1 Psychology and human development1.5 Intelligence

1.5.2 Intelligence testing and cultural context

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Written by Resident Doctor Committee · Published

New in the 2027 syllabus

The College added this topic for exams from January 2027.

How scores are produced

  • Standardisation means the test is given and scored in a fixed way.

  • Norms compare a person's performance with an appropriate reference population.

  • Deviation intelligence quotient (IQ) compares performance with people of the same age. Most scales in common use have a mean of 100 and a standard deviation of 15.

  • Ratio IQ was the historical method: mental age divided by chronological age, multiplied by 100. Modern adult scores do not use it.

Instrument

Main use

Caution when interpreting

Wechsler Adult Intelligence Scale

Adolescent and adult cognitive assessment

Look at domain scores, not just the total

Wechsler Intelligence Scale for Children

School-age cognitive assessment

Use age-appropriate norms

Raven's matrices

Non-verbal pattern reasoning

Relying less on language does not make it culture-free

Reliability and validity

  • Reliability is about consistency. Every score has some measurement error, so read it with its confidence interval.

  • Validity is about whether the evidence supports how you intend to interpret the score, including its links with other measures and relevant outcomes.

  • A single total score can hide an uneven profile. Interpret it alongside the history, the person's functioning and the question the assessment is meant to answer.

Culture and opportunity

  • Cultural context shapes which skills are valued, educational opportunities, how familiar the tasks are and what test instructions are taken to mean.

  • Assess language and sensory needs before testing. Changing the standard administration to meet them can limit comparison with published norms.

  • Group averages do not determine an individual's abilities. A difference in scores does not by itself show that the explanation is genetic.

Worked example

Quantity

Value

Standardised position

1 standard deviation above the mean

Scale mean

100

Scale standard deviation

15

  1. Convert the position into scale units: 1 × 15 = 15.

  2. Add the scale mean: 100 + 15 = 115.

  3. Read 115 as relative standing on that scale. It is not a percentage of intelligence or a fixed personal limit.

On a scale with mean 100 and standard deviation 15, one standard deviation above the mean corresponds to 115. The curve illustrates the scale, not observed data or a diagnostic boundary; an individual's score still needs its measurement uncertainty and context. Original illustration drawn in Python for MRCPsychiatrist; see images/ATTRIBUTION.md