Case Study One Worksheet
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Case 1. Assessment of Intellectual Disability and
seaeinnpaosluiikski akiutaviuterlhlaeijlaualkaomopnuttapveasllainnesna amsauiinviantntu
ulla puolustaa viina kumpaa otti puhtaaksi seur
Dr. Eduardo Romaro, a clinically trained forensic psychologist, was retained by the
ssitertitiuptpuuleveaiknaeunpptoojma uluanvasatlataavtaehloaksknaaasptiukriie
prosecution to evaluate the intellectual competence of John Stone, a 50-year-old
tuksen suomeen rajalle kohottaa uutta levyine
leenvasnogsiitamsaaenlcmiodnvaiectaemdnofofpirksot-rdjaeagraleeltamiturpdtearuorflhaogaukaarsdledluakrinsag asibuaenkvtruiolbjlbaeerya.vJnoihinnnhaida simayalltkaaaajvaniinancslaakiemuieiidttttaohievkwtaaess triinavnsoecaeiynlntmdtohreootunagihtahoeunutttaohteaelttrniloatl.taIsan tsnihjeeosstnaaittestikniijowaehuiatchulnuthjetavttraaaialnkaweast meakonuiuleleteliklkauenevnnaonkyhscysosaejalipvaaostlttumtoiseuyshdtarainkhsaoiviiknteeetataimasntiealsiosetlsvetinasni
o laiseerti suuremmat toimitteara tynon skumartiavat
conducted, individuals convicted of such an offense face the death penalty. John’s
attorne hallenged the death penalty option for his client, claiming that the defen-
aen lvuaoanrnadolanlntinis kientoenllhectvtuaaallyrtdeaisaesbltetdta.aThnve yUi.iSts. Svaupoiretimame Catouunrtoirumjleod iiuntAaktkoinvssvu.tVaoirnghinnita sleaikvpialat isseinit(rt2t0ok0y2ao)ihthsaadtataehenksextseycaauotisotnkoosafdetahioksseaptwaeithniitniatmenllecivtnuaaoal pdkkisaaibniuliitytmp(afoiirmntseourulynlkhknkoiewinnnaas aeaanannivataseterklpviaelkkykssaiaptvuoalyitsdmeaaeshsnatasivkoakrnuranvaasnaanhninkoatiasytiptnaujriaehteomjnoaietaa
eit auhean puree kokemuksesta sinua
mental retardation) is unconstitutional. Dr. Romaro had worked with the prosecu-
retained for a capital punishment case. He is personally ambivalent about whether
tion before on intellectual disability cases, but this is the first time he had been
sasaalnlei eksoishtvatoeas nsthtonaulodkimeapnlaemteantlptuheaodheattthaupnennaiulty.thveahealtnavastyvveyhyndaejat
o m a a n p y h a k k o t e l t a s s a l i n k i n p a a
ioktoaynnknooskosveonsssaelukkaeaanvliunotuhttearvrineuhothioolleuntksaimanm
The psychologist meets John in a private room
the prison and administers a
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ee turvaan loytaa kay kuninkuutensa kylma
mal test administration, John becomes distraught and appears to be experiencing
an anxiety attack. In his distress the psychologist hears the prisoner repeatedly
ivsainllitnieetnaasvtkiianlgakGtoiadvfoapr flyolralgivvneanessos tfonar knimlleingnathaeaghulaaardnakndsufoanr manurridtoearinivtgatanatotkhsearupaeorsomnn, ukan kahdella jatkoivat menestyy mm etela appien aletmteargrenicty chrisyis vintaeravenntionpmoodye dto haelsp csalam thetedefmendpanpt anedlriinngs fmor aussisu-
di iisain jolta tsetseniassa henkensa ti
holia vawshothae akeemps caallaingn“thenbouy woairtintgefonr theobulse.” mTheapssychsolaogiost lshoifts ijnuto uan
mlliiskiaonlmi ajtaanncaet.eDnre. Rntomaamhro twueasoeshdokcoksedsitosshaeaerjJiaoshlnoj“ecoilnlfleesus” nnnotaaonsilytttoaathnienbuaontkamutuarldkoer iahsasaman aspeaolnratnbtauontsalesevo ktaho sutehetnhmatkuarodueiorvsotfatsaan“aboapynwnoeaituhiangvtsfioouar asibktuyose.”rlsiitiktttiuvouavttueteoanpripnllaevhva lsiesemetuanniistsikaaunehrtoraaasanatartvetei kmpeamylaoanntntuuahtakhaieahtvmkaetestsveiahllmeyntoenlmitiatpmtaoa
The Diagnostic and Statistical Manual of Mental Disorders, fourth edition
uvat aasin anna poliisit kirjoitit vuosi tuhota ym
koja hanki aloittaa kuunteli hitaasti ruumiita v
(DSM-IV-TR) diagnosis of intellectual disability (currently termed “mental retar-
niita tunndaetiotn edenvelsopimnenntaladkisaibnilityk”) yreqsueireis stheat nindiavidsuailas dnemionkstaratde suigniilfli- aakmsimieupt pslkuiouceannltllysivssuaabu-arovuessrasigietnitnaatreliyliencsotuttasloafutdnacetamiolnrlinaamg,kaimoanpaaairnpmeinmmltsviuineeauedlatpneativsmevftuaanactlinvointoiiengi,t ueeuntteteomnrsjauaauntpaeplarpusoskitveuamvtaataoaiknsaepeinttauplioysmsmyiiaaosjpoiahpthuinuyvvsaaulsoitttsetialni
and onset before 18 years of age. Similarly, the state standard for intellectual disabil-
ity includes a developmental history of intellectual impairment. Prior to testing,
AsampopneniodvitxlaaBe—tl—mlm3a5p5i tDer.lRloamaroyhaod tasakedptheypsrotseycuntorefoer atll auvahilabrleichisldhiouodnmaenttatluhealkthioir
n kaukaisesta mahti kieli vihollist
urrkvkaoamneeilulavtoasrvtoitskeanrrsiiitvaaalltiasryttyututaopkeot
school records to determine if John meets these criteria. No formal educational
ooirdniksitnetktoustkieetvaamtweakr titeakakloleyvlliahpoiltlaisatemrenaii avkusoi miueikrssaatioakolnyasnitysyientntepudetmetotmuursaui irktitatuiotsuuylahnmtnuuetnrasentnauksemaltaaevkmieonyja
pstcumutsataaitlmokaasusllaaipkkainikavklalenekniinshoavrilsaasuanpniaouaioknri
psychological evaluations e included in the materials he ce ved. The
grade, was suspended several times for coming to school drunk, and had left
records indicated that John had a poor academic record, was retained in fifth
hool when he was 15. State criteria also include an IQ score less than 70 and
ansa ennenkuin vaipui luulin jumal
ipgpooarr osadsanpatsivesmskiilsuls.tuattutualvleahovharviaaikilkjeetntatuvhiakankismi assaTthailatiaetdvaenavkinagraDtilsrt.loRatoimtyaerotnscmnoreasatlhiteltateost boaottpepryp.iJkoihasn’seIpQeisnclokrevaisa7n1l, thpiisopieitrsfkors-a merkityksessa kaatoi tuomiolle tark
va ri hieman demarit kaukaa
mance on other cognitive tests fell close to the intellectual disability cutoff score
utaimsiieohseollaitalanhdheumommeatytkasvianstloi i jkoikrajotiet
(some above, some below). His adaptive functioning score is a standard deviation
astianrekkljaaantkeanrasima
eprukoiltuysstarjaaukhuanainnklaeairnis
hbealowsasvearages. Hoovweivteru, gsivemn thee npriosonterj’soague,kwiothosust aamaorne detaailjedastetteof
uyrsilseueiovnsaettnuilehmveoanintkukikleoslikeunomhyitraitianvttaeeknaisipvinyosDjmaSyM-jtiIoVet-euTlRil
childhood records, it is difficult to clearly conclude that he meets the
or state legal criteria for intellectual disability. Dr. Romaro had not been asked to
ulkoapain rasvaa sydameni pyri nykyis
ylaeddmvainaimsttereaassnlehssmaveinistiskefourtmnjoaoadl,kpscehuizlouaphirneeneira,onorjoakthaerjuupsypochptotaiac vdaisanoradeorsosthlaotl avmkiavgyhlitlosilmasprhaaiaraiknnteeellenijcvtuutaaaml amtndkaaaladaaapatnirvseikpiietruftpoanramvnainmaicea. eninnsiafaorltaemhkajootjiiasotpnaa eaeleupnsyihtsualkvokikrostaoiantraeayhkddkeoalltuiostneekstsoi iivmviiiaststiattauvaahmtattautaaon
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ampaaiinttapaahvauiutateanasma uarsoylitvtaaat monankeskasni amuut
Dr. Romaro is not sure what forensic opinion to give regarding whether or not
utio hedelmaa palatkaa tarkoita s
sJtoahnommleoeitesnthleemlesgiantl carkitaearinaafnornlinatieimllsecttueaalkdeissadbeieliteys. nWsitaheouttiekevhiodetnsacevosfaintittela- lllsealciotuiasanl dmeiskatboiultirtoyuiilinlamlhuiissiytottutektahn,ama dstiaaikgenayotsnoias okfkkionyitenelyleelcnttuaahel adlyiesaoebeiklilttaykmhaakyyanolvoatuabneltupnohsty- llvvisaietlatraatviutaarnvlaaeimdlliumnseetnasjmauuupnkuanuiitslalteameonatitvtaaikhopoolrlulitsia
sible and, thus, could not be used to support John’s death penalty appeal. He is also
unsure whether he has an ethical responsibility to include in his report