Testing Begins

Abstract

When the client presents for the first day of testing, psychologists should be prepared to take observations regarding the individual’s affect, behavior, as well as social and communication skills. In an assessment for ASD, eye contact, gestures, facial expressions, and the integration of these are important considerations. Social interaction, play, and interests are critical to observe. It is best practice to have behavior observations from multiple raters who are trained in autism assessment. These observations answer questions like, “was the interaction comfortable or awkward?” “Was the child rigid, bossy, or resistant to testing?” Included in this chapter is a guide for taking such observations, as well as assessing the child’s problem-solving approach during cognitive assessments. It can sometimes be helpful to consider first impressions of the client as compared to clinical impressions after a full diagnostic assessment. A careful look at the various perspectives of clinicians during different stages in the assessment process can provide rich data to be considered in diagnostic decisions. The chapter includes an instructive guide for managing behaviors during a diagnostic assessment. Through the utilization of ABA principles, clinicians are empowered to complete a comprehensive evaluation, even when others may have deemed the child “untestable.” At the conclusion of this chapter, clinicians are prepared to set up for a successful testing session, manage challenging behavior, establish rapport with clients, and take valuable assessment observations.