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Research ArticleRegular Article

Towards a Heuristic Neuropsychological Model of Adjudicative Competency

Olivia Aveson, Paul G. Nestor and Kristy Klein
Journal of the American Academy of Psychiatry and the Law Online March 2023, JAAPL.220065-22; DOI: https://doi.org/10.29158/JAAPL.220065-22
Olivia Aveson
Ms. Aveson is a Doctoral Candidate in the Clinical Psychology Department at the University of Massachusetts Boston, Boston, MA. Dr. Nestor is Professor of Psychology at University of Massachusetts Boston, Boston, MA and Clinical Neuroscience Division, Laboratory of Neuroscience, Department of Psychiatry, VA Boston Healthcare System, Brockton Division, Brockton, MA and Harvard Medical School, Boston, MA. Dr. Klein is Program Manager, Psychosocial Rehabilitation and Recovery Services, VA Central California Health Care System.
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Paul G. Nestor
Ms. Aveson is a Doctoral Candidate in the Clinical Psychology Department at the University of Massachusetts Boston, Boston, MA. Dr. Nestor is Professor of Psychology at University of Massachusetts Boston, Boston, MA and Clinical Neuroscience Division, Laboratory of Neuroscience, Department of Psychiatry, VA Boston Healthcare System, Brockton Division, Brockton, MA and Harvard Medical School, Boston, MA. Dr. Klein is Program Manager, Psychosocial Rehabilitation and Recovery Services, VA Central California Health Care System.
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Kristy Klein
Ms. Aveson is a Doctoral Candidate in the Clinical Psychology Department at the University of Massachusetts Boston, Boston, MA. Dr. Nestor is Professor of Psychology at University of Massachusetts Boston, Boston, MA and Clinical Neuroscience Division, Laboratory of Neuroscience, Department of Psychiatry, VA Boston Healthcare System, Brockton Division, Brockton, MA and Harvard Medical School, Boston, MA. Dr. Klein is Program Manager, Psychosocial Rehabilitation and Recovery Services, VA Central California Health Care System.
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    Table 1

    WAIS-III Means and Standard Deviations for Competent and Incompetent Patients

     CstIst
    MSDMSDFp
    Intelligence
     Full Scale IQ79.6115.5076.5212.381.480.23
     Verbal IQ82.0115.9078.9312.711.400.24
     Performance IQ80.1613.8177.2813.151.500.22
    Memory
     Auditory Immediate84.5219.3073.4815.484.860.032a
     Visual Immediate79.4117.4876.0915.430.500.48
     Auditory Delayed84.7423.3969.9614.286.970.011a
     Visual Delayed78.8917.8175.6114.040.510.48
    • ap < .05.

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    Table 2

    Point Biserial Correlations of WMS-III Scores and Competency Judgment

    WMS-III ScoresCompetency Judgmentp-Value
    Auditory Verbal Immediate Memory−0.303a0.032
    Logical Memory I−0.322a0.023
    Verbal Paired Associates I−0.2250.117
    Visual Immediate Memory−0.1010.484
    Auditory Verbal Delayed Memory−0.356a0.011
    Logical Memory II−0.315a0.026
    Verbal Paired Associates II−0.385b0.006
    Auditory Delayed Recognition−0.281a0.048
    Visual Delayed Memory−0.1030.479
    General Memory Index Score−0.286a0.044
    • CST: n = 10.

    • Competency Judgment (coded competent = 1; incompetent = 2).

    • ap < .05. bp < .01.

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Journal of the American Academy of Psychiatry and the Law Online: 51 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 51, Issue 1
1 Mar 2023
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Towards a Heuristic Neuropsychological Model of Adjudicative Competency
Olivia Aveson, Paul G. Nestor, Kristy Klein
Journal of the American Academy of Psychiatry and the Law Online Mar 2023, JAAPL.220065-22; DOI: 10.29158/JAAPL.220065-22

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Towards a Heuristic Neuropsychological Model of Adjudicative Competency
Olivia Aveson, Paul G. Nestor, Kristy Klein
Journal of the American Academy of Psychiatry and the Law Online Mar 2023, JAAPL.220065-22; DOI: 10.29158/JAAPL.220065-22
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