The McCarron-Dial System (MDS) has successfully predicted vocational and independent living outcomes with neuropsychologically disabled individuals receiving rehabilitation services. In addition, preliminary validation studies suggest that the abbreviated MDS is useful for clinical neuropsychological diagnosis. The present study represents part of an ongoing research project aimed at validating the expanded version of the MDS for diagnosis of neuropsychological dysfunction. Specifically, it was hypothesized that the expanded MDS would be able to accurately discriminate between brain-damaged and non-brain-damaged individuals. Accurate diagnosis facilitates rehabilitation efforts for individuals with neuropsychological disabilities and the data profile provided by the expanded version of the MDS can consequently form the basis from which more complete individual treatment and rehabilitation plans can be conceptualized.

The present study investigates the predictive accuracy of a key approach to interpretation of the verbal-spatialcognitive (VSC) and sensorimotor (SM) factors of the McCarron-Dial System (MDS). The subjects include 99 brain damaged and 30 normal adults. The following research questions are addressed: (a) Does the neuropsychological key classify brain damaged and non-brain damaged subjects at a level significantly above chance? (b) Among the brain damaged subjects, does the neuropsychological key identify right brain damage, left brain damage and diffuse brain damage at an accuracy level significantly above chance? (c) Is the neuropsychological key approach superior to the empirical model derived from discriminant function analysis in predictive accuracy? The neuropsychological key correctly classifies 90% of the cases as brain damaged and 90% of the cases as non-brain damaged, for a total of 89.9% predictive accuracy. The obtained Kappa coefficient of .74 is statistically significant. The key accurately classifies 71.4% of the brain damaged group as right damage, 70% as left damage, and 93.8% as diffuse damage, for a total predictive accuracy of 7 9.5%. The Kappa coefficient of .68 is statistically significant. Chi square analysis of the difference between the key approach and multiple discriminant function analysis reveals that no significant difference is present between the accuracy of the two approaches in differentiating between brain damaged and non-brain damaged, or in differentiating among left, right and diffuse brain damage. The results support the validity of a neuropsychological key approach to interpretation of the McCarron-Dial System, although cross-validation is indicated to confirm the stability of these results. Differences in sex, educational level and racial composition of the comparison groups may have affected the results obtained. Refinement of the key in future research and the addition of test instruments assessing memory, auditory processing, attention and emotional/behavioral variables are recommended.

The clinical utility of the Intermediate Category Test, a measure of executive functioning in children 9 to 14 years of age, is currently limited by the availability of only a Total Error score for normative interpretation. The Process Scoring System (PSS) was developed to provide a standardized method of assessing specific processing patterns and problem-solving errors. The purpose of this study was to determine the ability of the PSS scores to discriminate between children with and without suspected executive deficits, thereby providing evidence of criterion-related validity.

The present study investigates the effect of brain damage on verbal-spatial-cognitive (VSC) and sensorimotor (SM) measures included in the McCarron-Dial System (MDS). The subjects include 141 brain damaged adults and 42 psychiatric controls. The following research questions are addressed: (a) Does the brain damaged group differ significantly from controls? (b) Are there significant differences among left, right, anterior, posterior, and diffuse brain damaged groups? (c) Do early onset, late onset, acute, and chronic damaged groups differ significantly? and (d) Does a cerebral palsy group differ significantly from a non-CP brain damaged group?

A test of free recall visual memory and learning was developed for the present study. The purpose of the study was to determine the utility of the Visual Selective Reminding Test and the Verbal Selective Reminding Test for differentiating among groups of patients having memory impairments with organic etiologies. It was hypothesized that neurologically impaired patients would perform differently on the Visual and Verbal Selective Reminding Tests, the difference depending on the location of the underlying brain damage. Forty right handed male patients at a Veterans Administration hospital served as subjects. The patients were grouped according to the location of their brain damage; left hemisphere, right hemisphere, diffuse damage, and no brain damage. There were 10 patients in each group. Each patient was given the verbal and the visual memory tests in counterbalanced order and the Shipley estimate of intelligence.