Assessment of Malingered Neuropsychological Deficits

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Glenn J. Larrabee
Oxford University Press, USA, Jul 16, 2007 - Law - 386 pages
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Written specifically for the clinical neuropsychologist who does forensic consultations, the book is a comprehensive review by experts of the procedures available to evaluate malingered neuropsychological deficits. It discusses tools for detecting atypical patterns of performance on standard clinical tests as well as malingering on measures of perception and sensorimotor function, of attention, processing speed, and memory, and of executive function. The underpinnings of the forensic neuropsychology enterprise are presented in chapters on definitions of malingering, research designs for its evaluation, data on the frequency with which malingering occurs, diagnostic classification statistics, symptom validity tests that do not depend on forced choice testing, and those that do. Guidance on assessing exaggerated psychiatric symptoms; exaggerated medical symptoms and injuries; and detecting malingering during the neurological exam is also included. Of particular note is a chapter devoted to the topic of coaching. The book closes with a review of the diagnostic criteria for malingering and looks to the future with evidence-based proposals for improving the criteria.
 

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Contents

Malingering Research Designs and Base Rates
3
2 Diagnostic Classification Statistics and Diagnostic Validity of Malingering Assessment
14
3 NonForcedChoice Effort Measures
27
4 ForcedChoice Recognition Tests of Malingering
44
5 Identification of Malingering by Pattern Analysis on Neuropsychological Tests
80
6 Motor Sensory and PerceptualMotor Pseudoabnormalities
100
7 Performance on Standard Attention Memory and Psychomotor Speed Tasks as Indicators of Malingering
131
8 Detection of Cognitive Malingering With Tests of Executive Function
171
9 Detection of Feigned Psychiatric Symptoms During Forensic Neuropsychological Examinations
226
10 Evaluation of Exaggerated Health and Injury Symptomatology
264
A Review
287
12 Features of the Neurological Evaluation That Suggest Noncredible Performance
312
13 Refining Diagnostic Criteria for Malingering
334
Index
373
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About the author (2007)


Glenn J. Larrabee, Ph.D. is currently engaged in the full-time independent practice of clinical neuropsychology, with an emphasis in forensic neuropsychology, in Sarasota, Florida. He is board-certified in Clinical Neuropsychology by the American Board of Professional Psychology (ABPP) and a licensed psychologist in Florida and Texas. He is a fellow of both the National Academy of Neuropsychology, and of Division 40 of the American Psychological Association, and serves on the editorial boards of the Journal of the International Neuropsychological Society, The Clinical Neuropsychologist, Archives of Clinical Neuropsychology, and Aging, Neuropsychology and Cognition. Dr. Larrabee has authored or co-authored numerous papers covering topics such as memory assessment, age-related cognitive change, Alzheimer's disease, mild traumatic brain injury, forensic neuropsychology, and malingering. He is the co-author, with Dr. Donald E. Trahan, of the Continuous Visual Memory Test, and the editor of Forensic Neuropsychology: A Scientific Approach (Oxford University Press, 2011). He is also the 2015 winner of APA's Award for Distinguished Professional Contributions to Independent Practice.

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