CHAPTER VII. CHECKING THE BINET DIAGNOSIS BY OTHER METHODS

The Binet scale in its various forms provides only part of the objective

evidence as to the mental inferiority of delinquents, although it

affords the best means at present of interpreting the borderline of

deficiency. Among the other investigations in which psychological tests

have been tried with delinquents in comparison with normal subjects, the

recent study of the Mentality of the Criminal Women by Weidensall is the

most important so far as estimating the frequency of deficiency is

concerned (_60_). It affords an admirable check upon our conclusions

from the Binet examinations, since she gives in detail the results with

a random group of 88 women inmates of the Bedford (N. Y.) Reformatory,

which is quite comparable with the group of 200 which she tested with

the Binet scale, and which we have already considered.

For our purpose, the most important comparisons are those between the

group of women in the reformatory and the group of 15-year-old

Cincinnati working girls tested by Woolley with the same tests.

Weidensall's Table 92 shows for three tests the percentages of the

Bedford women who tested below the lowest 1% of these girls. For the

opposites test, 20% were below this borderline; for a test on the

completion of sentences, 12%; for the memory span for digits, 29%. She

also shows that 17% of the delinquent group were poorer than any of the

working girls and 30.7% as poor as the poorest 5.7% of these working

girls, when their mentality is measured by the number of the tests in

which their ability is at or above that of the median working girl of

fifteen. This 30.7% is probably most nearly comparable in ability with

the lowest 0.5% of the general population.

Kelley's monograph on Mental Aspects of Delinquency, to which reference

was made in the last chapter, gives the results with boys in the Texas

Juvenile Training School for the completion test and his own

construction test, as well as for a number of physical measurements,

sensory and motor tests. He has used various data from which to provide

norms for comparison. In connection with the Psychopathic Institute at

the Chicago Juvenile Court, Healy and Fernald (_125_) have published an

elaborate series of tests with suggestions as to how they may be

employed for analyzing a child's mental ability and estimating his

mental capacity. Schmidt has partially standardized these tests (_178_).

Guy G. Fernald (_15_) tried out a dozen different tests and recommends

seven of them for testing delinquents who are of adolescent age or

older. Haines has sought the diagnostic value with girl delinquents of a

dozen tests including Fernald's test of moral judgment. Weidensall

(_218_), Smedley (_51_), Rowland (_49_), Porteus (_45_), and Whipple and

Fraser (_220_, p. 663), have published results with certain tests tried

with delinquents. With none of these tests can we adequately define the

borderline of feeble-minded intellects.

There is no series of tests which has been employed outside the field of

delinquency which diagnoses the borderline cases objectively so well as

the Binet scale. The tests of Weyandt (_219_), Rossolimo (_175_),

Rybakow (_176_), and Knox (_134_) are without definable limits based on

unselected groups. Those employed by Dr. Norsworthy, while

scientifically better scored for describing the borderline, were not

arranged with this in view (_160_). Carpenter has published norms

obtained with Squire's tests on 50 pupils of each age from 7 to 14.

Single tests like the form board (_87_), Knox's cube test (_134_), the

substitution test (_1_), and the A test (_160_) have been tried with

delinquent or feeble-minded groups as well as with normal people. Under

the direction of the New York Board of Charities an excellent beginning

has been made in determining norms for eleven different tests (_158_).

Stenquist, Thorndike and Trabue (_54_) have furnished developmental

norms for several tests. Gilbert (_108_) and Smedley (_51_) at an

earlier date provided age norms and deviations for certain tests. Mrs.

Woolley has provided the percentile distribution for a series of mental

and physical tests with 14-and 15-year-old children leaving the public

schools to go to work (_222_) (_223_). In England a goodly number of

different tests have been tried out on small groups or on children of

particular ages (_84_) (_63_) (_224_). Pyle has obtained norms and

variations with a series of group tests. It approaches nearest to the

Binet as a developmental scale for the immature, but these tests have

not been tried as individual tests and so could hardly be used safely

for individual diagnosis. A graphic summary of the developmental curves

for most of these tests on children will be found in Chapter XIII.

In no case do we find any tests except the Binet scales which have

reached a stage of practical usefulness for the diagnosis of deficiency

except as supplementary aids for checking the Binet indication with

children of particular ages. The emphasis has almost universally been

placed on determining the central tendencies of children of different

ages and not on the lower limits of the distributions. Considering

mental tests apart from the Binet scale, in all the extended literature

which has been brought together in books like Whipple's Manual of Mental

Tests (_220_), one may seek in vain for tests which have reached the

position of defining the limits of serious mental deficiency. This

indicates, of course, the difficulty as well as the newness of the

problem, although the quantity of work that is being done shows the

great interest aroused. From all of this mass of research on mental

tests one may gather much that is useful in analyzing the character of a

mental defect. Many of the tests admirably aid in elaborating the

subjective impression of the examiner. The failure to do this

systematically has been one of the main criticisms raised against the

Binet scale. This and the incorrectness of the borderline described in

the published scale seem to be the main objections made by Miss Schmidt

to the Binet Method. She voiced the objection of the Juvenile

Psychopathic Institute in Chicago to the tests as follows: “It has been

the experience of the writer, and it may be added of all others who have

worked in this laboratory, where practical results are demanded, that

the Binet tests cannot furnish an adequate means through which to come

to conclusions for the disposition, classification, or treatment of the

cases which come for diagnosis” (_179_).

Dr. Merrill of the Seattle court also seems unfriendly to the Binet

scale when he says: “Any system of tests by which _alone_[30] it is

attempted to classify the child as being of a given mental age involves

the fallacy of pseudo-exactness, and needs carefully to be avoided”

(_148_). Nobody would seriously urge that real exactness of definition

leads to confusion. It is just the looseness of definition of borderline

with the Binet Scale which has led to most of the mistakes with it.

Perhaps Dr. Merrill has not discovered that the scale works just as well

when used as a graded series of tests without the designation of mental

ages at all. The latter is merely a convenience. On the other hand, we

should agree when he says, that “no scale of tests can give a valid

measure of the child's intelligence unless supplemented by a

consideration of his history,” especially if he includes in the child's

history a medical diagnosis.

The objection that the Binet tests do not analyze the source of the

child's mental defect is of course important if one were considering

whether a better scale might not be devised. It is rather beside the

point, however, when one remembers that it is not the purpose of this

scale to determine the causes of deficiency, but only to say whether a

deficiency in general intelligence is present and to what degree. The

causes of the disturbance must then be determined by an expert.

Moreover, if one classifies the Binet tests as Meumann has done one may

often get valuable clues as to whether the deficiency is mainly in

information or in mental process. In seeking the causes of the

disturbance, the expert should not overlook the standardization of the

Rosanoff and Kent Association Test which has been available for

delinquent, feeble-minded and normal children (_174_). It is one of the

most important supplementary means for mental analysis which has yet

been standardized for practical use. The most complete tables on

children's reactions for this test have been published in a

_Psychological Monograph_ by Woodrow and Lowell.

The importance of more accurate psychological tests in studying mental

disturbance is well illustrated by comparing the results that may be

obtained with the Binet tests with the desultory, unstandardized tests

such as one finds in Dr. Schaefer's Allgemeine gerichtliche Psychiatrie

für Juristen, Mediziner, and Pädagogen (_177_), or Dr. Cimbal's

Taschenbuch (_91_) prepared for physicians and jurists. Suggestive as

these books are for disclosing different mental activities, they give no

means of evaluating the disclosures. They show the puerile stage in

diagnosis which had been reached before standardized tests were

available.

Among those who are engaged in practical clinical work for determining

mental development the Binet Scale has advocates who are quite as ardent

as critics we have noted. Goddard, Kuhlmann (_139_), Wallin (_213_), and

Towne (_201_), have all used it in the practical examination of hundreds

of cases and heartily commend its use in connection with delinquents, as

does Healy for the earlier ages (_27_, p. 80). On the other hand there

is a growing sentiment that the examinations should only be entrusted to

experts in mental development. It is felt that the physician who has not

had enough training in a psychological laboratory to understand the

snares of mental tests, and very few have had this opportunity, ought to

refer this question to a clinical psychologist as the best physicians

now do when such experts are available. Perhaps nobody is so well

equipped to judge a child's mental development without diagnostic tests

as his school teacher, although Terman has shown that the teacher's

judgment may be seriously at fault when he has not learned to dissociate

mental capacity from the age and size of the child (_196_). In an

editorial in the Journal of Criminology, Dr. Gault (_106_, p. 322)

expresses the opinion that “dissatisfaction with mental tests as a means

of diagnosis” is traceable to the fact “that what the lay mind

recognizes as palpable errors are often made by half-trained

'investigators,' 'research directors' and even by men and women whose

only qualification is that they have been trained for six weeks in a

psychological clinic.” Dr. Wallin demands that the tests should be used

for diagnosis only by the psychologist with clinical experience.

The American Psychological Association has cautioned against diagnosis

by those inadequately trained and adopted the following resolution at

its 1915 meeting:

“Whereas, psychological diagnosis requires thorough technical

training in all phases of mental testing, thorough acquaintance with

the facts of mental development and with the various degrees of

mental retardation.

“And whereas, there is evident tendency to appoint for this work

persons whose training in clinical psychology and acquaintance with

genetic and educational psychology are inadequate:

“Be it resolved, that this Association discourages the use of mental

tests for practical psychological diagnosis by individuals

psychologically unqualified for the work.”

Binet's suggestion as to the diagnosis of mental development seems to be

best. He says that “the selection of defectives calls for three

varieties of experience—that of teachers, of doctors, and of

psychologists” (_77_, p. 38). These three points of view may be combined

in a committee as in France, or the decision may rest with a specialist

in mental development whose judgment should only be given after he has

all the information which the medical, educational, and social diagnosis

can provide to supplement his test records and his evaluation of the

causes of the condition found.

Those who are considering the legal isolation of the feeble-minded,

especially defective delinquents, and superintendents who wish a safe

rule for transferring school children to special classes or schools for

the mentally retarded should keep a committee plan in mind. A legal

requirement embodying an examination by such a commission could easily

be framed. In my opinion the expert in mental development should be

required at least to have the equivalent of a year of graduate work with

his major time in testing. On the other hand very desirable information

as to children that require examination may be obtained by a teacher who

uses a mental scale intelligently. In the hands of an amateur it may

perform an analogous service to that of a vision chart in discovering

children who require expert examination of their eyes. The danger lies

in the novice not knowing his limitations. Few who have had experience

with tests can doubt, however, the much greater danger of inadequate

diagnosis of mental development on the part of physicians who give

opinions about mental deficiency without having had experience with test

scales.

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Footnote 30:

Italics mine.

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