Hurley Kolleen E, Deal William Paul
University of North Carolina, School of Medicine, Chapel Hill, 27599, USA.
Ment Retard. 2006 Apr;44(2):112-9. doi: 10.1352/0047-6765(2006)44[112:AIMMUW]2.0.CO;2.
Malingering, the exaggeration or fabrication of physical and/or psychological symptoms, can threaten the psychological assessment process (American Psychiatric Association, 2000). To enhance the validity of psychological evaluations, researchers have studied trends in malingering and developed instruments for its detection (Rogers, Bagby, & Dickens, 1992; Tombaugh, 1996). These instruments, however, may not be appropriate for individuals with significant subaverage intellectual functioning. Four instruments assessing malingering, frequently used in forensic evaluations, were administered to individuals with mental retardation. Results show that by utilizing established cut-off scores, we were able to classify a significant percentage of participants as "malingering," in spite of directions to perform optimally. Practical implications as well as directions for future research are discussed.
诈病,即对身体和/或心理症状的夸大或编造,会威胁到心理评估过程(美国精神病学协会,2000年)。为提高心理评估的效度,研究人员研究了诈病趋势并开发了用于检测诈病的工具(罗杰斯、巴格比和狄更斯,1992年;汤博,1996年)。然而,这些工具可能不适用于智力功能显著低于平均水平的个体。对患有智力障碍的个体施测了四种常用于法医评估的诈病评估工具。结果显示,尽管有要求尽力表现的指示,但通过使用既定的临界分数,我们能够将相当比例的参与者归类为“诈病”。本文讨论了实际意义以及未来研究的方向。