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The clinician s hypothesis is strengthened by the results of numerous investigations that have shown that phonological processing is the core deficit in individuals with reading disabilities (see Flanagan, Ortiz, Alfonso, & Mascolo, 2002 for a review) After ruling out other potential causes for deficient reading and phonological processing, such as hearing impairment, history of ear infections,.

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A NEW THEORY-BASED APPROACH TO PROFILE INTERPRETATION ences from it and then communicates with patients and professionals (Meyer et al., 2001, p. 128). Likewise, the worth of a test interpretation method, such as intra-individual analysis, cannot be separated from the sophistication of the clinician who draws conclusions from it.

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poor instruction, deficient speed of lexical access, and so forth, the clinician can reasonably conclude that the individual s reading difficulties were due to a core phonological processing deficit The clinician s evaluation of the types of errors made on the tests of phonological processing administered inform his or her recommendations with regard to intervention and remediation The belief that test findings, however unusual, only gain diagnostic meaning when they converge with other data sources, including findings from relevant research, is not unique to the field of psychological assessment Indeed, most disciplines that use measurement tools, including medicine, undoubtedly share the same philosophy Consider the following example of the thought processes of a veterinarian evaluating a cat who presented with a history of not eating and vomiting Blood work revealed a blood urea nitrogen (BUN) of 54 (normal range = 14 36) and a creatinine of 2.

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7 (normal range = 06 24) Based on the presenting symptoms and the elevated kidney values (BUN and creatinine), a presumptive diagnosis is that the cat is in renal (kidney) failure a condition that has a very poor prognosis However, in order to test the hypothesis of renal failure, additional testing was deemed necessary After receiving the results of a urinalysis, the veterinarian found that the cat s urine specific gravity was normal at 1065 With this additional information, the veterinarian concluded that the cat s increased BUN and creatinine levels were due to dehydration, not renal failure How is the psychologist s approach to using assessment tools and interpreting test results different It is not The reader is referred to the work of Rohling and his colleagues on the benefits of integrating test results from multiple sources (eg, Miller & Rohling, 2001).

Tests do not think for themselves, nor do they directly communicate with patients Like a stethoscope, a blood pressure gauge, or an MRI scan, a psychological test is a dumb tool, and the worth of the tool cannot be separated from the sophistication of the clinician who draws infer-.

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Psychometrics has an important place in clinical assessment, as do analyses of group data. Reliability, validity, understanding of group differences in cognitive ability, development of appropriate norms, and item bias statistics are just a few of the areas that require psychometric analysis and group data. Investigating individual children s or adults ipsative strengths and weaknesses is not such an area. Watkins and Canivez have applied a questionable statistical test of Kaufman and Lichtenberger s method. In the Watkins and Canivez study, the kappa statistics are based on group data and basically answer the question, Did a large sample of children have a data-based strength, weakness, or neither, on a WISC-III assessment, and did this group of children maintain their same categorizations (strength, weakness, neither) on a retest administered about three years later The kappas, based on group data, do not answer the question about the stability of the strength or weakness for any particular individual in the sample (Cicchetti, 1994). This statistic does not address the validity of the strength or weakness for an individual. Statistics alone do not interpret the possible area of integrity or deficit. To do this, clinical behaviors, referral and background information, and other data sources must be taken into account. That is precisely what we instruct clinicians to do if they use the intra-individual method. We do not want them ever to apply the method blindly, out of context, without integrating the statistical findings with all other pertinent formal

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how to add image in pdf using itextsharp c#

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