“…When that data is unreliable, there is a higher risk for data to suggest a false positive or false negative, potentially misinforming IEP teams during the decision making process. Due to inconsistencies across age ranges and across tests, the necessity to individually calculate the confidence interval of each difference score (Charter, 1999;Charter & Feldt, 2009), and the poor diagnostic and treatment utility offered by profile analysis methods in general (Canivez, 2013;John H Kranzler, Floyd, Benson, Zaboski, & Thibodaux, 2016;McGill, 2018;McGill et al, 2018;McGill et al, 2016;Miciak, Fletcher, Stuebing, Vaughn, & Tolar, 2014;Watkins, 2003), clinicians will likely make more reliable clinical decisions if they avoid the use of difference scores. That said, difference scores, when used, should be interpreted with caution and only under the circumstances prescribed by Charter and colleagues (1999;.…”