MALINGERING DETECTION - THE USE OF A FORCED-CHOICE METHOD IN IDENTIFYING ORGANIC VERSUS SIMULATED MEMORY IMPAIRMENT

被引:67
作者
GUILMETTE, TJ
HART, KJ
GIULIANO, AJ
机构
[1] RHODE ISL HOSP,PROVIDENCE,RI 02903
[2] BROWN UNIV,PROVIDENCE,RI 02912
[3] UNIV RHODE ISL,KINGSTON,RI 02881
[4] XAVIER UNIV,CINCINNATI,OH 45207
来源
CLINICAL NEUROPSYCHOLOGIST | 1993年 / 7卷 / 01期
关键词
D O I
10.1080/13854049308401888
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Hiscock and Hiscock (1989) forced-choice procedure for detecting feigned memory impairment was administered to brain-damaged patients (n=20), psychiatric inpatients (n=20), and two groups of nonpatients. One of these groups was instructed to simulate memory dysfunction (n=29) and the other group was asked to put forth their best effort (n=20). Out of 72 items on the procedure, the mean number correct for each group was as follows: brain-damaged patients = 69.2 (96%); psychiatric inpatients = 71.0 (98%); nonpatients responding honestly = 72 (100%); and nonpatients feigning memory impairment = 43.5 (60%). Statistical comparisons were made among the two patient and simulating groups. The simulators performed significantly worse on this measure than the brain-damaged or psychiatric patients. Only 34% of the simulating group performed significantly below chance; a level which has previously been regarded as necessary in order to consider the possibility of malingering. The results suggest that this test for malingering of memory complaints is easy for individuals with neurologic or psychiatric dysfunction, even for those with significant cognitive impairment, to complete accurately. Even a few errors is sufficient to raise the suspicion that level of effort or motivation may not be optimal.
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页码:59 / 69
页数:11
相关论文
共 32 条
[1]  
AMIN K, 1991, CLIN NEUROPSYCHOL, V5, P261
[2]  
AMIN K, 1991, AUG ANN M AM PSYCH A
[3]  
ARKES HR, 1990, PROFESSIONAL PSYCHOL, V21, P3
[4]  
Barth J. T., 1986, J HEAD TRAUMA REHAB, V1, P63
[5]  
Bigler E. D., 1986, NEUROPSYCHOLOGY HDB, P526
[6]   NEUROPSYCHOLOGY AND MALINGERING - COMMENT [J].
BIGLER, ED .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1990, 58 (02) :244-247
[7]  
Binder L. M., 1991, PSYCHOL ASSESSMENT J, V3, P175, DOI [DOI 10.1037/1040-3590.3.2.175, 10.1037/1040-3590.3.2.175]
[8]  
Binder Laurence M, 1990, Clin Neuropsychol, V4, P25, DOI 10.1080/13854049008401494
[9]   PERSISTING SYMPTOMS AFTER MILD HEAD-INJURY - A REVIEW OF THE POSTCONCUSSIVE SYNDROME [J].
BINDER, LM .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1986, 8 (04) :323-346
[10]   NEUROPSYCHOLOGICAL EVIDENCE OF A FACTITIOUS MEMORY COMPLAINT [J].
BINDER, LM ;
PANKRATZ, L .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1987, 9 (02) :167-171