This article considers the scientific process whereby new and better
clinical tests of executive function might be developed, and what form
they might take. We argue that many of the traditional tests of executive
function most commonly in use (e.g., the Wisconsin Card Sorting Test;
Stroop) are adaptations of procedures that emerged almost coincidentally
from conceptual and experimental frameworks far removed from those
currently in favour, and that the prolongation of their use has been
encouraged by a sustained period of concentration on
“construct-driven” experimentation in neuropsychology. This
resulted from the special theoretical demands made by the field of
executive function, but was not a necessary consequence, and may not even
have been a useful one. Whilst useful, these tests may not therefore be
optimal for their purpose. We consider as an alternative approach a
function-led development programme which in principle could yield tasks
better suited to the concerns of the clinician because of the transparency
afforded by increased “representativeness” and
“generalisability.” We further argue that the requirement of
such a programme to represent the interaction between the individual and
situational context might also provide useful constraints for purely
experimental investigations. We provide an example of such a programme
with reference to the Multiple Errands and Six Element tests.
(JINS, 2006, 12, 194–209.)