College of Public Health and Health Professions Department of Clinical and Health Psychology Psychology Clinic 1600 SW Archer Rd, Room G-901 PO Box 100165 Gainesville, FL 32610-0165 Phone: (352) 265-0294 Fax: (352) 265-0096 CONFIDENTIAL NEUROPSYCHOLOGICAL REPORT Patient Name: Blackmon, Kevin Medical Record Number: 1234567 Referral: Roger Davis, Ph.D. (NFETC) Dates of Evaluation: 4/19/1999, 4/20/1999 Date of Birth (Age): 6/26/1977 (21 years) Education Level: 12 Reason for Referral: Kevin Blackmon is a 21-year-old, right-handed, Caucasian male seen for neuropsychological evaluation at the request of Roger Davis, Ph.D. (clinical psychologist) of North Florida Evaluation and Treatment Center (NFETC) in Gainesville, FL. Mr. Blackmon sustained a severe traumatic brain injury (GCS: 4) as a result of a motor vehicle accident on April 24, 1994 and was comatose for three weeks. Following the accident, he was treated with intensive inpatient rehabilitation and reports persisting neurobehavioral changes. Mr. Blackmon has been arrested on two occasions for incidents related to armed kidnapping, sexual assault, and battery. He was deemed incompetent to stand on February 5, 1999 and resultantly sent to NFETC to be restored to competency. The current evaluation is requested to provide information regarding Mr. Blackmon’s current neurocognitive status and to aid in determination of his competency to proceed to trial since restorative intervention. RELEVANT BACKGROUND Background and History: On April 24, 1994, Mr. Blackmon suffered a traumatic brain injury as a result of a motor vehicle accident during which he was ejected from the car. Mr. Blackmon was reportedly in the passenger side riding home from work with a friend at approximately 6:00 pm. At 6:30 pm Mr. Blackmon was hit on his side by a truck going approximately 65 mph. Mr. Blackmon does not recall anything after the accident, but does remember waking up in a wheelchair at the hospital. He reported having a lot of “hatred” toward his friend, who reportedly died from injuries related to the accident. Review of medical records indicates that Mr. Blackmon had an initial Glasgow Coma Scale score of 4 at the accident scene. He was unconscious, and had a right hemotympanum, non-reactive pupils, and was decerebrate. Mr. Blackmon was intubated and transported and admitted to Hollywood Memorial Hospital. He remained comatose for three weeks. CT was initially interpreted as negative; however, it was also noted that in the right cerebral white matter at the level of the centrum semiovale, there was a 5 mm lesion likely representing shearing from trauma. Additionally, a small hemorrhage was found in the occipital horn of the left lateral ventricle. Mr. Blackmon suffered additional injuries including a lacerated spleen requiring splenorrhaphy, right clavicle fracture, and pneumothorax. He was placed on an ICP monitor, and there were no complications managing his ICP. Mr. Blackmon experienced right hemiparesis, and noted difficulties with eye movement and scanning cerebellar speech. He was hospitalized for three weeks and then transferred on May 12, 1994 for inpatient rehabilitation at Memorial Hospital. Mr. Blackmon remained in rehabilitation for six weeks and was engaged in treatment including physical therapy, occupational therapy, psychology, social and recreational therapy, and rehabilitation nursing. He began ambulating with assistance of a small based quad cane. There was reported evidence of mild ataxia. His right lower extremity was slightly weaker than the left. At that time, Mr. Blackmon was reported being “easily frustrated” and exhibited symptoms of depression. He was placed on Zoloft (100 mg). Since that time, Mr. Blackmon has undergone a series of evaluations and restorative treatments (reviewed below). Subsequent to his injury, Mr. Blackmon has reportedly had had poor impulse control and low Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 2 of 9 frustration tolerance resulting in interpersonal difficulties, poor employment history, and involvement in litigation; he was diagnosed with organic personality changes secondary to TBI. Legal Charges: Mr. Blackmon has been arrested on two separate occasions. Per police record, the first incident occurred on June 11, 1997. At that time, Mr. Blackmon met with a 16-year old female in the McDonalds parking lot of Hollywood Mall. The two returned to Mr. Blackmon’s vehicle, where he reportedly brandished a knife from his sun visor and forcibly detained the female. Mr. Blackmon held the knife to the victim while she attempted to flee from the car and demanded oral sex. The sexual act reportedly occurred, and Mr. Blackmon then allowed the female to leave the vehicle to return to work, and she then called the police. Mr. Blackmon completed 30 days in jail, and was then released on bond. The second incident occurred on February 14, 1998. At that time, Mr. Blackmon met a female from his church for dinner. After dinner, the female returned to Mr. Blackmon’s car in the parking lot for him to drop her off at her car. Review of police records indicate that when the woman proceeded to exit Mr. Blackmon’s car, he allegedly grabbed the victim’s breast and pulled her back into the vehicle, stating “you’re not going anywhere.” Mr. Blackmon reportedly began screaming obscenities and pulled the female into the car to close the door as she tried to escape. He pulled the woman by her neck and pushed her head into his lap. The female screamed for help, which alerted bystanders who approached the vehicle and called the police. Mr. Blackmon then released the victim as witnesses approached. He was taken into custody and transported to police station. For both alleged offenses, Mr. Blackmon is being charged with armed sexual battery, kidnapping while armed, false imprisonment, and aggravated battery. After undergoing a series of evaluations Mr. Blackmon was legally determined incompetent to stand trial for the above offenses at a hearing on February 5, 1999, and was sent to NFETC for restorative treatment. Understanding of the Proceedings: When directly asked about his charges, Mr. Blackmon reported “armed sexual battery, armed kidnapping, aggravated battery, false imprisonment, and simple battery.” He denied that he did anything wrong in either of the two incidents, although was able to recount both situations. Mr. Blackmon was able to describe the appeal process as well as the range of sentencing possibilities (probation through life imprisonment) and their implications. Mr. Blackmon also described that each of the charges are independent of one another. He was also able to state that the court trial is decided by the jury’s decision. He referred to the judge as being a “referee who makes sure there’s a fair trial by listening to both sides.” Ability to Assist in His Defense: Mr. Blackmon successfully provided the name and contact information of his public defender, Hilliard Moldof. Mr. Blackmon successfully identified Stephanie Newman as the state attorney, and stated “she’s trying to put me in prison – she’s against me.” He said he was uncertain about the timeframe of future trials, stating “my attorney doesn’t talk to me about stuff.” When asked about his role in the court proceedings, Mr. Blackmon sated “if someone tells a lie, I should tell my attorney.” Previous Neuropsychological Evaluations: Mr. Blackmon was evaluated by Perry Goldstein, Ph.D. (neuropsychologist) on May 12, 1994. Diagnostic impressions at that time were organic personality changes resulting from the TBI, and amnestic disorder. Mr. Blackmon was then seen for follow-up neuropsychological evaluation with Dr. Goldstein in July and August of 1994. Mr. Blackmon’s performance on the WAIS-R indicated a Full Scale IQ of 84, Verbal IQ of 93, and Performance IQ of 78. He was seen and evaluated at Goodwill Industries of Broward County, Inc. on June 27, 1995 as a part of documentation for the Division of Vocational Rehabilitation. While scores were not directly reported, verbal, performance, and FSIQ were all within the average range. On the PPVT-R, performance was low-average. On November 29, 1997, Mr. Blackmon was evaluated by Dr. Mark Todd and received a prorated FSIQ of 95. Memory findings showed low verbal memory and average visual memory. The MMPI-2 was deemed invalid. A forensic neuropsychological consultation was conducted in March and April of 1998 by Joseph J. Sesta (neuropsychologist). Results revealed a FSIQ of 89 and a Halsted-Reitan Neuropsychological battery impairment index of 0.4. He was diagnosed as having mild cognitive impairment secondary to head trauma. Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 3 of 9 Medical, Surgical, and Psychiatric History: Review of records indicates that Mr. Blackmon has a medical history significant for a syncopal episode at age 13. As described above, on April 24, 1994, Mr. Blackmon was a passenger in a motor vehicle accident resulting in a severe traumatic brain injury (GCS: 4). He sustained multiple traumas including a traumatic brain injury, right clavicle fracture, pneumothorax, splenic laceration, and mild right elbow flexion contracture. He had a splenorrhaphy at that time and remained in a coma for three weeks. There were no other injuries, illness, hospitalizations, or surgeries reported. Mr. reported occasional alcohol consumption and denied illicit or prescription drug use and tobacco use. Mr. Blackmon denied ever seeking treatment for psychological or psychiatric concerns prior to the car accident. Since the accident, he described himself as “getting angry pretty quick” and “short fused.” He has been seen psychologists for treatment of depression, and was prescribed Zoloft (100 mg) by a psychiatrist. Mr. Blackmon was also treated at Florida Institute of Neurological Rehabilitation from March – June of 1998 for behavioral treatment. He was also treated on an outpatient basis at the Bridge Rehabilitation facility in 1998. While incarcerated, he was on a low security mental health unit. Review of records indicate that while Mr. Blackmon was being held on the psychiatric unit at the North Broward Detention Center (December 1998), he reportedly pulled down his pants in front of a female officer and would also act in a juvenile manner toward the guards on duty. No other mental health treatments were reported. Psychosocial, Educational, and Occupational History: Mr. Blackmon was born and raised by both parents in North Broward County, FL alongside an older sister (age; 24). He described having a close relationship with is family and described them as being supportive of him. Mr. Blackmon reported that his mother did not experience complications during pregnancy with him and had a healthy delivery. Early childhood developmental milestones were reportedly met on time. With regard to education, Mr. Blackmon attended McArthur High School and was in eleventh grade in regular classes prior to the automobile accident. His grades were primarily B’s and then declined to B’s and C’s after the accident. Mr. Blackmon denied ever having any behavioral problems or suspensions. Following rehabilitation after the accident, Mr. Blackmon returned to school and entered the twelfth grade and was enrolled in ESE classes. He successfully graduated high school on time. Mr. Blackmon then began vocational education at Sheriden Vocational Technical Center in 1995 for several months. Mr. Blackmon pursued drafting, but eventually quit because he had difficulty keeping up with the required mathematics. Mr. Blackmon has never been married and has no children. He has no current girlfriend, but has had girlfriends in the past. Concerning occupational history, Mr. Blackmon reported that he has had difficulty maintaining steady employment since injury. He has worked in the capacity of salesman, machine operator, window tinter, and has been employed for a variety of other service positions. He was released from four of his six reported jobs, indicating that he was “too social.” PROCEDURES AND TESTS ADMINISTERED: Wechsler Adult Intelligence Scale – Revised (WAIS-R); Wide Range Achievement Test 3 (WRAT 3) Reading subtest; Trail Making Test A and B; California Verbal Learning Test (CVLT); Wechsler Memory Scale – Revised (WMS-R) Logical Memory and Visual Reproduction; Rey Complex Figure Test; Boston Naming Test (BNT); Controlled Oral Word Association (COWA) Letter Fluency (CFL:) and Semantic Fluency; Facial Recognition Test; Judgment of Line Orientation; Wisconsin Card Sorting Test; Booklet Category Test; Finger Tapping Test; Luria Motor Programmes; Minnesota Multiphasic Personality Inventory-2 (MMPI-2); Competency Screening Test. ASSESSMENT RESULTS Behavioral Observations: Mr. Blackmon arrived to the evaluation accompanied by his corrections officer, who remained outside of the testing room during the course of the evaluation. Mr. Blackmon presented as a tall gentlemen wearing an orange jump-suit who appeared neatly groomed. He was cordial upon greeting, but initially seemed guarded during interview although cooperative. He was hesitant to talk about the alleged Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 4 of 9 crimes. His affect was flat, but overall appropriate. He became more detailed and forthcoming with information as the evaluation progressed. He was alert and orienting during testing. He appeared to put forth good effort on all test items, and cursed on several instances during challenging tasks. Motor tasks were completed with Mr. Blackmon’s biologically non-dominant left hand given his apparent right hemiparesis. He completed four hours of testing on the first day due to fatigue, and returned to complete the remainder the following day. He periodically exhibited poor impulse control (e.g., turning pages of test material), his behavior was not excessive or aggressively inappropriate. As such, the current results are thought to reflect Mr. Blackmon’s current neurocognitive status. Current Intellectual Ability and Academic Achievement: Review of Mr. Blackmon’s IQ documentation (noted above) has shown FSIQ performance ranging from low average to average, and the greatest postinjury recovery gains made within the domain of fluid intelligence. Current intellectual abilities estimated using the WAIS-R indicated an average FSIQ (WAIS-R FSIQ = 102, 55th percentile), and equally developed verbal (Verbal IQ = 101, 53rd percentile) and non-verbal (Performance IQ = 104, 63rd percentile) abilities, with both composite scores falling within the average range. Mr. Blackmon was administered the WRAT-3, which measures academic achievement across domains of reading, spelling, and mathematics. His performance on this measure suggests that his current word reading ability is a 12th grade equivalent (SS=109, 73rd percentile), consistent with his level of educational attainment. Attention, Working Memory, and Processing Speed: Mr. Blackmon appeared alert and engaged throughout the duration of testing, although his attention appeared to wane toward the afternoon. At that time, he requested that he complete the second half of testing the following day. On tasks of attention and working memory, Mr. Blackmon demonstrated an auditory digit span of 8 digits forward and 5 digits backward, resulting in a total auditory span that was within the average range (WAIS-R Digit Span Total = 63rd percentile). Reliable digit span was 12, suggestive of adequate effort at the time of testing. Of note, Mr. Blackmon used his biologically non-dominant left hand on the following speeded motor tasks given his right-sided hemiparesis. As a result, scores may be an underestimation of Mr. Blackmon’s true processing speed abilities. Nevertheless, results were generally within acceptable limits. Timed numeric sequencing performance was average and without error (Trail Making Test- Part A = 61st percentile), and symbol coding abilities were low average (WAIS-R Digit Symbol = 16th percentile). Memory and Learning: On the CVLT, a task of auditory list learning, initial recall on the first trial was within the average range (Trial 1 = 50th percentile). Mr. Blackmon had a generally flat learning curve with little benefit from repetition resulting in below average total performance (Total = 7 th percentile). Following a brief delay, Mr. Blackmon was able to retain most of what he learned with a free recall performance that was average (Short Delay Free Recall = 50th percentile), but did not benefit from sematic cueing (Short Delay Cued Recall = 16 th percentile). Performance substantially declined with a long delay, with impaired performance on both free recall and cued recall (Long Delay Free Recall = 2nd percentile; Long Delay Cued Recall = 2 nd percentile), suggestive of rapid forgetting. Mr. Blackmon was able to improve to the average range with recognition testing; he correctly identified 16 of the 16 list items (Delayed Recognition Hits = 50th percentile), with zero false positive errors (Delayed Recognition False Positives = 50th percentile). On a second task of verbal memory (WMS-R Logical Memory), when additional structure was provided in prose format, Mr. Blackmon’s overall performance improved. His score was average for immediate recall (Immediate Recall = 41st percentile) and low average for delayed recall (Delayed Recall = 22 nd percentile). With regard to visual memory, Mr. Blackmon’s ability to recreate geometric designs of increasing complexity on the WMS-R (Visual Reproduction) was average for the immediate trial (70th percentile), and low average following a brief delay (Delayed Recall = 22nd percentile). On the Rey Complex Figure Task, immediate recall was within normal limits, and delayed recall of the complex figure was notable for some omission of detail. Findings of the memory evaluation suggest that Mr. Blackmon exhibits rapid forgetting of verbal information when provided in an unstructured format. Performance within this domain disproportionately improved during recognition testing which is suggestive of difficulties with the retrieval aspect of memory. Memory and learning of structured Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 5 of 9 verbal content is intact. Visual memory is intact as well and appears to be a relative strength within the memory domain. Executive Functioning and Abstract Reasoning: With regard to executive functions, set shifting performance on Trail Making Test-B was below average (13th percentile), and notable for two set loss errors. Verbal abstract reasoning was average (WAIS-R Similarities ss=10, 50th percentile). Mr. Blackmon’s ability to reason and integrate examiner feedback to guide future responses on Wisconsin Card Sorting was average. He successfully completed 6 out of 6 card sorts. Perseverative responses (28th percentile), perseverative errors (26th percentile), and total errors (32nd percentile) were all within the average range. Performance on the Booklet Category Test improved and indicated superior overall performance relative to matched-peers, with Mr. Blackmon only committing 7 errors across all 7 trials (99th percentile). Mr. Blackmon’s performance within this domain suggests mild difficulties with set-shifting within the context of grossly intact executive functioning. Results reflect intact flexible thinking, planning, and reasoning. Motor Functioning: Finger tapping performance was impaired for his dominant (right) hand (1 st percentile), which is expected given Mr. Blackmon’s right hemiparesis resulting from the accident. Non-dominant (left) tapping performance was average (37th percentile). Motor planning was assessed using the Luria paradigm. He committed two errors on Contrasting Motor (WNL), and no errors on Go-No-Go (WNL). Consistent with his brain injury, Mr. Blackmon exhibits residual right-sided motor weakness that affects speeded motor performance. Motor programming is intact. Visuospatial, Visuoperceptual, and Visuoconstructional Skills: Mr. Blackmon’s overall performance within this domain was average. He exhibited average facial recognition and matching (Facial Recognition Test = 41, 72nd percentile) and visuospatial ability (Judgment of Line Orientation = 26, 56th percentile). Mr. Blackmon’s copy of the Rey Osterrieth Complex Figure was within appropriate limits. The design was drawn accurately and to appropriate scale and Mr. Blackmon appeared to appreciate the gestalt of the image. Collectively, Mr. Blackmon’s construction, visuospatial and perceptual skills appear intact suggestive of intact posterior cortical functioning. Language and Language-Related Skills: Mr. Blackmon’s speech was fluent, prosodic, and without grammatical error. His comprehension was deemed intact as evidenced by little need for test instruction clarification. Visual confrontation naming was within the average range (Boston Naming Test = 54, 27th percentile). His letter fluency was average (50th percentile), and semantic (animal) fluency was within the impaired range (5th percentile). More specifically, Mr. Blackmon’s output was generally slow across two attempted category trials (fruits/vegetables and animals). His knowledge of vocabulary words was low average (WAIS-R Vocabulary ss = 7, 16th percentile). A writing sample was grossly normal. Performance on language measures indicate impairments localized to temporal lobe language networks. Naming, letter fluency and grammar/syntax abilities are within normal limits. Self-Reported Personality and Emotional Function: Results of the MMI-2 revealed a Welsh code of 4”6389’12+7/05: F-LK/. Validity scales were within an acceptable range and suggest that Mr. Blackmon did not attempt to exaggerate or minimize physical or psychological symptoms. His response pattern was generally consistent across items. Clinical scale elevations indicate that Mr. Blackmon has some concern with somatic symptoms and his physical well-being, which is in accordance with the nature of his injuries. Results suggest that Mr. Blackmon’s stress symptoms tend to manifest physically. His response pattern is suggestive of depressive symptoms including feelings of uselessness, poor initiation, and hopelessness. This profile also is reflective of an individual who has deviated from societal standards through his actions and defiance, and responds to others with suspiciousness and feelings of persecution. Overall, Mr. Blackmon’s responses indicate poor coping strategies and poor anger management/impulse control. ASSESSMENT SUMMARY & IMPRESSIONS: Mr. Blackmon is a 21-year-old approximately 5 years status post severe traumatic brain injury resulting from a motor vehicle accident. At the accident site, Mr. Blackmon had an initial GCS of 4, and was found unconscious, decerebrate, and with non-reactive pupils. Mr. Blackmon and remained in a coma for three weeks, and required 6 weeks of intensive treatments promoting physical, cognitive, and emotional recovery. He has been seen routinely Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 6 of 9 by other professionals for neuropsychological examination to track recovery as well as to assist in determination of his competency. Based on previous evaluations, Mr. Blackmon has been found to have relatively reduced verbal memory, as well as significant changes in personality secondary to his traumatic brain injury which deemed him incompetent to stand trail at that time. Comparing results to his past evaluations since injury, Mr. Blackmon has made an outstanding recovery given the magnitude of initial brain impairment. Results of today’s testing are primarily reflective of a profile remarkable for residual frontal and temporal lobe injury. From a cognitive standpoint, findings from today’s evaluation suggest temporal lobe dysfunction affecting memory retrieval of unstructured verbal information. Impaired semantic fluency was further suggestive of temporal lobe impairment. Mr. Blackmon’s performance on simple tasks of attention and working memory, letter fluency, vocabulary, visual memory, visuospatial and construction skills, were within normal limits. There was evidence of residual right-sided motor weakness affecting speeded motor performance. Behaviorally, Mr. Blackmon’s has persisting neurobehavioral disturbance, resulting in low frustration tolerance, disinhibited behavior, and previous acts of aggression, suggesting potential orbitofrontal injury. Poor behavioral management since the accident has resulted in Mr. Blackmon’s difficulty maintaining steady employment as well as his current legal charges. During both days of neuropsychological evaluation, Mr. Blackmon’s behavior was wellregulated and within reason despite the challenging cognitive tasks he faced. He was well-mannered and able to recognize his personal limits as evidenced by his request to complete testing the following day. Additionally, traditional measures of frontal-executive functioning indicate that Mr. Blackmon is capable of thinking flexibly and incorporating information to provide adaptive, appropriate responses. He showed good effort on tests regardless of difficulty. Interpersonally, he presented as mildly depressed and was initially guarded and hesitant to disclose personal information. Self-report measures suggest that Mr. Blackmon continues to experience symptoms of depression, has poor coping skills, and difficulties managing anger. His responses indicate mild paranoia regarding future outcomes and feelings of persecution. Opinions Regarding Competency: It is the evaluator’s opinion that Mr. Blackmon is competent to stand trial. Based on result of today’s evaluation, Mr. Blackmon’s appears to posses the capacity to serve in the role of defendant and assist counsel. Mr. Blackmon appears capable of serving the role of a defendant in a criminal proceeding within reasonable demands. That is, Mr. Blackmon appears to possess the cognitive capacity to rationalize, integrate new information, and think abstractly; however, he would likely benefit from breaks if required to provide extensive testimony as fatigue may affect his level of cognitive engagement. Given the weakness in his auditory memory, Mr. Blackmon may be best served by providing information that he must retain and recall in written format. With regard to behavioral management concerns, Mr. Blackmon appears capable of managing and regulating his behavior in a professional manner when explicitly required. While occasionally impulsive during testing, Mr. Blackmon was not disruptive and in no way was his behavior unmanageable or threatening. Additionally, he appears generally motivated to assist in court proceedings given his proclaimed innocence during the clinical interview, and would therefore likely be more cooperative and compliant. Results of neuropsychological testing also suggest that Mr. Blackmon possesses the cognitive skills (e.g., processing speed, abstract thinking, language, and memory) that permit Mr. Blackmon to consult with his attorney in a meaningful manner and assist with his defense. He was able to provide a detailed account of the incidents leading up to the alleged crimes. His responses to the evaluator’s line of questioning also suggested intact receptive language as well as expressive language that was coherent and linear. He appeared to exhibit awareness of the need to bring any information that is pertinent to his case to the lawyer’s attention and seems capable of doing so. While there was some evidence of paranoia, Mr. Blackmon appears motivated and expressed belief that his lawyer is “on his side.” As such, Mr. Blackmon demonstrates sufficient ability to maintain a collaborative relationship with his attorney and the cognitive capacity to contribute to building a meaningful court case. Based on content provided during the interview, Mr. Blackmon was able to cite his charges and has an appreciation for the charges held against him as well as his plea options and potential outcomes. He was able to cite the roles of Confidential Psychological Report Patient Name: Blackmon, Kevin MRN: 1234567 Page 7 of 9 those involved in the court proceedings (attorney, prosecutor, judge, and jury) and demonstrated understanding of their respective roles. Based on these considerations, it is this evaluator’s opinion that Mr. Blackmon is indeed competent to proceed and that residual impairment from his brain injury should not preclude him from a fair trial with the above-mentioned accommodations in effect. The diagnostic impression is: Personality Change Due to Traumatic Brain Injury (DSM-5: 310.1) Mild Neurocognitive Disorder Due to Traumatic Brain Injury (DSM-5: 331.83) I appreciate the opportunity to conduct this evaluation of Mr. Blackmon. ____________________________________ Tanisha G. Hill-Jarrett, M.S. Graduate Student Trainee Department of Clinical & Health Psychology Confidential Psychological Report INTELLECTUAL FUNCTIONING WAIS-R FSIQ Verbal IQ Information Comprehension Vocabulary Similarities Arithmetic Digit Span Performance IQ Block Design Object Assembly Digit Symbol Picture Arrangement Picture Completion ACADEMIC ACHIEVEMENT WRAT3 Reading ATTENTION & WORKING MEMORY WAIS-R Digit Span Forward Span Backward Span PROCESSING SPEED WAIS-R Digit Symbol Trail Making Test Part A LEARNING & MEMORY CVLT Trial 1 Trial 5 Total Short Delay Free Recall Short Delay Cued Recall Long Delay Free Recall Long Delay Cued Recall Delayed Recognition Hits False Positives WMS-R Logical Memory Immediate Recall Delayed Recall WMS-R Visual Reproduction Immediate Recall Delayed Recall Rey Complex Figure Immediate Recall Delayed Recall LANGUAGE BNT COWA FAS Animals VISUOPERCEPTUAL, VISUO- Patient Name: Blackmon, Kevin MRN: 1234567 Page 8 of 9 Raw Score 15 19 33 20 19 18 41 34 46 14 19 Raw Score 51 Raw Score 18 8 5 Raw Score 46 21”(0 er) Raw Score 8 10 49 12 12 9 10 >16 0 Ss SS=102 101 8 9 7 10 15 11 104 12 11 7 10 14 SS SS=109 Ss ss=11 --ss/T 7 T=53 z/T 0 -4 T=35 0 -1 -2 -2 0 0 %ile 55 53 25 37 16 50 95 63 63 75 63 16 50 91 %ile 73 %ile 63 --%ile 16 Descriptor Average Average Average Average Low Average Average Superior Average Average Average Average Low Average Average Above Average Descriptor Average Descriptor Average --Descriptor Low Average 61 %ile Average Descriptor 50 <1 7 50 16 2 2 50 50 Average Impaired Below Average Average Low Average Impaired Impaired Average Average 26 16 --- 41 22 Average Low Average 36 27 --- 70 22 Average Low Average 118” 85” Raw Score 54 T-Score 44 %ile 27 WNL WNL Descriptor Average 43 15 Raw Score 50 34 T-Score 50 5 %ile Average Impaired Descriptor Confidential Psychological Report SPATIAL,VISUOCONSTRUCTION Benton Facial Recognition Judgment of Line Orientation Rey Complex Figure: Copy Copy Time EXECUTIVE FUNCTIONING Trail Making Test Part B WCST # Categories Perseverative Responses Perseverative Errors Total Errors Booklet Category Test # Errors (subtests 1-7) MOTOR FUNCTIONS Finger Tapping Test Right Hand (Dominant) Left Hand (Non-Dominant) Luria Motor Programmes Contrasting Motor Go-No-Go MMPI-2/ T-score L 56 Pd (4) F 64 Mf (5) K 56 Pa (6) Hs (1) 68 Pt (7) D (2) 68 Sc (8) Hy (3) 76 Ma (9) Si (10) 82 42 79 57 72 72 44 Welsh Code: 4”6389’12+-7/05: F-LK/ Patient Name: Blackmon, Kevin MRN: 1234567 Page 9 of 9 41 26 117” Raw T %ile Average Average WNL WNL Descriptor 80”(2 er) 39 13 Below Average 6 10 10 18 Z=0.08 Z= -0.57 Z= -0.63 Z= -0.48 53 28 26 32 Average Average Average Average 7 Raw T=76 Z 99 %ile Superior Descriptor 31.8 46.4 -2.24 -0.32 1 37 Impaired Average 2er 0er 72 56 WNL WNL