As a psychologist, you may be asked to provide a university or profess
ional licensing board with recommendations concerning special test acc
ommodations for a student you diagnosed with a learning problem. In th
is article, the author discusses experience consulting with states adm
inistering the bar examination to law graduates diagnosed with attenti
on deficit hyperactivity disorder who requested test accommodations; t
his experience illustrates the controversies surrounding this issue. P
sychologists' recommendations for test accommodations are too often ba
sed on incomplete evaluations with unclear rationale for their support
. Test agencies lack research to support their concern that validity i
s altered when test accommodations are granted.