Simple dissociations for a higher-powered neuropsychology
Neuropsychological dissociations are often investigated at the level of the single-case, and formal criteria exist for the detection of dissociations, and their sub-classification into ‘classical’ and ‘strong’ types. These criteria require a patient to show a frank deficit on one task (for a classical dissociation) or both tasks (for a strong dissociation), and a significantly extreme difference between tasks. I propose that only the significant between-task difference is logically necessary, and that if this simple criterion is met, the patient should be said to show a dissociation. Using Monte Carlo simulations, I demonstrate that this simplification increases the power to detect dissociations across a range of practically-relevant conditions, whilst retaining excellent control over Type I error. Additional testing for frank deficits on the individual tasks provides further qualifying information, but using these outcomes to sub-classify dissociations as classical or strong may be too uncertain to guide theoretical inferences. I suggest that we should instead characterise the strength of the dissociation using a more continuous index, such as the effect size of the simple between-task difference.