PSYC31H3 Chapter Notes - Chapter 20: Response Bias, Neuropsychological Test, Malingering
19 Apr 2013
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Chapter 20 testing for effort, response bias, and malingering. Accurate interpretation and conclusions about neuropsychological test data are necessarily premised on the assumption that the data are valid. Essential for drawing conclusions, rending diagnoses, and making treatment recommendations. Compromised validity is more likely when an evaluation involves the possibility of secondary gain. Emotional reactions to new limitations occasioned by injury or disease, or due to the primary effects of neurologic condition itself can bring about additional symptoms or exacerbate existing ones. Traditionally determination of whether the neuropsychological findings are valid usually rested on: Evidence of consistency in the history or examination. The likelihood that the set of symptoms and neuropsychological test profile makes medical sense. An understanding of the patient"s present situation, personal/social history, and emotional predispositions. Emotional reactions to their symptoms and complaints, such as patients who smile while relating a medical history rife with physical ailments and doctor visits.
