Theoretical and practical considerations in the psychological and educational assessment of the student with intractable epilepsy: dynamic assessment as an adjunct to static assessment.
Assessing the student with intractable epilepsy requires skill not only in evaluating cognitive problems, but also detecting seizures and discovering how to adapt instruction to minimize their negative impact on learning. Ironically, assessment efforts are seen as compromised by the occurrence of seizures during testing, when determining how seizure events may interfere with learning and the instructional modifications that are necessary to cope with them, should be a key part of assessment. A dual approach to assessment is recommended that combines the identification of cognitive deficits with an evaluation of how recurring seizures may prevent the student from engaging in instruction. Without also evaluating the student's response to instruction, teaching to specific cognitive needs is limited by insufficient knowledge about how to keep the student involved in instruction when seizures occur. Static assessment evaluates cognitive functioning at the time of testing, without changing the way that the student learns and responds. By engaging the student in teaching/learning sessions, dynamic assessment explores how the student best learns despite cognitive deficits and the disruptive effect of seizures. This paper includes a description of the authors'experience in using dynamic assessment as an adjunct to static assessment in evaluating a student with intractable epilepsy.
Humphries
T
T
Division of Neurology, Department of Paediatrics, University of Toronto, Canada.
Krogh
K
K
McKay
R
R
D002648:Child; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology; D004521:Educational Measurement / Q000379:methods*; D018792:Encephalitis, Viral / Q000150:complications; D004827:Epilepsy / Q000150:complications / Q000523:psychology / Q000534:rehabilitation* / Q000821:virology; D005260:Female; D006801:Humans; D007805:Language Development Disorders / Q000534:rehabilitation / Q000821:virology; D008297:Male; D009483:Neuropsychological Tests; D015203:Reproducibility of Results; D013663:Teaching / Q000379:methods*; D016896:Treatment Outcome