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This is an actual test report. The names were obviously changed and the person evaluated is only called Person. Nothing else has been changed so any spelling errors are real. The saying at the very bottom of the page was found on every page of the report. This was one of the first court cases I (RD) was involved with in which I was asked to refute the expert. It was an easy case!. If this weren't a real case it would be too unbelievable for words. How many errors can you find? Where did those IQ scores come from? TESTING REPORT
Name: Person Date of Testing: Age,: 26 Date of Birth: Occupation: Examiner: REASON FOR TESTING Person was referred for counseling and evaluation by the court as a result of voyerism and exhibitionism. TESTS ADMINISTERED WISC-R Minnesota Multiphasic Personality Inventory (MMPI) Thematic Apperception Test (TAT) TEST BEHAVIOR Person arrived on time for testing. He was dressed casually, and appeared friendly and pleasant during the introduction. As testing began he appeared nervous, and it was observed that his hands were trembling slightly. When he did not have to use his hands he would usually have them crossed in front of him. In between questions and subtests he was observed gazing out the window as if to avoid looking at the examiners. His nervousness was also evident as he asked a number of questions about the nature of the test. For example he asked, "What kinds of things does this test measure?" During Picture Arrangement he asked if this tested for social intelligence. WISC-R RESULTS VERBAL PERFORMANCE Information 11 Picture
Completion 14 Digit Span 12 Picture
Arrangement 8 Vocabulary 13 Block Design 9 Arithmetic 13 Object Assembly 10 Comprehension 14 Digit Symbol 9 Similarities 11 VERBAL SCORE 74 PERFORMANCE SCORE 50 VERBAL IQ 128 PERFORMANCE IQ 104 FULL SCALE IQ 120 Person scored a full-scale IQ of 120, derived from a Verbal IQ of 128 and a Performance IQ of 104. He is functioning at a superior level of intelligence. His Verbal IQ was significantly higher than his Performance IQ demonstrating a 24 point spread. This may indicate an obsessive compulsive tendency since he is unable to solve problems quickly under time pressure as is indicated by his low Performance scores. On the Verbal scale his highest score was in Comprehension which may indicate a highly developed conscience or punishing superego. In life this would mean he may suffer intense guilt when he experiences failure or loss. Inconsistent with his high score in Comprehension and Vocabulary, his lowest score was on Information which indicates he is unable verbalize everything he knows and to put into words all that he feels. On the Performance scale his highest score was in Picture Completion which is the most basic subtest for visual projection and memory. His strength in this subtest suggests he is good at creating visual memories which he also evidences in the TAT where-he creates a number of fantasies and does some daydreaming. He also made a number of attempts in his responses, indicating that he tends to be impulsive. The trial and error approach on other Performance tests confirms impulsivity, demonstrating that he show weakness in his capacity to strategically work out a plan and implement it or starts things and doesn't finish. On the Picture Arrangement subtest, which measures general intelligence in social situations, he made incorrect attempts on 4 out of 10. On one picture (#6 Escape) he arranged the cards in the following order: the person is running from the police, then he hides behind a bush, then he sees a girl swimming in a pond and her clothes are on shore, he hides behind the tree and and changes his clothes. This arrangement seems to reflect an exihibitionism situation. On picture #10 Taxi, he could not arrange the pictures to tell a story. When asked to explain he said "Someone is probably jealous because one person has a real person and the other person, who is missing, only has a bust". This projective interpretation may indicate some insecurity about himself, feeling jealous that he cannot have a full-blown woman and other men can. On the TAT, the characteristics of the hero portrayed in the pictures took on two personality types. The most common description was of a child, ranging in age from 9-19, very cultured and from a good bloodline. The other character was described as foreign, evil, dangerous to others, and overdosed on drugs or alcohol. However, things most often turned out good for them when they recieved help. The motives of the characters described were usually positive: to resolve sadness, get help, to find inner peace, to get rid of inner conflict and pain, and to live fully and have a happy home. His feelings towards himself were not as positive. He described himself in discouraged and depressed terms such as feeling mentally exhausted, mad at himself, and to upset to help himself. His inner turmoil is described as a war going on in his mind, an evil spirit hovering over him, a feeling of imbalance, and physical pain and suffering. It should also be noted that at times he felt nothing at all which indicates problems with repression or denial of his emotions. To end the pain he is seen as attempting suicide (#18) and overdosing on alcohol or drugs (#13mf and #19). Attributes which were not projected were destruction and dominance; however his most prominent attribute was passivity as he describes his environment with warm climates, country settings, babbling rivers, and prayful thoughts. This is also the time that he describes himself as daydreaming or fantasizing. His passivity seems rather extreme especially during #12bg where he is lying in a boat daydreaming and a bird flies by and defecates on his knee. His reaction is to wipe it off, which indicates a lack of affect. In 13g he sees himself leaving home on an ocean liner where he stands at the rail looking back at his homeland for 4 hours. Again there is no affect as he rethinks about his home. In picture #18bm, he gets beaten up and thrown into the street to be run over by a car. He doesn't mention defense or any emotion on his part. This depressed and dejected state is reinforced by #3 where Person cries for 3 hours because his dog dies of rabies. A number of reoccuring responses were recorded throughout testing: doctors, peaceful settings and daydreaming, and a persistence to do good and achieve. Overall, Person expresses a masochistic need to punish himself and to be able to take punishment. However he also feels he needs professional care, to know where he's really at, and rest from this exhausting mental battle he is putting himself through. Emotionally he feels angry, depressed, withdrawn, contemptous, rejected, and remorseful. He would like to feel good about himself and more cheerful inside. He views his environment as competitive, hard on him, lonely, lacking purpose, unfair, and attacking him. His prevalent themes were: if you don't pay for the wrong you've done then you die, you cannot undo death or sin, but if you work hard you will win. This demonstrates the degree to which Person punishes himself when he feels guilty and how he handles his guilt is to fun away or repress his feelings and try harder to please others. Person seems quite motivated to help himself since most of the outcomes of his stories were positive and successful. He sees himself as; being cured from his disease, working out his past, and doing what he is suppose to do. However, he continues to avoid his problem when he mentions helping others in order to forget about his own problem. Overall, Person seems to be having difficulty dealing with guilt feelings which he projects onto imaginary characters or denies. Judging from the content analysis and the young age of the characters it may be surmised that Person may have some unresolved Oedipus issues. Although he makes himself out to be a survivor, he is not at peace with himself. Rather he seems to fear expressing his own feelings of aggression, and deals with this fear through repression, projection, and denial. Eventually the aggression builds-up and is released impulsively in the most emotionally repressed form - sexually. Upon release of this emotion he feels extreme guilt and works harder to repress and deny his feelings in order to maintain control. Persons' profile on the MMPI appears to be valid. His scatter of scores all fell within the mean except for the K scale, which represents guardedness and defensiveness, and the Mf scale which measures masculine-feminine identity. His T score of 37 on the K scale indicates a lack of normal defensiveness which is often associated with poor self-concept, acute pathology, malingering, or "a cry for help.,' Usually the person's defenses are not functioning adequately, and he has a poor degree of emotional and behavioral controls. Adolescents often score low, indicating openness and a certain degree of self-criticism centered around a search for identity and a close examination of their personal values. His T score of 78 on the Mf scale indicates a conflict over sexual identity. Individuals within this range are basically passive, and there is frequently a history of marital problems due to difficulty in assertively fulfilling their partners' needs. In some situations, a person in this range or higher may develop a reaction formation against passivity in which they may display an exaggerated expression of masculinity. Person emerges as an intelligent young man who has a strong conscience. Due to his lack of impulse control he probably suffers intense guilt and hates himself when he does lose control. In his perceptual process he is likely to have difficulty due to his early environmental background. Since he is so brillant he is able to manipulate his environment and others to get whet he needs. However, his repressed feelings of a sexual nature continue to cause him to have anxious feeling about himself and fears about how he is perceived by others. His low self-esteem is continually being fed by his inability to come to grips with his true feelings. In order to compensate for his inability to deal with social situations appropriately, he tends block his own feelings and approach situations in a way he believes is right. If unsuccessful, he may become very frustrated and feel guilty. When his frustration and guilt level become too overwhelming an impulsive act may serve to release some of this repressed and cooped up anxious energy. Suggestions: 1.Individual Therapy a. To deal with sexual issues 2. Marital Therapy a. To gain more understanding of Person and her needs 3.Improve non-verbal skills a. Focus on visual learning
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