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在神经心理学评估中检测夸大和诈病

Detecting exaggeration and malingering in neuropsychological assessment.

作者信息

Iverson G L, Binder L M

机构信息

Department of Psychiatry, University of British Columbia, Vancouver, Canada.

出版信息

J Head Trauma Rehabil. 2000 Apr;15(2):829-58. doi: 10.1097/00001199-200004000-00006.

DOI:10.1097/00001199-200004000-00006
PMID:10739970
Abstract

Magnification of symptoms or nonoptimal effort on neuropsychological tests, within the context of head injury litigation, can have several independent or related underlying causes. Therefore, detecting exaggeration does not automatically indicate that the individual is malingering. This article reviews the evaluative and differential diagnostic process and provides the clinician with suggestions regarding assessment methods. A forensic evaluation that does not include careful consideration of possible negative response bias should be considered incomplete.

摘要

在头部损伤诉讼背景下,神经心理测试中症状放大或努力程度欠佳可能有多种独立或相关的潜在原因。因此,检测到夸大并不自动表明个体在诈病。本文回顾了评估和鉴别诊断过程,并为临床医生提供有关评估方法的建议。不仔细考虑可能的负面反应偏差的法医评估应被视为不完整。

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