Verbatim Vault Transcript • claude:Interpreting_neuropsychological_evaluation_test_re
Scene Blueprint: The Night Brent Plugged His Dell Neuro-Eval Scores Into an AI Model
Live AI Terminal Reconstruction (Verbatim Prompt & Response)
Brent Porter (Typing Live)
"please look up the neuropsych eval tests that i was given listed on this report, what does it indicate? notice verbal desc does not match numerical, but i'm mostly interested in what it measures and indicates all together, how many scores are there?"
AI Model Analysis — Clinical Classification Audit

You're right that the verbal descriptions don't consistently match the numbers. The most notable examples:

  • Perceptual Reasoning: 129, 97th percentile — described by Dell as "above average" (Standard clinical classification: SUPERIOR)
  • Working Memory: 122, 93rd percentile — described by Dell as "above average" (Standard clinical classification: SUPERIOR)
  • Premorbid Estimate: 120, 91st percentile — Standard clinical classification: SUPERIOR
  • Non-Verbal Abstract Reasoning & Visual Immediate Recall: Admitted in the narrative text as "exceptionally high" — yet stripped of numerical data / left BLANK in the table.

"If they had accurately described your cognitive scores as Superior, it becomes harder to frame you as someone who 'has not thrived as well as he would have liked' due to personality pathology. A person scoring at the 97th percentile in perceptual reasoning and the 93rd percentile in working memory who is disabled and unemployed raises a different question: What happened to this person? That question points toward illness, injury, or external factors. But if you flatten those scores to 'above average,' the narrative shifts."

Exhibit 1 (Feb 3, 2025, PDF pp. 8–9) — Every Departure Cut in One Direction
Cognitive Domain (WAIS-IV) Score / %ile True Norm (Lezak/Heaton) What Dell Wrote
Perceptual Reasoning (PRI) 129 (97th %ile) SUPERIOR "above average"
Matrix Reasoning 95th %ile SUPERIOR Flattened
Visual Puzzles 95th %ile SUPERIOR Flattened
Working Memory (WMI) 122 (93rd %ile) SUPERIOR "above average"
Non-Verbal Abstract Reasoning [ LEFT BLANK ] "Exceptionally High" Numbers Omitted
Processing Speed (Neuroinflammation) 86 (18th %ile) Low Average Reported Without Change
Plus the Backdated 12/12/2024 Lab Order Caught in the Same Chat:
A lab order dated 12/12/2024 inserting a bipolar code listed Brent's age as 60. Because Brent's birthday is March 29, 1965, he did not turn 60 until March 29, 2025—proving the document was generated or printed months after the December 2024 evaluation.