Case 1 data (Monday morning)

A neuropsychological evaluation was performed approximately nine months ago. The results of the evaluation indicated that he has a verbal IQ of 125, but a performance IQ of 96 (100 represents the mean). This discrepancy in test performance suggests excellent skills derived from formal, academic training (i.e., vocabulary, arithmetic, similarities), but a relative weakness in his adaptive problem solving abilities (his ability to use his intellectual reserves when confronted with novel problems). 'Severe' deficits were found in his sequential processing abilities, logical analysis skills, deductive reasoning/concept formation abilities, manual dexterity, and in his verbal fluency. 'Mild to moderate' deficits were noted in his facial recognition abilities and in his verbal list learning abilities (verbal short-term memory). Relative strengths were noted in his basic language functioning, visuospatial abilities, and in his nonverbal short-term memory. Behaviorally, the patient shows a tendency to be naive, he has repeatedly demonstrated poor social judgment; and while he may develop an interest in something, his passion for such interests quickly wanes. He lives alone in a small duplex and is provided with sitters and various therapists throughout the week. If left to his own devises, he would either sleep or sit repeatedly watching the same movies. Interactions with him are generally one-sided with the patient rarely expressing any care or concern for those with whom he interacts, a behavior that others view as ego-centric and selfish.