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Detection of Feigning of Head Injury Symptoms on the MMPI-2

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Detection of Malingering during Head Injury Litigation

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Abstract

Current epidemiological data suggest that traumatic brain injury (TBI) is among the most common neurological hospital discharge diagnoses in the United States (Kraus & Chu, 2005). These data also indicate that head injuries range considerably in severity. Although a number of alternative indices are available, the most well-accepted indicator of initial head injury severity is the Glasgow Coma Scale (GCS), which quantifies disturbance of consciousness on a scale ranging from 3 to 15 (Eisenberg & Weiner, 1987). Head injuries producing GCS scores in the moderate (9–12) to severe (3–8) range, particularly if accompanied by cerebral hemorrhage and/or skull fracture, are often associated with increased mortality and morbidity (Kraus & Chu, 2005). Head injuries resulting in GCS scores of 13–15 are classified as mild, and approximately 80% of all head injuries fall in this category (Kraus & Chu, 2005). In contrast to the outcome literature on moderate-to-severe head injury, the largest and best-controlled studies to date suggest that by 1-year postinjury, neuropsychological and psychosocial outcome for patients suffering an uncomplicated mild head injury (disturbance of consciousness lasting no more than 1 h and no other indicators of neurological disorder) is comparable to that experienced by patients suffering peripheral trauma not involving brain damage (Dikmen, Machamer, Winn, & Temken, 1995; Dikmen, Ross, Machamer, & Temkin, 1995). Of course, the general trends observed in group studies, however methodologically sound, do not preclude the possibility of poor outcome in selected individual cases.

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References

  • Alfano, D., Neilson, P., Paniak, C., & Finlayson, M. (1992). The MMPI and closed-head injury. The Clinical Neuropsychologist, 6, 134–142.

    Article  Google Scholar 

  • Alfano, D., Paniak, C., & Finlayson, M. (1993). The MMPI and closed-head injury: A neurocorrective approach. Neuropsychiatry, Neuropsychology and Behavioral Neurology, 6, 111–116.

    Google Scholar 

  • Alwes, Y. R., Clark, J. A., Berry, D. T. R., & Granacher, R. P. (2008). Screening for feigning in a civil forensic setting. Journal of Clinical and Experimental Neurop­sychology, 30, 133–140.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington: American Psychiatric Association.

    Google Scholar 

  • Arbisi, P., & Ben-Porath, Y. (1995). An MMPI-2 infrequent response scale for use with psychopatho­logical populations: The F(p) scale. Psychological Assessment, 7, 424–431.

    Article  Google Scholar 

  • Archer, R. P., Fontaine, J., & McCrae, R. R. (1998). Effects of two MMPI-2 validity scales on basic scale relations to external criteria. Journal of Personality Assessment, 70, 87–102.

    Article  PubMed  Google Scholar 

  • Baer, R. A., & Miller, J. (2002). Underreporting of psychopathology on the MMPI-2: A meta-analytic review. Psychological Assessment, 14, 16–26.

    Article  PubMed  Google Scholar 

  • Barrett, P., Putnam, S. H., Axelrod, B. N., & Rapport, L. J. (1998). Some statistical properties of MMPI-2 neurocorrection factors for individuals with closed head injury. Neurorehabilitation, 13, 51–59.

    Google Scholar 

  • Berry, D. T. R., Baer, R. A., & Harris, M. J. (1991). Detection of malingering on the MMPI: A meta-analytic review. Clinical Psychology Review, 11, 585–598.

    Article  Google Scholar 

  • Berry, D. T. R., Lamb, D. G., Wetter, M. W., Baer, R. A., Larsen, L., Clark, C., et al. (1992). MMPI-2 random responding indices: Validation using a self-report methodology. Psychological Assessment, 4, 340–345.

    Article  Google Scholar 

  • Berry, D. T. R., & Schipper, L. J. (2007). Detection of feigned psychiatric symptoms during forensic neuropsychological examinations. In G. J. Larrabee (Ed.), Assessment of malingered neuropsychological deficits (pp. 226–263). New York: Oxford University Press.

    Google Scholar 

  • Berry, D. T. R., Wetter, M. W., Baer, R. A., Widiger, T. A., Sumpter, J., Reynolds, S. K., et al. (1991). Detection of random responding on the MMPI-2: Utility of F, back F, and VRIN scales. Psychological Assessment, 3, 418–423.

    Article  Google Scholar 

  • Binder, L. (1986). Persisting symptoms after mild head injury: A review of the postconcussive syndrome. Journal of Clinical and Experimental Neuropsychology, 8, 323–346.

    Article  PubMed  Google Scholar 

  • Boccaccini, M. T., & Brodsky, S. L. (1999). Diagnostic test usage by forensic psychologists in emotional injury cases. Professional Psychology: Research and Practice, 30, 253–259.

    Article  Google Scholar 

  • Boone, K. B. (2007). A reconsideration of the Slick et al. (1999) criteria for malingered neurocognitive dysfunction. In K. B. Boone (Ed.), Assessment of feigned cognitive impairment: A neuropsychological perspective. New York: The Guilford Press.

    Google Scholar 

  • Boone, K. B., & Lu, P. (2003). Noncredible cognitive performance in the context of severe brain injury. The Clinical Neuropsychologist, 17, 244–254.

    Article  PubMed  Google Scholar 

  • Bornstein, R., Miller, H., & van Schoor, J. (1988). Emotional adjustment in compensated head injury patients. Neurosurgery, 23, 622–627.

    Article  PubMed  Google Scholar 

  • Bornstein, R., Miller, H., & van Schoor, J. (1989). Neuropsychological deficit and emotional disturbance in head-injured patients. Journal of Neurosurgery, 70, 509–513.

    Article  PubMed  Google Scholar 

  • Brulot, M. M., Strauss, E., & Spellacy, F. (1997). Validity of the MMPI-2 correction factor for use with patients with suspected head injury. The Clinical Neuropsychologist, 11, 391–401.

    Article  Google Scholar 

  • Bush, S. S., Ruff, R. M., Troster, A. I., Barth, J. T., Koffler, S. P., Pliskin, N. H., et al. (2005). Symptom validity assessment: Practice issues and medical necessity. Archives of Clinical Neuropsychology, 20, 419–426.

    Article  PubMed  Google Scholar 

  • Butcher, J. N., Arbisi, P. A., Atlis, M. M., & McNulty, J. L. (2003). The construct validity of the Less-Haley Fake Bad Scale (FBS): Does this scale measure somatic malingering and feigned emotional distress? Archives of Clinical Neuropsychology, 18, 473–485.

    PubMed  Google Scholar 

  • Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). MMPI-2: Manual for administration and scoring. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Butcher, J. N., Gass, C. S., Cumella, E., Kally, Z., & Williams, C. L. (2008). Potential for bias in MMPI-2 assessments using the Fake Bad Scale (FBS). Psychological Injury and Law, 1, 191–209.

    Google Scholar 

  • Dearth, C. S., Berry, D. T. R., Vickery, C. D., Vagnini, V. L., Baser, R. E., Orey, S. A., et al. (2005). Detection of feigned head injury symptoms on the MMPI-2 in head-injured patients and community controls. Archives of Clinical Neuropsychology, 20, 95–110.

    Article  PubMed  Google Scholar 

  • Diamond, R., Barth, J., & Zillmer, E. (1988). Emotional correlates of mild closed head injury: The role of the MMPI. International Journal of Clinical Neuropsychology, 10, 35–40.

    Google Scholar 

  • Dikmen, S., Machamer, J., Winn, H., & Temken, N. (1995). Neuropsychological outcome at 1-year post head injury. Neuropsychology, 9, 80–90.

    Article  Google Scholar 

  • Dikmen, S., & Reitan, R. (1977). Emotional sequelae of head injury. Annals of Neurology, 2, 492–494.

    Article  PubMed  Google Scholar 

  • Dikmen, S., Ross, B., Machamer, J., & Temkin, N. (1995). One year psychosocial outcome in head injury. Journal of the International Neuropsychological Society, 1, 67–77.

    Article  PubMed  Google Scholar 

  • Dunn, J., & Lees-Haley, P. (1995). The MMPI-2 correction factor for closed-head injury: A caveat for forensic cases. Assessment, 2, 47–51.

    Article  Google Scholar 

  • Edwards, D. W., Holmquist, L., Wanless, R., Wicks, J., & Davis, C. (1998). Comparing three methods of “neurocorrection” for the MMPI-2. Journal of the International Neuropsychological Society, 4, 27–28.

    Google Scholar 

  • Eisenberg, H., & Weiner, R. (1987). Input variables: How information from the acute injury can be used to characterize groups of patients for studies of outcome. In H. Levin, J. Grafman, & H. Eisenberg (Eds.), Neurobehavioral recovery from head injury (pp. 13–29). London: Oxford University Press.

    Google Scholar 

  • Faust, D., Ziskin, J., & Hiers, J. (1991). Brain damage claims: Coping with neuropsychological evidence. Marina del Rey: Law and Psychology Press.

    Google Scholar 

  • Fordyce, D., Roueche, J., & Prigatano, G. (1983). Enhanced emotional reactions in chronic head trauma patients. Journal of Neurology, Neurosurgery, and Psychiatry, 46, 620–624.

    Article  PubMed  Google Scholar 

  • Gallen, R. T., & Berry, D. T. R. (1996). Detection of random responding in MMPI-2 protocols. Assessment, 3, 171–178.

    Google Scholar 

  • Gallen, R. T., & Berry, D. T. R. (1997). Partially random MMPI-2 protocols: When are they interpretable? Assessment, 4, 61–68.

    Google Scholar 

  • Gass, C. (1991). MMPI-2 interpretation and closed head injury: A correction factor. Psychological Assessment, 3, 27–31.

    Article  Google Scholar 

  • Gass, C. (2008). Use of the MMPI-2 in neuropsychological evaluations. In J. N. Butcher (Ed.), Oxford handbook of personality and clinical assessment. New York: Oxford University Press.

    Google Scholar 

  • Gass, C., & Russell, E. (1991). MMPI profiles of closed head trauma patients: Impact of neurological complaints. Journal of Clinical Psychology, 47, 253–260.

    Article  PubMed  Google Scholar 

  • Glassmire, D. M., Kinney, D. I., Greene, R. L., Stolberg, R. A., Berry, D. T. R., & Cripe, L. (2003). Sensitivity and specificity of MMPI-2 neurologic correction factors: Receiver Operating Characteristic Analysis. Assessment, 10, 299–309.

    Article  PubMed  Google Scholar 

  • Golden, Z., & Golden, C. J. (2003). The differential impacts of Alzheimer’s dementia, head injury, and stroke on personality dysfunction. International Journal of Neuroscience, 113, 869–878.

    Article  PubMed  Google Scholar 

  • Graham, J. R. (2006). MMPI-2: Assessing personality and psychopathology (4th ed.). New York: Oxford University Press.

    Google Scholar 

  • Granacher, R. P. (2008). Traumatic Brain Injury: Methods for clinical and forensic neuropsychiatric assessment (2nd ed.). New York: CRC Press.

    Google Scholar 

  • Greiffenstein, M. F., Baker, W. J., Axelrod, B., Peck, E. A., & Gervais, R. (2004). The Fake Bad Scale and MMPI-2 F-family in detection of implausible psychological trauma claims. The Clinical Neuropsy­chologist, 18, 573–590.

    Article  PubMed  Google Scholar 

  • Greiffenstein, M. F., Baker, W. J., Gola, T., Donders, J., & Miller, L. (2002). The Fake Bad Scale in atypical and severe closed head injury litigants. Journal of Clinical Psychology, 58, 1591–1600.

    Article  Google Scholar 

  • Greiffenstein, M. F., Gola, T., & Baker, W. J. (1995). MMPI- 2 validity scales versus domain specific measures in the detection of factitious traumatic brain injury. The Clinical Neuropsychologist, 9, 230–240.

    Article  Google Scholar 

  • Greve, K. W., Bianchini, K. J., Love, J. M., Brennan, A., & Heinly, M. T. (2006). Sensitivity and specificity of MMPI-2 validity scales and indicators to malingered neurocognitive dysfunction in traumatic brain injury. The Clinical Neuropsychologist, 20, 491–512.

    Article  Google Scholar 

  • Handel, R. W., Arnau, R. C., Archer, R. P., & Dandy, K. L. (2006). An evaluation of the MMPI-2 and MMPI-A true response inconsistency scales. Assessment, 13, 98–106.

    Article  PubMed  Google Scholar 

  • Harkness, A. R., McNulty, J. L., Ben-Porath, Y. S., & Graham, J. R. (2002). MMPI-2 Personality Psychopa­thology Five (PSY-5) scales: Gaining an overview for case conceptualization and treatment planning. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Hathaway, S. R., & McKinley, J. C. (1940). A multiphasic personality schedule (Minnesota): I: Construction of the schedule. Journal of Psychology, 10, 249–254.

    Article  Google Scholar 

  • Heaton, R., Smith, H., Lehman, R., & Vogt, A. (1978). Prospects for faking believable deficits on neuropsycho-logical testing. Journal of Consulting and Clinical Psychology, 46, 892–900.

    Article  PubMed  Google Scholar 

  • Henry, G. K., Heilbronner, R. L., Mittenberg, W., & Enders, C. (2006). The Henry-Heilbronner Index: A 15-item empirically derived MMPI-2 subscale for identifying probable malingering in personal injury litigants and disability claimants. The Clinical Neuropsychologist , 20, 786–797.

    Google Scholar 

  • Hibbard, M. R., Bogdany, J., Uysal, S., Kepler, K., Silver, J. M., Gordon, W. A., et al. (2000). Axis II psychopathology in individuals with traumatic brain injury. Brain Injury, 14, 45–61.

    Article  PubMed  Google Scholar 

  • Keller, R., & Sheffield, B. (1973). The one-week prevalence of symptoms in neurotic patients and normals. American Journal of Psychiatry, 130, 102–105.

    Google Scholar 

  • Kraus, J. F., & Chu, L. D. (2005). Epidemiology. In J. M. Silver, T. W. McAllister, & S. C. Yudofsky (Eds.), Textbook of Traumatic Brain Injury (pp. 3–26). Washington: American Psychiatric Publishing.

    Google Scholar 

  • Kreutzer, J. S., Seel, R. T., & Marwitz, J. H. (1999). Neurobehavioral Functioning Inventory. San Antonio: The Psychological Corporation.

    Google Scholar 

  • Kurtz, J. E., Shealy, S. E., & Putnam, S. H. (2007). Another look at paradoxical severity effects in head injury with the Personality Assessment Inventory. Journal of Personality Assessment, 88, 66–73.

    PubMed  Google Scholar 

  • Larrabee, G. J. (1998). Somatic malingering on the MMPI and MMPI-2 in personal injury litigants. The Clinical Neuropsychologist, 12, 179–188.

    Article  Google Scholar 

  • Larrabee, G. J. (2003). Detection of symptom exaggeration with the MMPI-2 in litigants with malingered neurocognitive dysfunction. The Clinical Neuropsychologist, 17, 54–68.

    Article  PubMed  Google Scholar 

  • Lees-Haley, P. R., & Brown, R. (1993). Neuropsychological complaint base rates in 170 personal injury claimants. Archives of Clinical Neuropsychology, 8, 203–209.

    PubMed  Google Scholar 

  • Lees-Haley, P. R., English, L. T., & Glenn, W. J. (1991). A fake bad scale on the MMPI-2 for personal injury claimants. Psychological Reports, 68, 203–210.

    PubMed  Google Scholar 

  • MacNiven, E., & Finlayson, M. (1993). The interplay between emotional and cognitive recovery after closed head injury. Brain Injury, 7, 241–246.

    Article  PubMed  Google Scholar 

  • Nelson, N. W., Sweet, J. J., & Demakis, G. J. (2006). Meta-analysis of the MMPI-2 Fake Bad Scale: Utility in forensic practice. The Clinical Neuropsychologist, 20, 39–58.

    Article  PubMed  Google Scholar 

  • Nichols, D., Greene, R., & Schmolck, P. (1989). Criteria for assessing inconsistent patterns of item endorsement on the MMPI: Rationale, development and empirical trials. Journal of Clinical Psychology, 45, 239–250.

    Article  PubMed  Google Scholar 

  • Novack, T., Daniel, M., & Long, C. (1984). Factors related to emotional adjustment following head injury. International Journal of Clinical Neuropsychology, 6, 139–142.

    Google Scholar 

  • Paolo, A., & Ryan, J. (1992). Detection of random response sets on the MMPI-2. Psychotherapy in Private Practice, 11, 1–8.

    Google Scholar 

  • Pinsoneault, T. B. (2007). Detecting random, partially random and nonrandom MMPI-2 protocols. Psycho­logical Assessment, 19, 159–164.

    Article  PubMed  Google Scholar 

  • Pope, K. S., Butcher, J. N., & Seelen, J. (2000). Some final thoughts. In J. N. Butcher & K. S. Pope (Eds.), The MMPI, MMPI-2, and MMPI-A in court: a practical guide for expert witnesses and attorneys (2nd ed., pp. 225–231). Washington: American Psychological Association.

    Chapter  Google Scholar 

  • Putnam, S., & Millis, S. (1994). Psychosocial factors in the development and maintenance of chronic somatic and functional symptoms following mild traumatic brain injury. Advances in Medical Psychotherapy, 7, 1–22.

    Google Scholar 

  • Rogers, R. (1984). Towards an empirical model of malingering and deception. Behavioral Sciences and the Law, 2, 93–111.

    Article  Google Scholar 

  • Rogers, R. (1990). Models of feigned mental illness. Professional Psychology: Research and Practice, 21, 182–188.

    Article  Google Scholar 

  • Rogers, R. (2008). Clinical assessment of malingering & deception (3rd ed.). New York: Guilford Press.

    Google Scholar 

  • Rogers, R., Bagby, R. M., & Dickens, S. E. (1992). Structured interview of reported symptoms: Professional manual. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Rogers, R., Sewell, K. W., Martin, M. A., & Vitacco, M. J. (2003). Detection of feigned mental disorders: A meta-analysis of the MMPI-2 and malingering. Assessment, 10, 160–177.

    Article  PubMed  Google Scholar 

  • Rogers, R., Sewell, K. W., & Salekin, R. T. (1994). A meta-analysis of malingering on the MMPI-2. Assessment, 1, 227–237.

    Google Scholar 

  • Ross, S. R., Millis, S. R., Krukowski, R. A., Putnam, S. H., & Adams, K. M. (2004). Detecting incomplete effort on the MMPI-2: An examination of the Fake Bad Scale in mild head injury. Journal of Clinical and Experimental Neuropsychology, 26, 115–124.

    Article  PubMed  Google Scholar 

  • Ruocco, A. C., Swirsky-Sacchetti, T., Chute, D. L., Mandel, S. M., & Zillmer, E. A. (2008). Distinguishing between neuropsychological malingering and exaggerated psychiatric symptoms in a neuropsychological setting. The Clinical Neuropsychologist , 22, 547–564.

    Google Scholar 

  • Sweet, J. J., Malina, A., & Ecklund-Johnson, E. (2006). Application of the new MMPI-2 Malingered Depression scale to individuals undergoing neuropsychological evaluation: Relative lack of relationship to secondary gain and failure on validity indices. The Clinical Neuropsychologist, 20, 541–551.

    Article  Google Scholar 

  • Silver, J. M., Kramer, R., Greenwald, S., & Weissman, M. A. (2001). The association between head injuries and psychiatric disorders: Findings from the New Haven NIMH Epidemiologic Catchment Area Study. Brain Injury, 15, 935–945.

    Article  PubMed  Google Scholar 

  • Slick, D. J., Sherman, E. M. S., & Iverson, G. L. (1999). Diagnostic criteria for malingered neurocognitive dysfunction: Proposed standards for clinical practice and research. The Clinical Neuropsychologist, 13, 545–561.

    Article  PubMed  Google Scholar 

  • Tellegen, A., Ben-Porath, Y. S., McNulty, J. L., Arbisi, P. A., Graham, J. R., & Kaemmer, B. (2003). MMPI-2 Restructured Clinical (RC) scales: Development, validation and interpretation. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Wetter, M. W., Baer, R. A., Berry, D. T. R., Smith, G. T., & Larsen, L. (1992). Sensitivity of MMPI-2 validity scales to random responding and malingering. Psychological Assessment, 4, 369–374.

    Article  Google Scholar 

  • Youngjohn, J. R., Davis, D., & Wolf, I. (1997). Head injury and the MMPI-2: Paradoxical severity effects and the influence of litigation. Psychological Assessment, 9, 177–184.

    Article  Google Scholar 

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  1. Department of Psychology, University of Kentucky, Lexington, KY, 40506, USA

    David T. R. Berry, Lindsey J. Schipper & Jessica A. Clark

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  1. David T. R. Berry
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  2. Lindsey J. Schipper
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    Cecil R. Reynolds

  2. Psych Associates of Maryland, Bethesda, 20814, Maryland, USA

    Arthur MacNeill Horton, Jr.

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Berry, D.T.R., Schipper, L.J., Clark, J.A. (2012). Detection of Feigning of Head Injury Symptoms on the MMPI-2. In: Reynolds, C., Horton, Jr., A. (eds) Detection of Malingering during Head Injury Litigation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-0442-2_9

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