Abstract

The evaluation of malingering in the neuropsychological examination of mild head injury is a multiple method diagnostic process that takes into consideration injury severity, typical neuropsychological test performance patterns, differential diagnosis of other medical and psychiatric disorders, and the use of neuropsychological indicators of suboptimal effort. Current methods and trends in the evaluation of malingering are reviewed, including the use of specialized tests of effort and motivation and the application of conventional neuropsychological tests. Symptom validity techniques and tests with a multiple-choice format along with statistically-derived univariate and multivariate formulas appear to considerable merit in the detection of suboptimal effort or malingering.

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