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Deception by young children following noncompliance.

A paradigm devised by M. Lewis, C. Stanger, and M. W. Sullivan (1989) was adapted to study deception and false-belief understanding. In Study 1, 3- and 5-year-olds were asked not to touch a toy in the experimenter's absence. Just over half of the children touched the toy, and of those children, the majority denied having done so. Of control children who were given permission to touch the toy, all touched it and admitted having done so. In Study 2, 3- and 5-year-olds were asked not to look in a box to identify its contents. Almost all children looked, most denied having looked, and a minority consistently feigned ignorance of the contents. False-belief understanding was linked to denial of looking but not to feigning ignorance. Of control children who were given permission to look, all acknowledged looking, and they almost always revealed their knowledge of the contents. The studies confirm that preschoolers deceive in the context of a minor misdemeanor but are less effective at feigning ignorance.

Attention↗

Deception, catholicism, and hope: understanding problems in the communication of unfavorable prognoses in traditionally-catholic countries.

The doctor's use of deception in appropriate circumstances has commonly been considered a necessity of the medical art. Resistance to full and frank communication is typical of many traditionally Catholic countries, and particularly of Italy, a western country where Catholicism remains particularly influential. The Catholic teaching on truth and lies, and the problem of telling the truth to a severely ill patient is discussed. It is suggested that the contemporary Catholic model of gradually telling a terminal patient the truth, which looks reasonable and feasible in theory, is rarely followed in practice, as in the majority of cases the truth is not told tout court. Problems stem from the way in which medicine is currently practiced in Italy; from the synergism between Catholicism and the medical tradition's grounded paternalism; and from the ambiguity of the term 'hope'. Catholic ethics in fact recommends that the truth must be told without destroying hope, but the Catholic meaning of 'hope' is very different from its meaning in current language.

Catholicism↗

The role of comparison questions in physiological detection of deception.

Comparison questions in physiological detection of deception were studied with 60 "guilty" and 60 "innocent" participants in a mock crime experiment. Different types of comparison questions were used in four conditions: relevant-irrelevant (R-I) participants answered only relevant and neutral questions; trivial directed lie participants were instructed to lie to three of the six neutral questions; personal directed lie participants were instructed to lie to personally relevant questions; and probable lie participants received traditional probable lie comparison questions. Respiration, cardiovascular, vasomotor, and electrodermal activity were recorded. Manipulation of the comparison questions produced different patterns of physiological responses for innocent but not for guilty participants. The R-I test produced an unacceptable rate of false positive decisions.

Adolescent↗

Deception among smokers.

Subjects in two different clinical trials who had been advised to stop smoking were asked if they had done so. Some 22% of subjects (11 out of 51) in the first trial and 40% (33/82) in the second trial who said they had stopped smoking were found to have raised carboxyhaemoglobin concentrations. Deception appears to be common in people trying to stop smoking.

Adolescent↗

On visibility: AIDS, deception by patients, and the responsibility of the doctor.

Contrary to the usual discussion of lying or deceiving in medical ethics literature where the lying or deceiving is done by the doctor or surgeon, this paper deals with lying or deceiving on the part of the patient. Three cases involving HIV-infected male homosexual or bisexual persons are presented. In each case the patient deceives or wants the doctor to deceive a third party on his behalf. Are such deceptions or lies expressions of compassion? Are they in the patient's best interests? Do they compromise the doctor's integrity? It is submitted that societal attitudes towards male homosexual acts were internalised by the men described in these cases. Thus, a dichotomy was created between the private life and the public image. Fear of condemnation by the doctor or others restricted communication towards the goal of the maintenance of the patient's health. The lack of trust which inhibits truth-telling results in mutual and progressive isolation and impedes the provision of optimal care.

Acquired Immunodeficiency Syndrome↗

Pseudologia fantastica, factitious disorder and impostership: a deception syndrome.

Pseudologia fantastica and impostership are not currently included in diagnostic systems, although there is an overlap between these two syndromes and factitious disorder. A case which illustrates the overlap is described, and the diagnostic dilemma is discussed. A term 'deception syndrome' is proposed for those individuals who pathologically deceive for internal (i.e. psychological) as opposed to external reasons such as financial gain.

Adult↗

Nursing practice: compassionate deception and the Good Samaritan.

This article reviews the literature on deception to illuminate the phenomenon as a background for an appraisal within nursing. It then describes nursing as a practice of caring. The character of the Good Samaritan is recommended as indicative of the virtue of compassion that ought to underpin caring in nursing practice. Finally, the article concludes that a caring nurse, responding virtuously, acts by being compassionate, for a time recognizing the prima facie nature of the rules or principles of truth telling.

Altruism↗

Utility of the Deceptive-Subtle items in the detection of malingering.

The aim of this study was to assess the capacity of a recently developed set of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) subtle items--the Deceptive Subtle scale (DS)--to detect fake-bad responding on the MMPI-2, relative to the capacity of the F scale and the sum of obvious items (Ob) and sum of subtle items (Su) scales. The MMPI-2 was administered to a sample of research participants asked to fake-bad (n=74), and compared to psychiatric outpatients (n=100) and nonclinical participants (n=100) asked to respond honestly. Although the DS scale proved to be a better predictor of fake-bad response style than Su,and comparable to that of Ob, its predictive capacity was substantially less than that of F. Future research is needed to explore the potentially unique contribution of both DS and Ob to assess different strategies of faking-bad.

Adolescent↗

Taxometric analysis of impression management and self-deception on the MMPI-2 in child-custody litigants.

The typology of impression management (IM), a deliberate attempt to create a positive social image, and self-deceptive positivity (SDP), an unintentional concealment of symptoms, were examined using taxometric procedures with MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) underreporting scales in several custody-litigant samples. IM was identified as a taxon using several procedures and estimates of the base rate that were consistent (.40, .37, .31, .36, .37). SDP was better characterized as a dimensional construct. Means and estimated validities for MMPI-2 underreporting scales in this sample are reported. IM and SDP appear to be distinct and measurable underreporting constructs on the MMPI-2.

Adult↗

Taxometric analysis of impression management and self-deception in college student and personnel evaluation settings.

The typology of impression management (IM), a deliberate attempt to create a positive social image, and self-deceptive positivity (SDP), an overly positive bias in self-description, was examined using taxometric procedures with Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) underreporting scales and Balanced Inventory of Desirable Responding (Paulhus, 1988) impression management and SDP scales in a sample of college students. MMPI-2 underreporting scales were then examined in a personnel evaluation sample. IM was found to be taxonic in both student and personnel settings. Given support for the IM taxon, taxometric procedures allow the estimation of the base rate of IM and the classification accuracy of MMPI-2 IM scales in the absence of a separate criterion. Using taxometric procedures, the mean base-rate estimates were .16 and .25 for student and personnel settings, respectively. Overall classification rates ranged from .80 to .94 for MMPI-2 IM scales in the personnel setting.

Adult↗

Secrecy, anonymity, and deception in donor insemination: a genetic, psycho-social and ethical critique.

The number of medically assisted conceptions involving donors is increasing. At the same time, due to advances in medicine, greater emphasis has been placed on an individual's genetic origins. This trend places individuals who have no access to information on their genetic origins in a vulnerable position. Because of the secrecy and anonymity that has surrounded donor inseminations, many individuals who were so conceived are irreversibly cut off from any possible contact with or even knowledge about their genetic fathers, who will also never have the opportunity to meet their offspring. In view of the accumulated evidence concerning the detrimental effect of secrecy, anonymity and deception in donor insemination, this paper argues that these practices are not only psychologically and socially harmful but also ethically unacceptable.

Choice Behavior↗

Unpredictability of deception in compliance with physician-prescribed bronchodilator inhaler use in a clinical trial.

OBJECTIVE: To identify subject characteristics that may be predictive of intentional dumping of metered-dose inhalers (MDIs) during a clinical trial. DESIGN: Nebulizer Chronologs (NCs; Medtrac Technologies; Lakewood, CO), which record the date and time of each MDI actuation, were attached to the MDIs of participants who were given a prescribed medication schedule to follow in a clinical trial. Participants were not informed of the function of the NC or that their medication use was being monitored. SETTING: The Lung Health Study, a 5-year clinical trial to evaluate the effect of intensive smoking cessation counseling and regular use of an inhaled bronchodilator on the progression of COPD. PARTICIPANTS: One hundred one smokers, 35 to 60 years of age, with mild to moderate airways obstruction enrolled in The Lung Health Study. MEASUREMENTS AND RESULTS: Thirty of these 101 participants (30%) actuated their inhalers > 100 times within a 3-h interval on at least one occasion during the first year of this 5-year trial. Only 1 of an additional 135 participants who had full foreknowledge of the MDI monitoring capability of the NC did so. Most of these dumping episodes occurred shortly before a clinic follow-up visit, suggesting an active attempt to hide noncompliance from the clinic staff. Whereas self-reported inhaler usage and canister weights were similar for the "dumpers" and "nondumpers," NC data indicated significantly lower compliance rates for dumpers (chi(2); p < 0.05). When demographic variables, treatment and clinic assignments, smoking status, pulmonary function test results, respiratory symptoms, and disease history of dumpers and nondumpers were analyzed, no predictors of dumping could be found. CONCLUSIONS: Deception among noncompliers occurs frequently in clinical trials, is often not revealed by the usual methods of monitoring, and cannot be predicted by data readily available in clinical trials.

Administration, Inhalation↗

The Guilty Knowledge Test and the modified Stroop task in detection of deception: an exploratory study.

The current study tested whether a simple Stroop paradigm can be used to detect deceptive behavior. 40 university students (34 women), half of whom committed a mock crime, were administered a Guilty Knowledge Test and modified Stroop task to detect guilt or innocence. The Guilty Knowledge Test is a well-known psychophysiological detection method, which consists of multiple-choice questions about details of the crime while skin conductance is recorded. Subjects possessing guilty knowledge are expected to show enhanced differential responses to the relevant stimuli. The modified Stroop task required color-naming of colored words related to the mock crime or an irrelevant crime. Each version of the Stroop task was presented in story form. Subjects possessing guilty knowledge were expected to produce larger reaction times to the relevant version relative to the irrelevant version. The test correctly identified 100% of innocent participants and 78% of guilty participants. In contrast, Stroop interference. i.e., reaction times for irrelevant crime details subtracted from those for mock crime details, did not differentiate between the two groups, suggesting that the story form of the Stroop paradigm is not suitable for lie detection.

Adolescent↗

[Contingent negative variation (CNV) in the detection of deception task using a serial presentation of pictures].

The purpose of the experiment was to investigate the feasibility of using contingent negative variation (CNV) as an index of detection of deception. Twelve subjects were required to complete both an innocent and guilty condition in that order. In the innocent condition, a series of six pictures, two of which depicted different landscapes and four others which depicted different female faces, was presented repeatedly on a computer display. Subjects responded by pressing a button following the landscape picture (target stimulus) that was presented last in the sequence. In the guilty condition, the procedures were the same except that subjects were also required not to detect one of the female pictures in mind (critical item), which they had chosen after the completion of the innocent condition. As compared with the innocent condition, the CNV amplitudes decreased significantly immediately before the target stimulus in the guilty condition where subjects had to conceal the critical item. The implication of these data both for the psychological completion of the concealed task and the practice in the field were discussed.

Adult↗

Nodular fasciitis of the head and neck in children. A deceptive lesion.

Nodular fasciitis represents a discrete, benign, presumably reactive proliferation of fibroblasts. However, its rapid rate of growth and a sarcomatous histologic appearance are often deceptive. Multiple pathologic reviews are frequently conducted in an attempt to distinguish nodular fasciitis from other lesions. Such confusion is especially problematic in the pediatric otolaryngic population in which nodular fasciitis is not commonly encountered and mesenchymal malignancies of the head and neck are of fundamental concern. Between 1976 and 1988, 12 cases of nodular fasciitis were diagnosed at the Children's Hospital of Philadelphia (Pa). Six children presented with head and neck lesions and ranged from 6 to 13 years of age. The clinical and histopathologic features of these cases are reviewed.

Adolescent↗

Deceptive bizarre stromal cells in polyps and ulcers of the gastrointestinal tract.

The clinical and pathologic features of 33 pseudomalignant lesions of the gastrointestinal tract with bizarre stromal cells are reported. Deceptive histologic changes were identified in ulcers of seven patients and in inflammatory polyps of 26. A misdiagnosis of malignant neoplasm was made in six of the 33 patients (three polyps and three ulcers). A history of gastrointestinal bleeding and/or inflammatory bowel disease was common. The bizarre stromal cells were usually distributed beneath the ulcerated mucosa or within granulation tissue. They stained strongly for vimentin in 20 of 23 cases. Some of the bizarre cells also stained for muscle specific actin (seven of 23 cases). The cells appear to be reactive fibroblasts or myofibroblasts. Follow-up information obtained on 24 of the 33 patients (including four of the six cases initially diagnosed as malignant) revealed 22 patients to be alive without evidence of a malignant neoplasm (average follow-up, 13 months). Two patients died of other causes. Correct recognition of these bizarre stromal cells in gastrointestinal ulcers and inflammatory polyps will prevent a potentially serious diagnostic pitfall.

Adult↗

Molecular phylogenetics of the sexually deceptive orchid genus Ophrys (Orchidaceae) based on nuclear and chloroplast DNA sequences.

We present a phylogenetic analysis of the major lineages of the sexually deceptive orchid genus Ophrys based on nuclear ribosomal (nr) DNA (internal transcribed spacer region) and noncoding chloroplast (cp) DNA (trnL-trnF region) sequences. Sequence divergence within and among major Ophrys lineages was low for both nrDNA and cpDNA sequences. Separate analyses resulted in similar but poorly resolved trees. An incongruence length difference test revealed that nrDNA and cpDNA data sets were not incongruent. A combined analysis resulted in a better-resolved phylogenetic hypothesis of relationships among the major Ophrys lineages. Our data strongly support a division of Ophrys into two groups. These groups do not correspond to the earlier proposed sections Euophrys and Pseudophrys and are thus in conflict with traditional classifications. Our results support a well-resolved monophyletic group that contains the geographically widespread O. bombyliflora, O. speculum, O. tenthredinifera, and the O. fusca-lutea lineage. Relationships in the other group are poorly resolved. Based on our observations that taxa with identical sequences at presumably rapidly evolving loci clearly differ in floral morphology, we hypothesize that the diversity in the genus Ophrys is the result of a recent radiation in this orchid lineage.

Cell Nucleus↗

[Deception and misleading in the food trade].

The practice of deceiving the consumer plays an important part in food trading and therefore also in food inspection. The German Food Act contains detailed regulations for the protection against such deception. These regulations concern food not appropriate for consumption, imitated, of inferior quality or misleadingly labeled. The most essential regulations are illustrated by practical examples.

Ethics↗