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Doody's Review ServiceReviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: There is a rapidly growing appreciation of the pervasiveness of malingering and deception in clinical settings. This does not occur solely in the context of litigation, but in many settings and for many symptoms. This book discusses the clinical presentation and assessment of malingering and deception across these different symptoms and settings.
Purpose: This updated third edition offers a review of the state of the science on deception and malingering and best-practice guidelines for clinicians.
Audience: Psychologists and neuropsychologists are the immediately obvious audience for this book, but clinicians in other fields, such as physicians, would also find it appropriate. Dr. Rogers is considered a leading expert on the topic and has made numerous scholarly contributions to this field, as well as clinical contributions in the form of a specialized instrument for detecting feigned mental illness.
Features: The book begins with an introduction to response styles and how these are classified and verified. Strategies to detect feigned illnesses follow, with a nice summary table that provides examples of measures for each strategy. Some of the measures, however, are outdated (e.g., WMS-R) and cutting-edge measures are absent (e.g., Word Memory Test). The next few chapters cover particular disorders that are frequently malingered, such as psychosis, TBI, substance abuse, and PTSD. After covering particular disorders, the book then addresses the use of different measures in the detection of feigned disorders with an entire chapter devoted to the MMPI-2. Chapters purportedly are fully dedicated to measures for detecting feigned illness, but these are still incomplete and do not provide practical information about the use of the measures (e.g., cut scores). This is especially egregious considering the fact that earlier chapters have significant overlap and the space could have been better used to provide a comprehensive review. Readers will also find some measures are discussed in one paragraph, while the author's own measures have pages dedicated to them, indicating some personal bias. The final section on the assessment of malingering and deception in special populations is very useful, especially in terms of assessing individuals attempting to "fake good." Clinical researchers will find an interesting review of research methodologies in malingering and the review of limitations or gaps in our knowledge should stimulate worthwhile studies.
Assessment: This third edition has a few new chapters that make it a worthwhile update. As a review of the concepts behind the assessment of malingering and deception, this is a fine publication and well worth taking the time to read. As a guide to the actual measures available and how to use them, the book leaves something to be desired both in its comprehensiveness and currency. For readers seeking a guide to the assessment of malingering and deception in neuropsychological evaluations, Assessment of Feigned Cognitive Impairment: A Neuropsychological Perspective, Boone (Guilford, 2007) is a much more comprehensive and immediately useful reference.