Disease 166: 408–416.Google Scholar
  36. Heaton, R. K., Grant, I., Anthony, W. Z., and Lehman, A. W. (1981). A comparison of clinical and automated interpretation of the Halstead-Reitan Battery.Journal of Clinical Neuropsychology 3: 121–141.Google Scholar
  37. Heaton, R. K., and Pendleton, M. G. (1981). Use of neuropsychological tests to predict adult patients' everyday functioning.Journal of Consulting and Clinical Psychology 49: 807–821.Google Scholar
  38. Heaton, R. K., Smith, H. H., Jr., Lehman, R. A., & Vogt, A. T. (1978). Prospects for faking believable deficits on neuropsychological testing.Journal of Consulting and Clinical Psychology 46: 892–900.Google Scholar
  39. Hyman, R. (1977). “Cold reading”: How to convince strangers you know all about them.The Zetetic, 18–37.Google Scholar
  40. Klesges, R. C., Fisher, L., Vasey, M., and Pheley, A. (1985). Predicting adult premorbid functioning levels: Another look.The International Journal of Clinical Neuropsychology 7: 1–3.Google Scholar
  41. Klesges, R. C., and Troster, A. I. (1987). A review of premorbid indices of intellectual and neuropsychological functioning: What have we learned in the past five years?The International Journal of Clinical Neuropsychology 9: 1–11.Google Scholar
  42. Levin, H. S., Mattis, S., Ruff, R. M., Eisenberg, H. M., Marshall, L. F., Tabaddor, K., High, W. M., Jr., and Frankowski, R. F. (1987). Neurobehavioral outcome following minor head injury: A three-center study.Journal of Neurosurgery 66: 234–243.Google Scholar
  43. Lezak, M. D. (1983).Neuropsychological Assessment (2nd ed.). Oxford University Press, New York.Google Scholar
  44. Lichtenstein, S., Fischhoff, B., and Phillips, L. D. (1982). Calibration of probabilities: The state of the art to 1980. In Kahneman, D., Slovic, P., and Tversky, A. (eds.),Judgment Under Uncertainty: Heuristics and Biases Cambridge University Press, New York, pp. 306–334.Google Scholar
  45. Matarazzo, J. D., Daniel, M. H., Prifitera, A., and Herman, D. O. (1988). Inter-subtest scatter in the WAIS-R standardization sample.Journal of Clinical Psychology 44: 940–950.Google Scholar
  46. McCaffrey, R. J., Malloy, P. F., and Brief, D. J. (1985). Internship opportunities in clinical neuropsychology emphasizing recent INS training certificate.Professional Psychology: Research and Practice 16: 236–252.Google Scholar
  47. McMahon, E. A. (1983). Forensic issues in clinical neuropsychology. In Golden, C. J., and Vicente, P. J. (eds.),Foundations of Clinical Neuropsychology Plenum Press, New York, pp. 401–427.Google Scholar
  48. McSweeny, A. J., Grant, I., Heaton, R. K., Prigatano, G. P., and Adams, K. M. (1985). Relationship of neuropsychological status to everyday functioning in healthy and chronically ill persons.Journal of Clinical and Experimental Neuropsychology 7: 281–291.Google Scholar
  49. Meehl, P. E., and Rosen, A. (1955). Antecedent probability and the efficiency of psychometric signs, patterns, or cutting scores.Psychological Bulletin 52: 194–216.Google Scholar
  50. Mensch, A. J., and Woods, D. J. (1986). Patterns of feigning brain damage on the LNNB.The International Journal of Clinical Neuropsychology 8: 59–63.Google Scholar
  51. Mortensen, E. L., Gade, A., and Reinisch, J. M. (1991). A critical note on Lezak's ‘best performance method’ in clinical neuropsychology.Journal of Clinical and Experimental Neuropsychology 13: 361–371.Google Scholar
  52. Pankratz, L. (1979). Symptom validity testing and symptom retraining: Procedures for the assessment and treatment of functional sensory deficits.Journal of Consulting and Clinical Psychology 47: 409–410.Google Scholar
  53. Reitan, R. M. (1986). Theoretical and methodological bases of the Halstead-Reitan Neuropsychological Battery. In Grant, G., and Adams, K. M. (eds.),Neuropsychological Assessment of Neuropsychiatric Disorders Oxford University Press, New York, pp. 3–29.Google Scholar
  54. Reynolds, C. F. (1982). Neuropsychological assessment in education: A caution.Journal of Research and Development in Education 15: 76–79.Google Scholar
  55. Reynolds, C. R. (1986). Clinical acumen but psychometric naivete in neuropsychological assessment of educational disorders.Archives of Clinical Neuropsychology 1: 121–137.Google Scholar
  56. Reynolds, C. R., and Kaufman, A. S. (1985). Clinical assessment of children's intelligence with the Wechsler Scales. In Wolman, B. B. (ed.),Handbook of Intelligence Wiley, New York, pp. 601–661.Google Scholar
  57. Rogers, R. (1984). Towards an empirical model of malingering and deception.Behavioral Sciences and the Law 2: 93–111.Google Scholar
  58. Rogers, R. (1988). Current status of clinical methods. In Rogers, R. (ed.),Clinical Assessment of Malingering and Deception Guilford, New York, pp. 293–308.Google Scholar
  59. Rogers, R., and Cavanaugh, J. L. (1983). “Nothing but the truth” ... A re-examination of malingering.Journal of Law and Psychiatry 11: 443–460.Google Scholar
  60. Russell, E. W. (1984). Theory and development of pattern analysis methods related to the Halstead-Reitan Battery. In Logue, P. E., and Schear, J. M. (eds.),Clinical Neuropsychology. A Multidisciplinary Approach Thomas, Springfield, IL, pp. 50–98.Google Scholar
  61. Russell, E. W. (1987). A reference scale method for constructing neuropsychological test batteries.Journal of Clinical and Experimental Neuropsychology 9: 376–392.Google Scholar
  62. Schwartz, M. L. (1986). Book review [Closed Head Injury: Psychological, Social and Family Consequences. Brooks, N. (ed.), Oxford Press, New York, 1984.]Journal of Clinical and Experimental Neuropsychology 8: 617–621.Google Scholar
  63. Shelton, M. D., and Parsons, O. A. (1987). Alcoholics' self-assessment of their neuropsychological functioning in everyday life.Journal of Clinical Psychology 43: 395–403.Google Scholar
  64. Silverstein, A. B. (1987). Accuracy of estimates of premorbid intelligence based on demographic variables.Journal of Clinical Psychology 43: 493–495.Google Scholar
  65. Slovic, P., and Lichtenstein, S. C. (1971). Comparison of Bayesian and regression approaches to the study of information processing in judgment.Organizational Behavior and Human Performance 6: 649–744.Google Scholar
  66. Sweet, J. J., Osmon, D. C., Rozensky, R. H., and Tovian, S. M. (1985). Comparison of the decision-tree and standard methods of the Luria-Nebraska Neuropsychological Battery.Journal of Consulting and Clinical Psychology 53: 185–188.Google Scholar
  67. Tupper, D. E., and Cicerone, K. D. (eds.). (1990).The Neuropsychology of Everyday Life: Assessment and Basic Competencies Kluwer Academic Publishers, Boston.Google Scholar
  68. Wasyliw, O. E., and Golden, C. J. (1985). Neuropsychological evaluation in the assessment of personal injury.Behavioral Sciences and the Law 3: 149–164.Google Scholar
  69. Wedding, D. (1983). Clinical and statistical prediction in neuropsychology.Clinical Neuropsychology 5: 49–55.Google Scholar
  70. Wedding, D., and Faust, D. (1989). Clinical judgment and decision making in neuropsychology.Archives of Clinical Neuropsychology 4: 233–265.Google Scholar
  71. Willis, W. G. (1984). Reanalysis of an actuarial approach to neuropsychological diagnosis in consideration of base rates.Journal of Consulting and Clinical Psychology 52: 567–569.Google Scholar
  72. Ziskin, J. (1981).Coping with Psychiatric and Psychological Testimony (Vols. 1 and 2, 3rd ed.), Law and Psychology Press, Los Angeles.Google Scholar
  73. Ziskin, J., and Faust, D. (1988).Coping with Psychiatric and Psychological Testimony (Vols. 1–3, 4th ed.). Law and Psychology Press, Los Angeles.Google Scholar

Copyright information

© Plenum Publishing Corporation 1991

Authors and Affiliations

  • David Faust
    • 1
  1. 1.Psychology Department, Chafee CenterUniversity of Rhode IslandKingston

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