The ability of the Millon Clinical Multiaxial Inventory--Third Edition to detect malingering.

This study investigated the ability of the Millon Clinical Multiaxial Inventory--Third Edition (MCMI-III) to discriminate students malingering psychopathology (n=106) from bona fide psychiatric inpatients (n=202). Students were randomly assigned to a fake-bad or an honest-responding condition. Analyses investigated the ability of the modifier indices to discriminate fake-bad group participants from the psychiatric inpatients. Scale X raw cutoff score >178 yielded a positive predictive power (PPP) of 0.0, a negative predictive power (NPP) of 63.1, and a hit rate of 63.1%. Optimal cutoff scores were developed. Scale X Base Rate (BR) >84 provided a PPP of 55.6, an NPP of 72.1, and a hit rate of 65.2%. Scale Y BR     

The detection of feigned mental disorders on specific competency measures.

Psychologists have standardized competency-to-stand-trial (CST) assessments through the development of specialized CST measures. However, their research has largely neglected the possibility that CST measures may be stymied by feigning mental disorders and concomitant impairment. The current study is the first systematic examination of (a) how feigned mental disorders may affect CST measures and (b) which scales are effective at identifying feigned cases. Bona fide patients (n=65) were compared with suspected malingerers (n=22) on 3 CST measures: the Georgia Court Competency Test (GCCT), the MacArthur Competence Assessment Tool-Criminal Adjudication, and the Evaluation of Competency to Stand Trial-Revised (ECST-R). Results indicated that these CST measures are vulnerable to feigning. The development of specialized GCCT and ECST-R scales yielded moderately effective screens for feigned mental disorders in the context of CST evaluations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

You protest too much, methinks: Investigating the features of truthful and fabricated reports of traumatic experiences.

Legal decision-makers frequently assess the credibility of reports of traumatic victimization. In this study, we compared the memory features and post-traumatic symptoms associated with truthful and malingered reports of trauma. Participants (N=126) described in writing both a genuine and a fabricated traumatic experience (counterbalanced) and completed scales relating to the severity of the associated trauma symptoms. Relative to accounts of genuine trauma, the information in fabricated accounts was less plausible and contained fewer contextual details. However, truthful and false reports were qualitatively similar on other criteria such as coherence and relevance. Fabricated traumatic experiences were associated with extreme ratings on multiple, diverse psychological measures of emotional distress and a higher level of apparent post-traumatic stress disorder. However, most participants were able to "fool" widely used validity scales. Implications for evaluating the credibility of claims of victimization in legal cases are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The utility and comparative incremental validity of the MMPI-2 and Trauma symptom Inventory validity scales in the detection of feigned PTSD.

The authors examined the comparative predictive capacity of the Trauma Symptom Inventory (TSI) Atypical Response Scale (ATR) and the standard set of Minnesota Multiphasic Personality Inventory-2 (MMPI-2) fake-bad validity scales (i.e., F, FB, Fp, FBS) to detect feigned posttraumatic stress disorder (PTSD). Remitted trauma victims (n = 60) completed the TSI and MMPI-2 under standard (honest) instructions and then were randomly assigned to 1 of 2 experimental conditions (noncoached/validity scale coached) in which they were administered these instruments again with instruction to fake PTSD. These test protocols were compared with TSI and MMPI-2 results from workplace injury claimants with PTSD (n = 84). The ATR and FBS were able to distinguish only the noncoached participants instructed to fake from the PTSD claimants; in contrast, the F, FB, and Fp scales were able to distinguish both the noncoached and the validity-scale-coached participants from the PTSD claimants. F, FB, and Fp always outperformed the ATR and FBS; neither the ATR nor the FBS was able to add incremental predictive variance to that of F, FB, or Fp. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Detection of overreported psychopathology with the MMPI-2 RF validity scales": Correction to Sellbom and Bagby (2010).

Reports an error in "Detection of overreported psychopathology with the MMPI-2 RF form validity scales" by Martin Sellbom and R. Michael Bagby (Psychological Assessment, 2010[Dec], Vol 22[4], 757-767). There was an error in the title. The title should have read “Detection of Overreported Psychopathology With the MMPI-2-RF Validity Scales.” (The following abstract of the original article appeared in record 2010-24850-001.) We examined the utility of the validity scales on the recently released Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI-2 RF; Ben-Porath & Tellegen, 2008) to detect overreported psychopathology. This set of validity scales includes a newly developed scale and revised versions of the original MMPI-2 validity scales. We used an analogue, experimental simulation in which MMPI-2 RF responses (derived from archived MMPI-2 protocols) of undergraduate students instructed to overreport psychopathology (in either a coached or noncoached condition) were compared with those of psychiatric inpatients who completed the MMPI-2 under standardized instructions. The MMPI-2 RF validity scale Infrequent Psychopathology Responses best differentiated the simulation groups from the sample of patients, regardless of experimental condition. No other validity scale added consistent incremental predictive utility to Infrequent Psychopathology Responses in distinguishing the simulation groups from the sample of patients. Classification accuracy statistics confirmed the recommended cut scores in the MMPI-2 RF manual (Ben-Porath & Tellegen, 2008). (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Further validation of the MMPI-2 and MMPI-2-RF Response Bias Scale: Findings from disability and criminal forensic settings.

The present study extends the validation of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) Response Bias Scale (RBS; R. O. Gervais, Y. S. Ben-Porath, D. B. Wygant, & P. Green, 2007) in separate forensic samples composed of disability claimants and criminal defendants. Using cognitive symptom validity tests as response bias indicators, the RBS exhibited large effect sizes (Cohen's ds = 1.24 and 1.48) in detecting cognitive response bias in the disability and criminal forensic samples, respectively. The scale also added incremental prediction to the traditional MMPI-2 and the MMPI-2-RF overreporting validity scales in the disability sample and exhibited excellent specificity with acceptable sensitivity at cutoffs ranging from 90T to 120T. The results of this study indicate that the RBS can add uniquely to the existing MMPI-2 and MMPI-2-RF validity scales in detecting symptom exaggeration associated with cognitive response bias. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Evaluating the latent structure of the MMPI-2 F(p) scale in a forensic sample: A taxometric analysis.

P. A. Arbisi and Y. S. Ben-Porath (1995) originally proposed that the Infrequency Psychopathology scale, F(p), be used as the final step in an algorithm to determine the validity of a Minnesota Multiphasic Personality Inventory-2 (MMPI-2) protocol. The current study used taxometric procedures to determine the latent structure of F(p) among examinees with profiles that would necessitate the interpretation of F(p) when using Arbisi and Ben-Porath's proposed algorithm. Participants included a subsample of 289 consecutively referred pretrial forensic examinees adjudicated incompetent to stand trial with high Infrequency (F) scale scores, thereby providing a sample that would be expected to have a high base rate of persons with bona fide psychopathology and persons with incentive to overreport psychopathology. Using MAMBAC and MAXEIG, F(p) produced a taxonic latent structure within the subgroup of examinees who obtained raw scores on F of greater than 17. These results support Arbisi and Ben-Porath's original proposal to use F(p) to identify a distinct subgroup of overreported MMPI-2 protocols within forensic psychiatric examinees with high elevations on F. Implications and suggestions for future research are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Our main conclusion stands: Reply to Rohling et al. (2011).

In their comment, M. L. Rohling et al. (2011) accused us of offering a “misleading” review of response bias. In fact, the additional findings they provided on this topic are relevant only to bias assessment in 1 of the domains we discussed, neuropsychological assessment. Furthermore, we contend that, even in that 1 domain, the additional findings they described do not merit revision of our conclusion that the data are insufficient for evaluating the status of bias indicators. We remain hopeful that our review will spur researchers to publish additional tests of the validity of bias indicators in real-world settings and reduce the reliance on analogue studies as an evidence base for their use. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Detection of malingering behavior at different levels of task difficulty in Hong Kong Chinese.

Objective: To investigate whether detection of malingering behavior differs as a function of level of task difficulty. Study Design: A 2 X 2 within-subject simulation design. Participants: Thirty-eight Chinese university freshmen. Outcome Measures: The Digit Memory Test at 2 levels of difficulty. Results: Significantly different performance between simulated malingering and control conditions, F(l,37) = 43.19, p =.00, was found at both levels of difficulty, F(l,37) = 237.19, p =.00. Malingering and control conditions were maximally distinguishable from each other at the higher level of task difficulty, t(37)=5.45, p=.00. Conclusion: Classification accuracy was higher at a higher level of difficulty. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Response to Schmidt's (1988) comments on Faust, Hart, Guilmette, and Arkes (1988).

Responds to the comments by J. P. Schmidt (see record 2010-03278-001) on the current authors' original article, Neuropsychologists' capacity to detect adolescent malingerers (see record 1989-09946-001). In the latter study, the neuropsychologists were presented with actual test results, a fabricated history, but neither collateral reports nor direct client contact during the assessment. Schmidt (1989) asserted that this represented insufficient data on which to base a neuropsychological diagnosis; therefore, it was not surprising to him that neuropsychologists experienced great difficulty in detecting malingering. (PsycINFO Database Record (c) 2010 APA, all rights reserved)