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Clinical judgment in forensic neuropsychology: A comment on the risks of claiming more than can be delivered

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Abstract

There is a vast and growing literature in psychology demonstrating the general limits of human judgment and clinical inference. These findings clearly apply in the new specialty of clinical neuropsychology, and there is little empirical research to support the widespread belief that judgmental accuracy correlates substantially with experience, professional stature, or reputation as a neuropsychologist. However, the demand characteristics of expert testimony in the forensic arena may encourage individual neuropsychologists to state or intimate that they have unique or special expertise in understanding brain-behavior relationships, or in predicting outcomes following cerebral insult or injury. These claims will be increasingly difficult to substantiate as attorneys become more conversant with the literature on human judgment.

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References

  • Arkes, H. R., and Faust, D. (1987, August). Cue utilization in neuropsychology. In D. Faust (chair),Clinical Judgment in Neuropsychology: How Good Are We? Symposium presented at the annual convention of the American Psychological Association, New York.

  • Dawes, R. M., and Corrigan, B. (1974). Linear models in decision making.Psychological Bulletin 81: 95–106.

    Google Scholar 

  • 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.

  • Faust, D., Hart, K., Guilmette, T. J., and Arkes, H. (1989). Neuropsychologists' capacity to detect adolescent malingerers.Professional Psychology: Research and Practice.

  • Faust, D., and Ziskin, J. (1988). The expert witness in psychology and psychiatry.Science 241: 31–35.

    Google Scholar 

  • Goldberg, L. R. (1959). The effectiveness of clinicians' judgments: The diagnosis of organic brain damage for the Bender-Gestalt Test.Journal of Consulting Psychology 23: 25–33.

    Google Scholar 

  • Goldberg, L. R. (1968). Simple models or simple processes? Some research on clinical judgments.American Psychologist 23: 483–496.

    Google Scholar 

  • Golden, M. (1964). Some effects of combining psychological tests on clinical inferences.Journal of Consulting Psychology, 28, 440–446.

    Google Scholar 

  • Goldstein, M. Some effects of combining psychological tests on clinical inferences.Journal of Consulting Psychology 28: 440–446.

  • Goldstein, S. G., Deyksach, R. E., and Kleinknecht, R. A. (1973). Effect of experience and amount of information on identification of cerebral impairment.Journal of Consulting and Clinical Psychology 41: 33–44.

    Google Scholar 

  • Heaton, R. K., Smith, H. H., Lehman, R. A. & Vogt, A. T. (1978). Prospects for faking believable deficits on neuropsychological testing.Journal of Consulting and Clinical Psychology, 46, 982–900.

    Google Scholar 

  • Leli, D. A., and Filskov, S. B. (1981). Clinical-actuarial detection and description of brain impairment with the W-B form 1.Journal of Clinical Psychology 37: 623–629.

    Google Scholar 

  • Oskamp, S. (1965). Overconfidence in case-study judgments.Journal of Genetic Psychology 29: 261–265.

    Google Scholar 

  • Wedding, D. (1983). Clinical and statistical prediction in neuropsychology.Clinical Neuropsychology 5: 49–55.

    Google Scholar 

  • Wedding, D. (1989, August). Judgment in clinical neuropsychology. Paper presented at the annual meeting of the American Psychological Association, New Orleans, LA.

  • Wedding, D., and Faust, D. (1989). Clinical judgment and decision making in neuropsychology.Archives of Clinical Neuropsychology 43: 233–265.

    Google Scholar 

  • Wiggin, J. S. (1973).Personality and Prediction: Principles of Personality Assessment. Addison-Wesley, Reading, MA.

    Google Scholar 

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Wedding, D. Clinical judgment in forensic neuropsychology: A comment on the risks of claiming more than can be delivered. Neuropsychol Rev 2, 233–239 (1991). https://doi.org/10.1007/BF01109046

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