Brand Bethany L, McNary Scot W, Loewenstein Richard J, Kolos Amie C, Barr Stefanie R
Towson University, Towson, MD 21252, USA.
J Trauma Dissociation. 2006;7(1):63-85. doi: 10.1300/J229v07n01_06.
Little is known about how to detect malingered dissociative identity disorder (DID). This study presents preliminary data from an ongoing study about the performance of DID patients on the Structured Interview of Reported Symptoms (SIRS, Rogers, Bagby, & Dickens, 1992), considered to be a "gold standard" structured interview in forensic psychology to detect feigning of psychological symptoms. Test responses from 20 dissociative identity disorder (DID) patients are compared to those of 43 well informed and motivated DID simulators. Both the simulators and DID patients endorsed such a high number of symptoms that their average overall scores would typically be interpreted as indicative of feigning. The simulators' mean scores were significantly higher than those of the DID patients on only four out of 13 scales. These results provide preliminary evidence that well informed and motivated simulators are able to fairly successfully simulate DID patients and avoid detection on the SIRS. Furthermore, many DID patients may be at risk for being inaccurately labeled as feigning on the SIRS.
对于如何检测伪装的分离性身份障碍（DID），我们所知甚少。本研究展示了一项正在进行的研究的初步数据，该研究涉及DID患者在《报告症状结构化访谈》（SIRS，Rogers、Bagby和Dickens，1992年）中的表现，该访谈被认为是法医心理学中用于检测心理症状伪装的“金标准”结构化访谈。将20名分离性身份障碍（DID）患者的测试反应与43名消息灵通且有动机的DID模拟者的反应进行了比较。模拟者和DID患者认可的症状数量都非常多，以至于他们的平均总分通常会被解释为表明存在伪装。在13个量表中，模拟者的平均得分仅在4个量表上显著高于DID患者。这些结果提供了初步证据，表明消息灵通且有动机的模拟者能够相当成功地模拟DID患者，并在SIRS上避免被检测出来。此外，许多DID患者可能面临在SIRS上被错误地标记为伪装的风险。
