Perceptions in neuropsychology about non-inclusivity in testing materials: Preliminary results from a small-scale survey

Clin Neuropsychol. 2024 Nov 28:1-13. doi: 10.1080/13854046.2024.2430549. Online ahead of print.

Abstract

Objective: While some recommendations for neuropsychologists have been established regarding best practices when working with gender and sexual minorities, there are many assessment practices that could contribute to disparities for LGBTQ+ patients. The purpose of the current preliminary study is to collect initial information on practitioner perceptions of non-inclusivity in our instruments, allow neuropsychologists who attempt to increase inclusivity to share their approaches with others, and use the information to guide future, larger-scale studies and advocacy efforts. Method: Forty-six participants (mostly doctoral level neuropsychologists) completed a survey related to their experiences with inclusive and non-inclusive language in test materials. Results: The majority of respondents reported encountering non-inclusive language, with many having made changes in their practices as a result. Respondents highlighted concerns specific to neuropsychological instruments and questionnaires as well as normative data specific to the LGBTQ+ population. Respondents provided several examples for improvements. Conclusions: Based on these initial findings, several suggestions and future directions are highlighted.

Keywords: LGBT; LGBTQ; advocacy; assessment; neuropsychology.