Detection of Malingering

Question 1

Facial Expressions and Lying

Answer 1

Least reliable clue. Pleasantness incorrectly associated w/ honesty

Question 2

Feigned Smiles

Answer 2

More likely to be asymmetrical

Question 3

Voice vs. Visual Clues

Answer 3

Attention to voice > visual clues for lie detection

Question 4

General Point About Lying Clues

Answer 4

Only valid if subject is anxious/variation from baseline

Question 5

7 Content Clues of Lying

Answer 5

1. Shorter answers
2. More grammatical errors
3. More slips of the tongue
4. More negative statements
5. More irrelevant statements in response to Qs (but if part of narrative, more truthful)
6. More overgeneralized/vague statements
7. Distance b/w listener with passive voice and hedging statements

Question 6

3 Vocal Clues of Lying

Answer 6

1. Higher pitched tone
2. More hesitant answers
3. Seem more rehearsed

Question 7

4 Physical Cues of Lying

Answer 7

1. More self-manipulating gestures
2. More discrepancy b/w verbal/nonverbal communication
3. Blink eyes more often
4. Pupils more dilated

Question 8

6 Mistaken Clues Not Actually Associated w/ Lying

Answer 8

1. Less eye contact
2. Shifty eyes
3. Smile less
4. Shift posture more
5. Speak more slowly
6. Take longer to answer Q

Question 9

% Healthy Population Sometimes Experience AH

Answer 9

10-15%

Question 10

Non-Psychotic AH (5)

Answer 10

Childhood onset
Attribute to dead people or guardian angels
Very little negative content
No distress/disturbance/fear/troublesome
More in control

Question 11

Non-Psychotic VH % of Pop

Answer 11

14-18%

Question 12

Non-psychotic VH

Answer 12

Usually dead relative, women see 4x more than men

Question 13

AH/VH Split in Schiz

Answer 13

66% AH, 33% VH (almost always along with AH)

Question 14

Mania AH/VH Split

Answer 14

AH 47%, VH 23%

Question 15

Organic Brain Syndromes VH Alone

Answer 15

33%

Question 16

5 General Traits Faked Hallx

Answer 16

1. More frightening/abusive
2. More uncontrollable
3. More unbearably distressing
4. Less predictable
5. Less context dependent

Question 17

Gender Based AH Insults

Answer 17

Women: Promiscuity
Men: Homosexuality

Question 18

Hallx Qs

Answer 18

Ask why pt is doing something, etc. NOT asking information (what time is it, etc?). Pts view voices as OMNISCIENT

Question 19

4 Strategies that Reduce Genuine Schiz AH

Answer 19

1. Specific activities (working out, watching TV, etc)
2. Changes in posutres (lie down, walk)
3. Seek out interpersonal contact
4. Taking medication

Question 20

3 Factors that Worsen AH

Answer 20

1. Being alone
2. Watching TV
3. Listening to radio

Question 21

Most Common VH

Answer 21

Usually normal sized people in color

Question 22

Lilliputian VH

Answer 22

Small people, often in alcoholic/toxic/atropine/penduncular psychosis

Question 23

Eyes Open/Closed

Answer 23

Don’t affect psychotic hallx. Drug-induced more likely eyes closed

Question 24

Unformed Hallx - Flashes of Light/Color

Answer 24

Neurologic ds

Question 25

Visual Hallx > 60y/o

Answer 25

Often eye path/cataracts

Question 26

3 Malingered Cognitive Deficit Tests

Answer 26

TOMM
VIP (Validity Indicator Profile)
VSVT (Victoria Symptom Validity)

Question 27

4 Malingered Sx Tests

Answer 27

SIRS
MMPI-2
MFAST
SIMS