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Make sense of this: “In Patient A.B.’s case, using academic achievement to measure pre-existing functioning can be problematic, particularly when assessing individuals who face socioeconomic and education disparities. These disparities can have a lasting impact on a person’s academic achievement and overall functioning. In his case, using race-inclusive normative approaches is necessary to avoid false harmful conclusions, denial of benefits, and failure to treat. This patient has a history of experiencing multiple concussions, Post-Traumatic Stress Disorder (PTSD), and bipolar disorder. As a result, the patient is finding it difficult to perform their work to the required minimum standard. However, despite these challenges, there has been no detectable change in the patient’s current intellectual functioning compared to his pre-existing functioning. It’s important to note that a “false negative” outcome in this situation would mean that the tests show that the patient’s cognitive function has not declined, even though it actually has. This could potentially result in the patient not receiving the necessary support or treatment.
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