1977; Kleinmuntz & Szucko, 1984; Patrick & Iacono, 1991). Although defense attorneys often attempt to have the results of friendly CQTs admitted as evidence in court, there is no evidence supporting their validity and ample reason to doubt it. Members of scientific organizations who have the requisite background to evaluate the CQT are overwhelmingly skeptical of the claims made by polygraph proponents. Polygraphs measure arousal, which can be affected by anxiety, anxiety disorders such as posttraumatic stress disorder (PTSD), nervousness, fear, confusion, hypoglycemia, psychosis, depression, substance induced states (nicotine, stimulants), substance withdrawal state (alcohol withdrawal) or other emotions; polygraphs do not measure "lies". A polygraph cannot differentiate anxiety caused by dishonesty and anxiety caused by something else. US Congress Office of Technology Assessment In 1983, the US Congress Office of Technology Assessment published a review of the technology and found that National Academy of Sciences In 2003, the National Academy of Sciences (NAS) issued a report entitled "The Polygraph and Lie Detection". The NAS found that "overall, the evidence is scanty and scientifically weak," concluding that 57 of the approximately 80 research studies that the American Polygraph Association relied on to reach their conclusions were significantly flawed. These studies did show that specific-incident polygraph testing, in a person untrained in counter-measures, could discern the truth at "a level greater than chance, yet short of perfection". However, due to several flaws, the levels of accuracy shown in these studies "are almost certainly higher than actual polygraph accuracy of specific-incident testing in the field". When polygraphs are used as a screening tool (in national security matters and for law enforcement agencies for example) the level of accuracy drops to such a level that "Its accuracy in distinguishing actual or potential security violators from innocent test takers is insufficient to justify reliance on its use in employee security screening in federal agencies." The NAS concluded that the polygraph "may have some utility but that there is "little basis for the expectation that a polygraph test could have extremely high accuracy". The NAS conclusions paralleled those of the earlier United States Congress Office of Technology Assessment report "Scientific Validity of Polygraph Testing: A Research Review and Evaluation". Similarly, a report to Congress by the Moynihan Commission on Government Secrecy concluded that "The few Government-sponsored scientific research reports on polygraph validity (as opposed to its utility), especially those focusing on the screening of applicants for