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Crime, prostitution, drugs, and malingered insanity: female offenders' resistant strategies to abuse and domination.

Mizrahi female offenders have been described as passive victims propelled into crime, prostitution, and drug abuse as a result of traumatic childhood and life course experiences. This qualitative study adopts a postmodern critical orientation and Foucault's bottom-up microsocial analysis of power to examine the trajectories of resistance of 8 female offenders who break the silence to tell their life story. Analysis of narratives, informal conversations, and more focused, in-depth interviews with these women allow the deconstruction of the stereotype of the passive and helpless female offender. Using the sensitizing concepts of control, agency, and resistant efforts and letting the data speak, this research reconstructs female offending as a hidden script of resistance against intolerable socioeconomic deprivation and extreme forms of abuse.

Adult↗

Malingering.

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Antisocial Personality Disorder↗

Can malingering be identified with the judgment of line orientation test?

The purpose of this study was to evaluate recently proposed (Meyers, Galinsky, & Volbrecht, 1999) cutoff scores for biased responding on the Judgment of Line Orientation Test (JLO). A large sample of individuals involved in head injury litigation (N = 294) took the JLO and 2 tests designed to detect biased responding, the Computerized Assessment ofResponse Bias (CARB) and the Word Memory Test (WMT), as part ofa comprehensive neuropsychological evaluation. Patients were divided into groups on the basis of brain injury severity and whether or not they scored in the suspicious range on the CARB or WMT. The patients who were identified as providing biased responding on the CARB or WMT also scored significantly lower on the JLO. However, the Meyers et al. (1999) cutoff score correctly identified only 9.9% ofthis group, with a 1% possible false-positive rate. A different cutoff score was selected that had .22 sensitivity and .96 specificity. Overall, these results suggest that the JLO has limited utility as a screenfor biased responding; however, clinicians are encouraged to evaluate these scores carefully if they do not seem to make biological or psychometric sense.

Brain Injuries↗

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↗

Effectiveness of NEO-PI-R research validity scales for discriminating analog malingering and genuine psychopathology.

We investigated the research validity scales for the NEO Personality Inventory-Revised (NEO-PI-R) proposed by Schinka, Kinder, and Kremer (1997): Positive Presentation Management (PPM) and Negative Presentation Management (NPM). Additionally, an experimental analog to the Minnesota Multiphasic Personality Inventory-2's (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) F-K index was calculated by subtracting the raw score on PPM from the raw score on NPM (NPM-PPM). In 2 studies, all indexes showed significant between-group differences when samples of analog malingerers (n = 97) were contrasted with psychiatric outpatients (n = 272). The sensitivity and specificity of these validity indexes indicated that although none performed well in extremely low base rate environments, the NPM and NPM-PPM indexes showed promise when the base rate of faking bad rose to higher levels.

Adolescent↗

Epileptic Munchausen's syndrome: a form of pseudoseizures distinct from hysteria and malingering.

A young woman with seizures and status epilepticus sought and obtained hospitalization in at least 25 hospitals in the province of Quebec between 1980 and 1987. She was thought to have uncontrolled epilepsy; her treatment led to intoxication with anticonvulsants and once to anesthesia for three consecutive periods of 7 days each. The nonepileptic nature of her attacks was proven and a diagnosis of Munchausen's syndrome made. She was transferred to a psychiatric center where she committed suicide. We found no documented cases of epileptic chronic factitious disorder in the literature.

Adult↗

Detection of children's malingering on Raven's Standard Progressive Matrices.

A formula for detecting faked Raven's SPM profiles was cross-validated on 44 children and adolescents (ages 7-17). It yielded a false negative rate of 64%. However, a rule using three very easy items (i.e., any of A3, A4 or B1 missed) yielded a hit rate of 95%, with 5% false positive and negative rates. All but two of the participants were able to produce lower scores when asked to fake the test.

Adolescent↗