Clinical psychological test interpretations by computer: Hardware outpaces software

Abstract The development of computers and related hardware for computer-assisted, psychological test interpretation represents an important advance in the field of psychological assessment. Unfortunately, development and validation of associated software is not as advanced as is the hardware. Yet software is the heart of packages being sold in unprecedented numbers to undertrained and unsuspecting purchasers of these systems. The author includes criticism of a representative narrative published for one MMPI codetype to buttress the opinion that valid sounding, computer-generated reports have the potential to lull the untrained service provider into believing that these narratives can be used in isolation without further reference to the clinical history of the individual. Furthermore, it is believed that when today's computer software is exposed to the scrutiny of our courts, it will fare relatively poorly against today's experienced and credentialed (albeit unvalidated) clinician. This assertion reflects the author's belief that the appropriately credentialed clinician is still better able than computer software to interrelate test findings with each client's unique, observable characteristics and history. Nevertheless, in the not too distant future it is very possible that further research will help give software and advantage over the clinician.

[1]  H. Wolff,et al.  Human Gastric Function. (Scientific Books: Human Gastric Function: An Experimental Study of a Man and His Stomach) , 1943 .

[2]  K. L. Moreland,et al.  Validation of computer-based test interpretations: problems and prospects. , 1985, Journal of consulting and clinical psychology.

[3]  N. Miller,et al.  Behavioral medicine: symbiosis between laboratory and clinic. , 1983, Annual review of psychology.

[4]  Paul E. Meehl,et al.  When shall we use our heads instead of the formula , 1957 .

[5]  R. Fowler.  Landmarks in computer-assisted psychological assessment. , 1985 .

[6]  Paul E. Meehl,et al.  Wanted—a good cook-book. , 1956 .

[7]  J. Matarazzo.  The reliability of psychiatric and psychological diagnosis , 1983 .

[8]  J. Rodin,et al.  Insulin levels, hunger, and food intake: an example of feedback loops in body weight regulation. , 1985, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[9]  J. Matarazzo.  Computerized clinical psychological test interpretations. Unvalidated plus all mean and no sigma. , 1986, The American psychologist.

[10]  J. Matarazzo,et al.  Relationship of Sex and the Effects of Unilateral Lesions on the Wechsler Intelligence Scales: Further Considerations , 1984, The Journal of nervous and mental disease.

[11]  J. Matarazzo,et al.  Base rate data for the WAIS-R: test-retest stability and VIQ-PIQ differences. , 1984, Journal of clinical neuropsychology.

[12]  Paul E. Meehl,et al.  Clinical vs. Statistical Prediction. , 1955 .

[13]  R. Reitan.  Relationships between measures of brain functions and general intelligence. , 1985, Journal of clinical psychology.

[14]  J. Matarazzo,et al.  Computerized psychological testing. , 1983, Science.

[15]  B. Kleinmuntz.  The scientific study of clinical judgment in psychology and medicine. , 1984 .

[16]  J. Matarazzo,et al.  Wechsler VIQ versus PIQ differences in cerebral dysfunction: a literature review with emphasis on sex differences. , 1982, Journal of clinical neuropsychology.

[17]  J. Lacey,et al.  Autonomic Response Specificity: An Experimental Study , 1953, Psychosomatic medicine.

[18]  J. O’dell.  P. T. Barnum explores the computer. , 1972 .

[19]  Laura Giat Roberto,et al.  Wanted: A good cookbook. , 1986 .

[20]  J H Johnson,et al.  Validity of a computerized on-line MMPI interpretive system. , 1983, Journal of clinical psychology.