IQ Testing in Competency Evaluations
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One question recently raised in forensic psychology circles has to do with whether one should conduct IQ or intellectual testing during competency to stand trial (CST) evaluations. This has been a debatable practice, especially in situations where the defendant has previously undergone testing. In these cases, is repeat testing or the administration of a different IQ measure warranted?
Leading forensic psychologist and researcher/author Tom Grisso (2014) has long suggested that intelligence testing may be rarely needed, since the primary focus in CST evaluations is on the functional abilities or disabilities of the defendant. Whether the defendant has, or does not have, a particular mental disorder is largely immaterial to the legal question at hand. The real question is simply whether he or she have a factual and rational understanding of the proceedings and can adequately assist counsel.
While routine IQ testing in these cases may not be indicated, there are situations where testing may be beneficial. The arguments for and against testing can perhaps be summarized as the following:
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Pros
- If a defendant has deficits in understanding, testing may be helpful in understanding the etiology and/or extent of the cognitive disabilities (e.g., attention and focus).
- In high profile or capital cases, being thorough is particularly important. Forensic experts may choose to “cross every t” and “dot every i” by administering IQ and other measures to minimize critique.
- Testing can aid in the assessment of overall response style (e.g., poor effort).
- How a defendant performs across time and test administrations can provide valuable information.
Cons
- Testing may be unnecessary and a waste of financial resources.
- In cases of screening for CST, such as in jails or court clinics, IQ testing may be a poor use of the limited time available.
- Testing could produce unnecessary stress on the defendant.
- Repeat testing may produce practice effects that obscure results.
Whether one decides to administer an IQ test, or any psychological measure, should be carefully considered and intentional. Administering intelligence testing routinely or in every case is probably not wise. While a forensic examiner can be criticized for either administering or not administering a test, having a clear understanding and cogent arguments for your decision will serve you well in the courtroom.
For those not familiar with available IQ tests on the market, here is a non-exhaustive list of the most commonly used adult measures and the time it takes to administer them:
Wechsler Adult Intelligence Scale-Fourth Edition: 60-90 minutes
Wechsler Abbreviated Scale of Intelligence: 30 minutes
Stanford-Binet Intelligence Scale-5th Edition: 45-60 minutes
Woodcock Johnson Test of Cognitive Skills: 60-70 minutes
Kaufman Adult Intelligence Test: 60-90 minutes
Kaufman Brief Intelligence Test, Second Edition: 20 minutes
Test of Nonverbal Intelligence-Fourth Edition: 15-20 minutes
Wide Range Intelligence Test: 30 minutes
Shipley-2: 20-25minutes
Raven Standard Progressive Matrices: 45 minutes
Reynolds Intellectual Screening Test: 10-15 minutes
Leiter R IQ Test: 25-40 minutes
Beta III: 30 minutes
While the more comprehensive and reliable intelligence tests generally take more time to administer, some of the brief screening measures may be the right balance an evaluator is trying to strike between having limited time and desiring to obtain an objective measure of intelligence. At least this may be the true in routine cases or situations. However, where there is genuine concern about an intellectual disability and where no prior test results are available, using a more comprehensive IQ test may be warranted.
Grisso, T. (2014). Competency to stand trial evaluations-Just the basics. Professional Resource Press. doi: 978-1568872032
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