Written from the viewpoint of the practicing clinician, this text is an indispensable addition to the library of anyone who is in the practice of medicine, osteopathy, or chiropractic, as well as for the judge, lawyer, or social worker who may interact with those presenting with the possibility of malingering. Other topics discussed include Waddell’s Signs, the Pinocchio Phenomenon, the Othello Error, the Menace Reflex, the Reliable Digit Span, Lombard’s Test, the Babinski Sign of the Eyebrow, the Hummel Double Conversation Test, the Swinging Story Test, the Judd-Persaud Test, the Teal Test, the Chimani-Moos Test, the Occlusion Effect, the Drop Arm Test, the Drop Leg Test, the Honest Palm Sign, the Elbow-Flex-Ex Sign, Beevor's Sign, Schober's Test, the Babinski Trunk-Thigh Test, and the Barré Test. Advance praise for Neurological Malingering "Dr. Hirsch’s book is long overdue and covers a critical topic of concern to all medical practitioners. This comprehensive treatise is a must for all physicians, psychologists, and others who work with patients who have incentive to gain from the system. Multiple topics related to malingering are presented in 16 straightforward chapters never before compiled in a single volume. I recommend this book highly to anyone concerned about malingering and its impact on the medical system." - Richard L. Doty, PhD, FAAN, Professor and Director, Smell and Taste Center, Perelman School of Medicine, University of Pennsylvania "Malingering affects not only the malingerers, but the persons and institutions around them as well. As a lay person, the readings have certainly made me considerably more sensitive to suspect behavior. And where knowledge of the underlying condition can affect relationships or transactions one is associated with, it is certainly useful to not only recognize its existence, but also to put it within the context of the challenges that it presents to those relationships or transactions. I count the time spent reading this most comprehensive work as well spent. I would further recommend it to others whose interests, decisions and/or professional pursuits could very well be affected by malingering, whether the behavior is or is not purposeful." - Judge Stephen A. Schiller (Retired), Circuit Court of Cook County, Illinois

Increased public awareness of traumatic brain injuries has fueled a number of significant developments: on the one hand, more funding and more research related to these injuries and their resulting deficits; on the other, the possibility of higher stakes in personal injury suits—and more reasons for individuals to feign injury. Expanding both the conceptual and clinical knowledge base on the subject, the Second Edition of Detection of Malingering during Head Injury Litigation offers the latest detection tools and techniques for veteran and novice alike. As in its initial incarnation, this practical revision demonstrates how to combine clinical expertise, carefully-gathered data, and the use of actuarial models as well as common sense in making sound evaluations and reducing ambiguous results. And, the book navigates the reader through the many caveats that come with the job, beginning with the scenario that an individual may be malingering despite having an actual brain injury. Among the updated features: •Specific chapters on malingering on the Halstead-Reitan, Luria-Nebraska, and MMPI-2. •A framework for distinguishing genuine from factitious PTSD in head injury cases. •Detailed information regarding performance on the WMT, MSVT, and NV-MSVT by children with developmental disabilities. •Guidelines for explaining symptom validity testing to the trier of fact. •Entirely new chapters on mild TBI and on malingering of PTSD symptoms in the context of TBI litigation. Professional neuropsychologists and forensic psychologists will appreciate this new edition of Detection of Malingering during Head Injury Litigation as an invaluable source of refinements to their craft, and improvement as an expert witness.

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Written specifically for the clinical neuropsychologist who does forensic consultations, the book is a comprehensive review by experts of the procedures available to evaluate malingered neuropsychological deficits. It discusses tools for detecting atypical patterns of performance on standard clinical tests as well as malingering on measures of perception and sensorimotor function, of attention, processing speed, and memory, and of executive function. The underpinnings of the forensic neuropsychology enterprise are presented in chapters on definitions of malingering, research designs for its evaluation, data on the frequency with which malingering occurs, diagnostic classification statistics, symptom validity tests that do not depend on forced choice testing, and those that do. Guidance on assessing exaggerated psychiatric symptoms; exaggerated medical symptoms and injuries; and detecting malingering during the neurological exam is also included. Of particular note is a chapter devoted to the topic of coaching. The book closes with a review of the diagnostic criteria for malingering and looks to the future with evidence-based proposals for improving the criteria.

Widely regarded as the standard reference in the field, this book provides essential tools for understanding and assessing malingering and other response styles in forensic and clinical contexts. An integrating theme is the systematic application of detection strategies as conceptually grounded, empirically validated methods that bridge different measures and populations. Special topics include considerations in working with children and youth. From leading practitioners and researchers, the volume reviews the scientific knowledge base and offers best-practice guidelines for maximizing the accuracy of psychological and psychiatric evaluations.