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THE ASSESSMENT OF MALINGERING An Evidence-Based …

1 THE ASSESSMENT OF MALINGERING An Evidence-Based approach March 16, 2016 Charles L. Scott, MD Professor of Clinical Psychiatry University of California, Davis I. KEY DEFINITIONS A. The word MALINGERING derives from the Latin word malum that means bad or harmful, in this context refers to the bad intent of the offender s actions. B. Key definitions 1. MALINGERING : The DSM-5 defines MALINGERING as the intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives. External incentives can include: a. avoiding military duty b. avoiding work c. obtaining financial compensation d. evading criminal prosecution e. obtaining drugs 2. Feigning: the deliberate fabrication or gross exaggeration of psychological or physical symptoms without any assumptions about its goals (Rogers and Bender 2003).

tests to assess memory loss utilize this SVT approach. 3. Example SVT tests include the following: Test of Memory Malingering (TOMM): The TOMM is a visual recognition test that involves presenting the individual with 50 different picture drawings. Two learning trials are presented followed by a retention trial. Scores below

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