A survey of neuropsychologists' practices and perspectives regarding the assessment of judgment ability

Laura A. Rabin, Marlana J. Borgos, Andrew J. Saykin

Research output: Contribution to journalArticle

28 Scopus citations


Judgment is an important aspect of cognitive and real-world functioning that is commonly assessed during neuropsychological evaluations. This study utilized a brief, online survey to examine neuropsychologists' practices and perspectives regarding available judgment instruments. Participants (n = 290, 17% response rate) were randomly selected members of the International Neuropsychological Society and the National Academy of Neuropsychology. Respondents rank-ordered the following issues that should be incorporated into assessments of judgment (from most to least important): safety, ability to perform activities of daily living, and problem solving/decision making about medical, financial, social/ethical, and legal matters. A majority of respondents reported that they "often" or "always" assessed judgment when evaluating patients with traumatic brain injury (89%), dementia (87%), and psychiatric disorders (70%). Surprisingly, the top-ranked instruments were not tests of judgment per se, and included the WAIS-III Comprehension, Wisconsin Card Sorting Test, and WAIS-III Similarities. Further, 61% of respondents were slightly confident, and only 23% were very confident, in their ability to assess a patient's judgment skills with their current tests. The overwhelming majority (87%) of respondents perceived a need for improved measures. Overall results indicate use of varied techniques by neuropsychologists to evaluate judgment and suggest the need for additional tests of this cognitive domain.

Original languageEnglish (US)
Pages (from-to)264-273
Number of pages10
JournalApplied Neuropsychology
Issue number4
StatePublished - Oct 1 2008


  • Judgment
  • Judgment tests
  • Neuropsychological assessment
  • Survey

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology

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