One of the hats I wear is as a founding board member and treasurer of the Society for Participatory Medicine, a nonprofit organization devoted to forwarding the agenda and rights of e-patients. E-patients are engaged, equipped and enabled to be an active partner in their own health care — including mental health care.
One of the memes the Society has been helping to forward recently is the “Gimme my damn data” movement — patients who want access to their (sometimes raw) medical data. For instance, Hugo Campos wants access to his defibrillator data. A simpler, more common example of this is ensuring you get a copy of the lab results for any blood work done on you.
Along those lines, I’d like to suggest another area where patients are entitled to their own data — psychological testing. All too often, patients who undergo psychological testing are not offered a copy of their raw and/or scored data voluntarily. In fact, psychologists often put up barriers to stop patients from receiving such data.
Psychological testing may include an IQ test, personality testing (such as the MMPI-2 or similar measure), and specific disorder or symptom tests (like the Hamilton or Beck inventories for depression). Psychological testing also includes neuro-psychological testing, which is more in-depth and can involve dozens of assessment measures.
The American Psychological Association’s Code of Ethics for psychologists states:
9.04 Release of Test Data
(a) The term test data refers to raw and scaled scores, client/patient responses to test questions or stimuli, and psychologists’ notes and recordings concerning client/patient statements and behavior during an examination. Those portions of test materials that include client/patient responses are included in the definition of test data. Pursuant to a client/patient release, psychologists provide test data to the client/patient or other persons identified in the release. Psychologists may refrain from releasing test data to protect a client/patient or others from substantial harm or misuse or misrepresentation of the data or the test, recognizing that in many instances release of confidential information under these circumstances is regulated by law. […](b) In the absence of a client/patient release, psychologists provide test data only as required by law or court order.
Notice how the APA gives psychologists the equivalent of a blank check to deny you access to your own data:
Psychologists may refrain from releasing test data to protect a client/patient or others from substantial harm or misuse or misrepresentation of the data or the test…
If a psychologist believes you might use the data in any way that constitutes a “misuse” (not defined within the Code of Ethics) or a “misrepresentation” (also not defined) of the data or the test, they can deny you access to your data. For instance, if a patient wants their test scores and says something like, “This will help me critique this test on my blog,” a psychologist could deny them access to their own data.
Because these terms aren’t defined, that gives a professional wide latitude when it comes to releasing the patient’s personal raw data or scores. Luckily, many state laws override this APA standard, allowing patients access to their psychological data no matter what.
What’s your experience been when you’ve asked for a copy of your psychological test data? Did the psychologist give it to you with a simple signed release? Please share in the comments section.
For more information…
Read more on this issue: Give patients (that’s you) access to all their (your) data — so they can help
Learn more about the Society for Participatory Medicine.
4 comments
I had psych testing done a few years ago and am now wanting to see the results just out of curiosity. I was told to submit a request which I did. Now I’m being told that they don’t think its necessary for me to see the results in its entirety and that maybe jus a summary would be better. They are thinking I might react negatively to the report. I honestly don’t think I will though. I know I have issues. I’m thinking it might even help me to be more constructive at targeting problem areas. I was searching this subject today bc I wanted to know if they can indeed keep the results from me in its entirety. It sounds like they can? This doesn’t seem right. It’s my medical record about me. Why should I have to fight to see it?
I just wanted a verification of my IQ, name of intelligence test I took, and the signature of the psychologist who gave me the test on office letter head. The office admin who was in charge of records continued to repeat her broken record of telling me that, “raw test data must be requested from a licensed psychologist”.
I wasn’t asking for raw test data.
My request through the Privacy Act for raw data and testing results was denied resently. The verbal reason was “we only release to a licenced psychologist” to protect the test. The test was conducted 20 years ago.
Thank you so much for your helpful information as I recently (within past 2 years) had psychological testing and have hit a roadblock in securing a copy of “raw data”. I know for a fact (written summary from insurance company, i.e. – disability denial) the “raw data” was interpreted in their favor. Couple of questions: In my state of Virginia, does the administration of the test have to be done by a psychologist, because mine was not. It was done by an unlicensed staffer who rendered her “opinion”, which insurance company accepted. Secondly, how does one challenge this non-release? I’m the PATIENT!
Please advise. Again, thank you!