Case: 14-70001 Document: 00512697728 Page: 1 Date Filed: 07/14/2014 No. 14-70001 ____________________________________ IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT ____________________________________ JAMES LEE HENDERSON, v. Petitioner-Appellant, WILLIAM STEPHENS, Director, Texas Department of Criminal Justice Correctional Institutions Division Respondent-Appellee, ____________________________________ On Appeal from the United States District Court for the Eastern District of Texas, Beaumont Division Civ. Action No. 1:06-cv-00507-RHC ____________________________________ BRIEF OF AMICUS CURIAE THE TEXAS PSYCHOLOGICAL ASSOCIATION IN SUPPORT OF PETITIONER-APPELLANT Mark K. Glasser Texas Bar No. 8014599 David W. Denton Jr. New York Bar No. 5169602 Sidley Austin LLP 1000 Louisiana St., Suite 6000 Houston, TX 77007 713.495.4623 [email protected] [email protected] Counsel of Record ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 2 Date Filed: 07/14/2014 RULE 26.1 DISCLOSURE STATEMENT Pursuant to Rule 26.1 of the Federal Rules of Appellate Procedure the Texas Psychological Association respectfully submits this Corporate Disclosure Statement and states as follows: 1. The Texas Psychological Association is a nonprofit professional association representing both licensed psychological practitioners and graduate students in psychology in the state of Texas. The Texas Psychological Association is the state affiliate of the American Psychological Association. The Texas Psychological Association has no parent corporation, and no publicly held company has 10% or greater ownership in the Texas Psychological Association. i ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 3 Date Filed: 07/14/2014 STATEMENT REGARDING ORAL ARGUMENT Amicus requests permission to participate in oral argument. Oral argument would assist the Court, and the scientific expertise of amicus will help the Court resolve questions pertaining to the psychometric testing at issue in this case. Accordingly, amicus requests ten minutes of oral argument time to address the scientific standards discussed in this brief in addition to the argument time granted to the parties. Undersigned counsel is representing amicus pro bono in this matter. ii ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 4 Date Filed: 07/14/2014 TABLE OF CONTENTS Page INTEREST OF AMICUS CURIAE ................................................................................... 1 INTRODUCTION................................................................................................................ 1 I. A SHORT-FORM TESTING PROTOCOL IS PROFESSIONALLY INADEQUATE TO MAKE A DIAGNOSTIC JUDGMENT REGARDING INTELLECTUAL DISABILITY................................................................. 5 II. FAILURE TO MAINTAIN ADEQUATE RECORDS DURING PSYCHOMETRIC TESTING OF INTELLIGENCE SIGNIFICANTLY UNDERMINES THE SCIENTIFIC METHOD. ........................................................................... 12 III. PROPER APPLICATION OF THE CONCEPTS OF VALIDITY AND RELIABILITY IS NECESSARY TO EXTRAPOLATE AN ACCURATE FULL SCALE IQ. ....................... 15 CONCLUSION ................................................................................................................... 18 iii ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 5 Date Filed: 07/14/2014 TABLE OF AUTHORITIES Page(s) CASES Atkins v. Virginia 536 U.S. 304, 317 (2002) ............................................................................................. passim Blue v. Thaler, 665 F.3d 647 (5th Cir. 2011) ..................................................................................10, 11, 12 Ex parte Henderson, No. 181-CR-12-93 (102nd Dist. Ct., Red River County, Tex. Oct. 5, 2005) (testimony of Steve Gilliland) ........................................................................................6, 12 Ex parte Henderson, No. WR-37658-03, 2006 WL 167836 (Tex. Crim. App. Jan. 25, 2006) ...............16, 17 Hall v. Florida, 134 S. Ct. 1986 (2014) ................................................................................................. passim Rivera v. Dretke, Civ. B-03-139, 2006 WL 870927 (S.D. Tex. Mar. 31, 2006), aff’d in relevant part sub nom. Rivera v. Quarterman, 505 F.3d 349 (5th Cir. 2007) .............................11, 12 STATUTES 124 Stat. 2643 (2010) ...................................................................................................................2 Tex. Admin. Code § 465.22(a) .....................................................................................14, 15, 16 OTHER AUTHORITIES Am. Psychiatric Ass’n, Diagnostic and Statistical Manual of Mental Disorders (5th ed. 2013) ......................................................................................................................2, 3 Am. Psychological Ass’n, Ethical Principles of Psychologists and Code of Conduct (2010).......................................................................................................................... 12, 14 Anthony P. Thompson et. al, Brief Intelligence Testing in Australia, Canada, the United Kingdom, and the United States, 35 Prof’l Psychology Research and Practice (2004).........................................................................................................................7 iv ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 6 Date Filed: 07/14/2014 Daniel J. Reschly et al., Mental Retardation: Determining Eligibility for Social Security Benefits (2002) ...........................................................................................................................9 David Wechsler, WAIS-III Administration and Scoring Manual (1997) ..................................7 Gary Groth-Marnat, Handbook of Psychological Assessment (4th ed. 2003).............................8 Jerome M. Sattler, Assessment of Children (3rd ed. 1992) .......................................................10 Jerome M. Sattler & Joseph J. Ryan, Assessment with the WAIS-IV (2009) .......................13 v ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 7 Date Filed: 07/14/2014 INTEREST OF AMICUS CURIAE The Texas Psychological Association (“TPA”) is the leading professional association of psychologists in the state of Texas. Founded in 1947, the TPA is the Texas state affiliate of the American Psychological Association (“APA”). The TPA seeks to advance the field of psychology as a science and a profession. The TPA was instrumental in the passage of the Texas Psychologist’s Certification and Licensing Act in 1969, which led to the establishment of the Texas State Board of Examiners of Psychologists and the promulgation of professional standards as part of the Texas Administrative Code to ensure that all members of the psychological profession seek to adhere to the highest standards of scientific achievement and professional conduct. Amicus has a vital interest in ensuring that courts and administrative agencies assess mental retardation in accordance with the best professional practices and that legal determinations that depend on scientific evaluation strictly adhere to proper clinical testing procedures and evaluations.1 INTRODUCTION In Atkins v. Virginia, the Supreme Court recognized that the “widespread judgment about the relative culpability of mentally retarded offenders” concluded that 1 All parties have consented to the filing of this brief. In addition, amicus confirms that no counsel for any party authored this brief in whole or in part; and no party or counsel for any party made a monetary contribution intended to fund the preparation or submission of this brief. 1 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 8 Date Filed: 07/14/2014 the execution of those individuals did not promote “the penological purposes served by the death penalty” and was prohibited by the Eighth Amendment. 536 U.S. 304, 317 (2002). At the same time, however, the Court recognized that “[t]o the extent there is serious disagreement about the execution of mentally retarded offenders, it is in determining which offenders are in fact retarded.” Id. Although the terminology has changed and “mental retardation” is now properly referred to as “intellectual disability,” the revised nomenclature “describe[s] the identical phenomenon.” Hall v. Florida, 134 S. Ct. 1986, 1990 (2014); see also id. (citing Rosa’s Law, 124 Stat. 2643 (2010) (changing entries in the U.S. Code from “mental retardation” to “intellectual disability”); Am. Psychiatric Ass’n, Diagnostic and Statistical Manual of Mental Disorders 33 (5th ed. 2013) (hereinafter “DSM-V”) (“[I]ntellectual disability is the term in common use by medical, educational, and other professions, and by the lay public and advocacy groups.”). The Atkins Court declined to promulgate specific rules for determining intellectual disability, but emphasized the importance of the use of proper clinical practices for evaluating offenders who may be subject to the death penalty. First, the Court highlighted the “much broader social and professional consensus” opposing the imposition of the death penalty on intellectually disabled individuals, citing approvingly to the briefs of “several organizations with germane expertise,” including the American Psychological Association. Id. at 316, n.21. Second, and of particular 2 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 9 Date Filed: 07/14/2014 relevance to this case, the Court noted that the diagnosis of intellectual disability was made only after proper clinical testing, specifically, the administration of “the Wechsler Adult Intelligence Scales test (WAIS–III), [which was] the standard instrument in the United States for assessing intellectual functioning.” Id. at 309 & n.5. Only this past May, the Supreme Court more clearly elucidated the requirement that courts adhere to proper psychological standards of evaluation in implementing Atkins’ prohibition on the execution of the intellectually disabled. In Hall v. Florida, the Court considered a state law that prescribed certain inflexible rules for the utilization of IQ scores in the diagnosis of intellectual disability for purposes of the Eighth Amendment. Confronting a conflict between state law and the learned opinions of the psychological profession with respect to the diagnosis of intellectual disability, the Court unequivocally adopted the clinical judgment of medical professionals. The Court therefore held that “it is proper [for courts] to consider the psychiatric and professional studies that elaborate on the purpose and meaning of IQ scores.” 134 S.Ct. at 1993. In doing so, the Court rejected Florida’s determination that the state was free to utilize a hard IQ cutoff of 70, above which individuals could be subjected to capital punishment, without accounting for the proper clinical standard error of measurement. The Court based its rejection of this practice on the 3 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 10 Date Filed: 07/14/2014 fact that “[t]he professionals who design, administer, and interpret IQ tests have agreed, for years now, that IQ test scores should be read not as a single fixed number but as a range.” Id. at 1995. The Court held that the state cannot adopt standards that are at odds with those of the medical community. The Court stated that an “awareness of the IQ test’s limits is of particular importance when conducting the conjunctive assessment necessary to assess an individual’s intellectual ability.” Id. at 2000. And in making the determination that Florida’s rule violated the Constitution, the Court relied on an amicus brief setting forth the professional expertise of the psychological community, citing authoritatively the American Psychological Association’s brief numerous times in its opinion. This case presents a situation, similar to that in Hall, in which the State and the courts below turned a blind eye to “the IQ test’s limits.” The TPA wishes to emphasize three specific points applicable to this or any judicial or administrative proceeding wherein the gravity of the determination would warrant attention to the use of a complete instrument, properly administered so as to include all subtests, and with such documentation as would permit later re-examination. First, according to standards of professional practice, only the proper administration of a complete standard test of intellectual functioning is sufficient to make a diagnostic judgment that an individual is not intellectually disabled and therefore susceptible to execution. 4 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 11 Date Filed: 07/14/2014 Second, even when the proper test is utilized, the administrator of any test must keep a complete and accurate set of notes, known as “test data,” that both records the individual’s test answers and indicates where professional judgment was exercised during the administration of that test. Failure to preserve adequate records of the test’s administration significantly undermines the scientific method necessary to make a diagnosis of intellectual disability because it prevents any reexamination of the test results and so reduces the testing procedure to nothing more than the number that is its final result. Finally, although it is always inappropriate to use a short-form test of the type administered here for diagnostic purposes, even a professionally appropriate use of a short-form test to approximate a full scale IQ score must correctly distinguish between the reliability of the test across multiple administrations and the validity of the short-form test result as an indicator of a full scale IQ score. Failing to account for the difference between these two coefficients in determining the appropriate IQ range results in statistical errors that are significant. I. A SHORT-FORM TESTING PROTOCOL IS PROFESSIONALLY INADEQUATE TO MAKE A DIAGNOSTIC JUDGMENT REGARDING INTELLECTUAL DISABILITY. The standard psychometric test of intellectual functioning is the Wechsler Adult Intelligence Scale (“WAIS”). The WAIS consists of a large number of subtests designed to measure different levels of intellectual functioning, and the test is 5 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 12 Date Filed: 07/14/2014 “standardized” in order to give accurate and comparable IQ scores for most members of the general U.S. population. The WAIS is updated over time to correct and improve its accuracy as the standard measure of intellectual functioning. The most recent edition, the WAIS-IV, was released in 2008. The State’s experts testified that Mr. Henderson was administered an IQ test when he was processed into prison in 1994. At that time, the standard IQ test was the Wechsler Adult Intelligence Scale—Revised (“WAIS-R”). The WAIS-R consists of six verbal subtests and five performance subtests. The verbal tests are: Information, Comprehension, Arithmetic, Digit Span, Similarities, and Vocabulary. The Performance subtests are: Picture Arrangement, Picture Completion, Block Design, Object Assembly, and Digit Symbol. The scores derived from this test are a Verbal IQ, a Performance IQ, and a Full Scale IQ. The Full Scale IQ is a standard score with a mean of 100 and a standard deviation of approximately 15. The particular test that was administered to Mr. Henderson was a portion of the WAIS-R, consisting of the Vocabulary and Block Design subtests only. As this evaluation took place long before Atkins was decided, it is unsurprising that the State’s experts acknowledged that the purpose of this abbreviated testing was not to make a diagnosis of intellectual disability; rather, it was merely a “screening” measure designed to determine whether an inmate required further services consistent with his special needs. See Transcript of Hearing at 158:2-6, Ex parte Henderson, No. 181-CR- 6 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 13 Date Filed: 07/14/2014 12-93 (102nd Dist. Ct., Red River County, Tex. Oct. 5, 2005) (testimony of Steve Gilliland) (hereinafter “Gilliland Testimony”) (describing “screening process . . . to determine special needs”). In other words, the State simply extrapolated Henderson’s full scale IQ from his scores on two subtests extracted from the full form of the WAIS-R to estimate what score he would have received had he taken the full test. Despite this admission that Henderson’s test was not administered for the purpose of making a diagnosis of intellectual disability, id. at 173:14-15 (“[W]e did not diagnose mental retardation.”), the State now seeks to use that test for precisely this purpose. This procedure is professionally inadequate to rule out a diagnosis of intellectual disability. Criticism of the use of short-form tests, which are designed as screening mechanisms and not as diagnostic tools, is universal in the psychological community. See, e.g., Anthony P. Thompson et. al, Brief Intelligence Testing in Australia, Canada, the United Kingdom, and the United States, 35 Prof’l Psychology Research and Practice 286 (2004). Indeed, in superseding the WAIS-R used in this case, the manual for the WAIS-III itself emphasized that “short forms should be used with extreme caution. They should not be used in isolation for diagnosis or classification. In general, they should not be used in examinations with a legal, judicial, or quasilegal purpose (e.g., a statutorily mandated diagnosis or determination of a disability).” David Wechsler, WAIS-III Administration and Scoring Manual 35-36 (1997). 7 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 14 Date Filed: 07/14/2014 The necessity for using a complete testing instrument for any diagnostic purpose represents the consensus of psychological professionals that a variety of factors can inform the appropriateness of a particular testing protocol. In limited circumstances that do not require a clinical diagnosis, it is possible to administer a short-form test in the interests of time and for purposes of making merely an initial assessment of an individual’s intellectual functioning. “[S]hort forms can serve appropriately as screening devices, which are best used when the purpose of evaluation is other than for intellectual assessment. The results can be used either as a rough indicator of intelligence, or as a basis for determining whether a more complete cognitive assessment is necessary.” Gary Groth-Marnat, Handbook of Psychological Assessment 191 (4th ed. 2003). This is with good reason: “Although time-efficient, these short forms tend to provide less information about a person’s cognitive abilities, produce a wider band of error than a full administration, result in less clinical information, and are often of questionable accuracy when used for intelligence classifications.” Id. From a professional viewpoint, “[a]t a psychometric level, the development of short forms has been found wanting and results from abbreviated measures are not synonymous with IQs from the standard batteries.” Thompson, supra, at 288. The clinical profession’s criticism of the testing protocol applied to Mr. Henderson is not result-oriented; it is the point of that criticism that the protocol is 8 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 15 Date Filed: 07/14/2014 inappropriate for diagnostic purposes regardless of the diagnosis obtained. A shortform test is equally inappropriate as a clinical tool whether it is applied to prove intellectual disability or to rebut such a claim. But certainly when the purpose of the clinical evaluation is to make a determination as consequential as an individual’s susceptibility to execution, nothing less than a full-test administration will suffice. Even in the context of the far less consequential determination of eligibility for Social Security benefits, it is settled that such short-form tests are unacceptable. “When intelligence testing is conducted for high-stakes purposes, multidimensional, full-scale instruments should be used in the diagnostic, decision-making process because these instruments provide the most convincing evidence of technical adequacy, construct sampling, and validity.” Daniel J. Reschly et al., Mental Retardation: Determining Eligibility for Social Security Benefits 118 (2002). As the Supreme Court recognized in Hall, “[a]n IQ score is an approximation, not a final and infallible assessment of intellectual functioning.” 134 S. Ct. at 2000. When evaluating an expert’s presentation of intelligence testing results, “awareness of the IQ test’s limits is of particular importance when conducting the conjunctive assessment necessary to assess an individual’s intellectual ability.” Id. In particular, “in using these scores to assess a defendant’s eligibility for the death penalty, a State must afford these test scores the same studied skepticism that those who design and use the tests do.” Id. at 2001. 9 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 16 Date Filed: 07/14/2014 The state courts and the district court failed to apply the “studied skepticism” of short-form tests as conclusive of intellectual functioning that is the professional judgment of the psychological community. This error occurred even though the courts had available to them evidence supporting the professional judgment that amicus describes here. For example, the courts had available Jerome Sattler’s seminal work, Assessment of Children, which explains: When a small number of subtests is used, the estimate may be far less adequate than that provided by the Full Scale. Educational and clinical situations call for more, rather than less, extensive cognitive evaluation. You are encouraged to administer the Full Scale, unless there is some compelling reason to administer a short form….The Full Scale should be administered so as to maximize diagnostic information and minimize placement errors. Short forms are not recommended for any placement, educational, or clinical decision-making purpose. Jerome M. Sattler, Assessment of Children 139 (3rd ed. 1992) (emphasis in original). This Court has twice properly applied the professional skepticism amici urge here to reject short-form tests. In Blue v. Thaler, 665 F.3d 647, 659 (5th Cir. 2011), this Court affirmed the Texas courts’ rejection of short-form test results, which the state courts chose simply to treat as if they did not exist at all. This Court held that “the result of a short-form test is not a reliable substitute for a full scale IQ score” and affirmed the Court of Criminal Appeals’ conclusions that it should not “‘try to extrapolate an accurate IQ’ based on ‘an incomplete test score’ and instead chose to 10 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 17 Date Filed: 07/14/2014 ‘simply regard the record as it comes to us as devoid of any reliable IQ score.’” Id. (quoting Ex parte Blue, 230 S.W.3d 151, 166 (Tex. Crim. App. 2007)). Similarly, in Rivera v. Dretke, Civ. B-03-139, 2006 WL 870927 (S.D. Tex. Mar. 31, 2006), aff’d in relevant part sub nom. Rivera v. Quarterman, 505 F.3d 349 (5th Cir. 2007), the district court criticized the State’s proffered psychological evidence on the grounds that “None [of the offered results] are [from] a WAIS-III test, however, which both sides agree is the most reliable test for determining an adult’s IQ. The Court notes that all four of these tests were shorter, screening-type tests.” Id. at *20. It added, “all of the experts that testified in this case and all of the literature that this Court has reviewed suggests that one sacrifices accuracy for speed when one administers tests designed for screening purposes.” Id. The court granted Rivera’s petition for habeas corpus, concluding that “None of the other available test scores have a degree of sufficient reliability to satisfy this Court. Those that were administered in prison were not gold standard tests given in an appropriate fashion to establish a reliable IQ score. They were for the most part screening tests given in a group setting to help guide the prison system in its mission to house and care for prisoners.” Id. at *26. This Court affirmed, holding that the scientific fact of the diminished reliability of short-form tests “offered a reasoned basis for how [the district court] weighed the tests in its analysis.” 505 F.3d at 362. 11 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 18 Date Filed: 07/14/2014 The TPA agrees with the analysis of this Court in Blue and Rivera. Short-form tests are professionally inadequate to make a diagnosis of intellectual disability. They should not be accepted as competent proof in proceedings under Atkins and Hall to make determinations about an individual’s capacity to be subject to execution. II. FAILURE TO MAINTAIN ADEQUATE RECORDS DURING PSYCHOMETRIC TESTING OF INTELLIGENCE SIGNIFICANTLY UNDERMINES THE SCIENTIFIC METHOD. The State’s experts apparently acknowledge that it was a significant error for Mr. Gilliland to fail to maintain complete notes of Mr. Henderson’s testing. See Gilliland Testimony, supra, at 180:11-13 (“It was pretty important, and it was a mistake on my part, and it’s not something that I intended to do.”). This was not merely an error, it was a serious breach of the standards of conduct of the psychological profession, so serious as to itself undermine reliance upon the result. The APA’s Code of Ethics requires professional psychologists to maintain records of “test data,” which it defines as “raw and scaled scores, client/patient responses to test questions or stimuli, and psychologists’ notes and recordings concerning client/patient statements and behavior during an examination.” Am. Psychological Ass’n, Ethical Principles of Psychologists and Code of Conduct, Standard 9.04(a) (2010). It is important that this information be preserved because an IQ examination is not a purely standardized test that is administered without any semblance of judgment. On the contrary, “the concept of intelligence, as represented by the IQ 12 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 19 Date Filed: 07/14/2014 score, can sometimes appear misleadingly straightforward. Intelligence test scores can be complex, however, involving a variety of cognitive abilities, the influence of cultural factors, varying performance under different conditions, and issues related to the nature of intelligence.” Groth-Marnat, supra, at 5. When submitting a diagnosis of either average intellectual functioning or intellectual disability, “[f]our major influences on an individual’s performance on an intelligence test should be considered in making diagnostic decisions or recommendations for intervention. Each of the four poses threats to the validity of assessment results and all of them can be controlled to some considerable degree: (1) examinee characteristics, (2) examiner characteristics, (3) environmental influences, and (4) psychometric characteristics of tests.” Reschly, supra, at 100. WAIS testing inherently involves the application of clinical judgment.2 Although examiners strive for neutrality and standardization of test results, the subjectivity inherent in scoring even a test as comprehensive as the WAIS requires that subjective judgments be recorded precisely so that they can be evaluated by supervisors and other reviewers. The WAIS administrative guidelines require other 2 For example, on the modern version of the Vocabulary subtest administered to Henderson, the examiner is required to determine whether an individual’s answer to the question merits 0, 1, or 2 points, based on factors such as whether the answer “demonstrate[s] poverty of content,” uses “less pertinent synonyms,” or constitutes a “correct figurative use of the word.” Jerome M. Sattler & Joseph J. Ryan, Assessment with the WAIS-IV 98 (2009). 13 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 20 Date Filed: 07/14/2014 information to be recorded in testing notes as well. For example, if an individual gives an unclear response, the examiner may prompt the individual further, but is required to “record a ‘(Q)’ on the Record Form each time” he does so. Sattler & Ryan, supra, at 97. The same is true if an examiner determines it is appropriate to repeat a question for an individual who appears not to have understood, which is supposed to be reflected in “an ‘(R)’ on the Record Form.” Id. at 100. When an examiner’s notes are reduced to the mere recitation of his or her final result, as in this case, it is impossible for any subsequent reviewer—whether a supervisor such as Dr. Gillhausen or an expert reviewing the diagnosis for some later purpose—to assess the degree to which clinical judgment affected an individual’s score. This review and supervision is of such importance that the Texas State Board of Examiners and Psychologists has promulgated standards for maintenance of psychological records, including test data, in the Texas Administrative Code. As relevant here, Section 465.22(a) of the Code provides that: (1) All licensees shall create and maintain accurate, current, and pertinent records of all psychological services rendered by or under the supervision of the licensee. (2) All records shall be sufficient to permit planning for continuity in the event that another care provider takes over delivery of services to a patient or client for any reason, including the death, disability or retirement of the licensee and to permit adequate regulatory and administrative review of the psychological service. (3) All licensees shall identify impressions and tentative conclusions as such in patient or client records. 14 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 21 Date Filed: 07/14/2014 (4) All records and record entries shall be created in as timely a manner as possible after the delivery of the specific services being recorded. (5) Records, test data and test protocols shall be maintained and stored in a way that permits review and duplication. Tex. Admin. Code § 465.22(a). It is therefore incorrect to say that we have available all the diagnostic information necessary from the administration of the short-form test to Mr. Henderson. What is available to the Court is only one individual’s assessment, subsequent review having been rendered impossible, thus precluding any analysis of the degree to which non-scored factors may have affected the score. This is a significant failure that is inconsistent with the principles enshrined in the Texas Administrative Code and the ethical standards of the psychological profession. The court should not accept test results that are simultaneously unverifiable and unfalsifiable, because they do not meet the criteria of reviewability required for a principled diagnostic judgment. III. PROPER APPLICATION OF THE CONCEPTS OF VALIDITY AND RELIABILITY IS NECESSARY TO EXTRAPOLATE AN ACCURATE FULL SCALE IQ. The TPA does not believe that it is ever professionally appropriate to use a short-form intelligence test to extrapolate a full-scale IQ score for purposes of diagnosing whether an individual is intellectually disabled. Even in the limited circumstances in which it would be proper to approximate a full-scale IQ score from 15 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 22 Date Filed: 07/14/2014 a short-form test for screening purposes only, professional practice requires test administrators to distinguish and apply correctly the mathematical coefficients of validity and reliability that describe different aspects of a test’s accuracy. Validity and reliability are terms of art in the psychological profession. Validity “refers to the extent to which a test measures what it is supposed to measure, and therefore the appropriateness with which inferences can be made on the basis of the test results.” Sattler, supra, at 30. Reliability by contrast “refers to the consistency of measurements . . . A test is considered unreliable if scores are subject to random, unsystematic fluctuations; obviously a score is not dependable if readministration of the test is likely to result in a randomly different score.” Id. at 25-26. In his testimony, Dr. Gillhausen appears to have transposed these concepts. The Court of Criminal Appeals noted that Dr. Gillhausen “testified that the reliability of the short form WAIS-R is 94% which is ‘very acceptable.’” Ex parte Henderson, No. WR-37658-03, 2006 WL 167836, at *3 (Tex. Crim. App. Jan. 25, 2006) (Cochran, J., concurring). That statement is accurate. Sattler’s seminal text notes that the reliability coefficient of the “Vocabulary Plus Block Design” short-form WAIS-R administered to Mr. Henderson is in fact 0.94 and this “reliability of the composite is impressive.” Sattler, supra, at 234. Where Dr. Gillhausen appears to have erred, however, is in his subsequent statement that “The reliability of applicant’s 83 I.Q. score ‘would allow us to state that his I.Q. would fall within the range from seventy-six to ninety, about 16 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 23 Date Filed: 07/14/2014 ninety-five percent of the time, so that's fairly close.’” Ex parte Henderson, 2006 WL 167836, at *3 (Cochran, J., concurring). That determination is controlled not by the test’s reliability, but by its validity coefficient. A short-form test is supposed to approximate the score on a full test, and so the validity coefficient of a short form test is a mathematical reflection of how well correlated the short-form score is to the long-form score. The Vocabulary-Block Design short-form WAIS-R has the highest validity coefficient of any two-part subtest, at 0.90, but that is a lower coefficient than its reliability score of 0.94, cited by Dr. Gillhausen. Sattler, supra, at 849 tbl. C-34. A short-form test only reaches the 0.94 validity coefficient once at least four subtests are administered. Id. In short, it is professionally incorrect to use the reliability coefficient to calculate how well a shortform test score would correlate to a full-test score. That calculation must be made using the proper validity coefficient. It bears note that this error is yet another reason why it is inappropriate to administer a short-form test for a high-stakes diagnostic purpose like that presented here. First, no two-part short form test has a validity greater than 0.90. Even assuming that all calculations are performed accurately, this comparatively low validity expands significantly the standard error range and adds to the imprecision inherent in IQ measurement. Second, because the full test is not administered, it becomes necessary to perform these additional calculations relying on multiple different tables 17 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 24 Date Filed: 07/14/2014 and coefficients to extrapolate a full-scale score from a short-form test. Although administration of the full test is not always a simple endeavor, it is markedly less susceptible to the possibility of error along the many required axes of evaluation than is the short-form test that was utilized here. CONCLUSION For the foregoing reasons, it is the professional assessment of the TPA that the testing protocols used by the State in this case—including the test that was administered, the recordkeeping procedures that were followed, and the mathematical calculations used to describe the test results—were insufficient to support a diagnostic judgment with respect to Mr. Henderson’s intellectual functioning. Dated: July 14, 2014 Respectfully submitted, /s/ Mark K. Glasser Mark K. Glasser Texas Bar No. 8014599 David W. Denton Jr. New York Bar No. 5169602 Sidley Austin LLP 1000 Louisiana St., Suite 6000 Houston, TX 77007 713.495.4623 [email protected] [email protected] Counsel of Record 18 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 25 Date Filed: 07/14/2014 CERTIFICATE OF COMPLIANCE In accordance with Circuit Rule 32(a) and Rule 32(a)(7) of the Federal Rules of Appellate Procedure, the undersigned certifies that the accompanying brief has been prepared using 14-point Garamond Roman typeface, and is double-spaced (except for headings and footnotes). The undersigned further certifies that the brief is proportionally spaced and contains 4,270 words exclusive of the statement regarding oral argument, Rule 26.1 disclosure statement, table of contents, table of authorities, signature lines, and certificates of service and compliance. This does not exceed 7,000 words, as mandated by Rule 29(d) of the Federal Rules of Appellate Procedure. The undersigned used Microsoft Word 2007 to compute the count. /s/ Mark K. Glasser Mark K. Glasser 19 ACTIVE 202636065v.2 Case: 14-70001 Document: 00512697728 Page: 26 Date Filed: 07/14/2014 CERTIFICATE OF SERVICE I hereby certify that on this 14th day of July, 2014, I electronically filed the foregoing with the Clerk of the Court using the CM/ECF System, which will send notice of such filing to all registered CM/ECF users. /s/ Mark K. Glasser Mark K. Glasser 20 ACTIVE 202636065v.2
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