In forensic neuropsychology and forensic psychology, where IME psychological or neuropsychological assessment is requested by disability insurers, plaintiff attorneys, defense attorneys, state attorneys, Worker's Compensation cases, administrative determinations, and/or determinations of fitness for duty, it is critical to determine if the symptoms and complaints are valid, exaggerated, minimized or due to malingering.
Malingering is considered the production of gross exaggerations of disability for primary gain. While less common than exaggeration, it must also be differentiated from somatoform disorders in which there are symptoms in gross excess or with little physiological evidence. In Somatoform the symptoms primarily are thought to be produced due to secondary gain, such as gaining sympathy from a spouse and this is assumed to be unconscious as opposed to deliberate.
Assessment of validity of neuropsychological testing is often accomplished by tests specifically designed to assess malingering, exaggeration or the presense of likely valid effort as well as embedded indices in traditional tests and pattern analysis. If a neuropsychological evaluation is performed in a context of litigation, personal injury, or claim for benefits, some assessment of validity of performance is necessary. Assessment should also include these approaches when reported deficits are far in excess than one would expect based on classifications of head injury.
Clinical Psychology Associates of North Central Florida, P.A.
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Ernest J. Bordini, Ph.D. Benjamin, Phalin, Ph.D.
Lic. Psychologist Psychological Resident
Executive Director