“…There are many factors that affect a patient's test performance in addition to the presence or absence of brain damage and the precise nature and locus of the lesion, including age, sex, emotional state, nature of the relationship with the examiner, medication, psychiatric status, and motivation (Baker, 1968;Benton & Spreen, 1961;Bruhn & Reed, 1975;Chavez, Schwartz, & Brandon, 1982;Goebel, 1983;Goldstein & Shelley, 1975;Harris, Cross, & Van Nieuwkerk, 1981;Heaton, Smith, Lehman, & Vogt, 1978;Parsons, Morris, & Denny, 1963;Prigatano & Parsons, 1976;Reed & Reitan, 1962;Sweet, 1983). A person making a naive interpretation of test performance in accordance only with published norms fails to take into account the ways in which these factors converge to affect the patient's level of performance.…”