Binder Laurence M
a Veterans Affairs Medical Center , Portland , OR.
b Oregon Health Sciences University , Portland , OR.
Clin Neuropsychol. 1990 Mar;4(1):25-36. doi: 10.1080/13854049008401494.
The possibility of malingering should be considered whenever an opportunity for financial gain exists or when the subjective complaints outweigh the objective findings. Minor-head-injury patients often meet one or both of these criteria. Four cases of probable malingering and one case of possible malingering after minor head injury are discussed. Observations of untruthfulness, test abnormalities more severe than predicted by knowledge of the injury, bizarre results on Face-Hand (Double Simultaneous Stimulation) testing, and especially forced-choice testing of memory complaints provided useful diagnostic data in these cases. Performance on a forced-choice technique that is significantly worse than chance is presumed to result from the deliberate production of wrong answers. An improved method of forced-choice testing based on work by Hiscock and Hiscock (in press) is presented.
每当存在经济利益机会或主观诉求超过客观检查结果时，都应考虑伪装的可能性。轻度头部受伤患者常常符合上述一条或两条标准。本文讨论了4例轻度头部受伤后可能伪装及1例可能伪装的病例。观察到的不诚实表现、检查异常程度超过根据损伤情况所预期的、面部-手部（双侧同时刺激）测试结果怪异，尤其是对记忆主诉进行的强迫选择测试，在这些病例中提供了有用的诊断数据。在强迫选择测试中表现明显差于随机水平被推测是故意给出错误答案所致。本文介绍了一种基于希斯科克和希斯科克（即将发表）的研究改进的强迫选择测试方法。
