Department of Psychology, Vanderbilt University, Nashville, TN, USA.
Child Adolesc Psychiatr Clin N Am. 2011 Jul;20(3):547-56. doi: 10.1016/j.chc.2011.03.013.
Research has established that children can make efforts to deceive others and that malingering or underperformance in psychiatric and psychological evaluations is common. Clinicians often resist the idea that children can successfully fake mental disorders and formal assessment for malingering is rare in clinical practice. The author suggests that screening tests be performed during the initial evaluation of all children to identify deceptive behavior. Children who behave in a suspect fashion and children who have known motivations to present as more pathologic than they are should be formally assessed with psychological techniques to rule out the presence of malingering.
研究已经证实，儿童可以努力欺骗他人，而且在精神病学和心理学评估中装病或表现不佳是很常见的。临床医生通常不愿意接受儿童能够成功地伪装精神障碍的想法，而且在临床实践中，对装病进行正式评估的情况很少见。作者建议在对所有儿童进行初始评估时进行筛查测试，以识别欺骗行为。表现可疑的儿童和有明显动机表现得比实际情况更病态的儿童应通过心理技术进行正式评估，以排除装病的存在。
