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[独立医学评估中的负面反应偏差与不合作性评估]

[Negative response bias and assessment of uncooperativeness in independent medical evaluations].

作者信息

Merten T

机构信息

Klinik für Neurologie, Vivantes Netzwerk für Gesundheit, Klinikum im Friedrichshain, Landsberger Allee 49, 10249, Berlin, Deutschland.

出版信息

Orthopade. 2010 Mar;39(3):329-34. doi: 10.1007/s00132-009-1550-3.

Abstract

The present article highlights how simple it appears to be to simulate symptoms and how often medical and forensic experts are unable or unwilling to properly identify such attempts at deception. Yet, experts usually lack a critical understanding of the limitations of their own powers of judgement. Although carefully developed and reliable approaches and procedures are available today to verify the validity of symptoms, these are often applied unwillingly. Despite sound base-rate estimates, cooperativeness in forensic evaluations is often accepted without proper critical assessment. In German speaking countries, more empirical research on civil forensic assessment would help to improve the quality of expert opinions.

摘要

本文强调了模拟症状看似多么容易,以及医学和法医专家无法或不愿正确识别此类欺骗企图的情况有多常见。然而,专家们通常对自身判断能力的局限性缺乏批判性认识。尽管如今有精心制定且可靠的方法和程序来验证症状的真实性,但这些方法往往未被愿意采用。尽管有合理的基础概率估计,但在法医评估中,合作往往未经适当批判性评估就被接受。在德语国家,更多关于民事法医评估的实证研究将有助于提高专家意见的质量。

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