用于智力迟钝个体的评估工具:潜在的问题和问题。

Kolleen E Hurley, William Paul Deal
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引用次数: 69

摘要

装病,夸大或捏造身体和/或心理症状,可以威胁到心理评估过程(美国精神病学协会,2000年)。为了提高心理评估的有效性,研究人员研究了装病的趋势,并开发了检测仪器(Rogers, Bagby, & Dickens, 1992;汤博,1996)。然而,这些工具可能不适用于智力功能明显低于平均水平的个体。在法医鉴定中经常使用的四种评估装病的工具被用于智力迟钝的个体。结果表明,通过利用既定的截止分数,我们能够将相当大比例的参与者分类为“装病”,尽管有最佳表现的指示。讨论了该方法的实际意义和未来的研究方向。
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Assessment instruments measuring malingering used with individuals who have mental retardation: potential problems and issues.

Malingering, the exaggeration or fabrication of physical and/or psychological symptoms, can threaten the psychological assessment process (American Psychiatric Association, 2000). To enhance the validity of psychological evaluations, researchers have studied trends in malingering and developed instruments for its detection (Rogers, Bagby, & Dickens, 1992; Tombaugh, 1996). These instruments, however, may not be appropriate for individuals with significant subaverage intellectual functioning. Four instruments assessing malingering, frequently used in forensic evaluations, were administered to individuals with mental retardation. Results show that by utilizing established cut-off scores, we were able to classify a significant percentage of participants as "malingering," in spite of directions to perform optimally. Practical implications as well as directions for future research are discussed.

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