1st Edition

Assessment of Feigned Cognitive Impairment
A Neuropsychological Perspective

  • This format cannot be shipped to your selected country.
ISBN 9781593854645
Published July 13, 2007 by Guilford Press
481 Pages

USD $86.00

Prices & shipping based on shipping country


Book Description

Comprehensive and user friendly, this book synthesizes the growing literature on symptom feigning in cognitive testing and translates it into evidence-based recommendations for clinical and forensic practice. A wide range of cognitive effort assessment techniques and strategies are critically reviewed, including both dedicated measures and the use of embedded indicators in standard clinical tests. The book describes approaches to distinguishing between credible and noncredible performance in specific clinical populations: persons presenting with head injury, chronic pain and fatigue, attention-deficit/hyperactivity disorder and learning disability, mental retardation, seizures, and exposure to environmental toxins. Special topics include the potentially confounding effects of psychiatric disorder and ethnocultural factors on effort testing, and cognitive assessment in the criminal forensic setting.

Table of Contents

I. Symptom Fabrication: Social and Biological Perspectives

1. Feigning of Physical, Psychiatric, and Cognitive Symptoms: Examples from History, the Arts, and Animal Behavior, David C. Stone and Kyle Brauer Boone

2. Functional Neuroimaging of Deception and Malingering, Lisle R. Kingery and David J. Schretlen

II. Cognitive Effort Assessment Techniques and Strategies

3. A Reconsideration of the Slick et al. (1999) Criteria for Malingered Neurocognitive Dysfunction, Kyle Brauer Boone

4. Spoiled for Choice: Making Comparisons between Forced-Choice Effort Tests, Paul Green

5. Non-Forced-Choice Measures to Detect Noncredible Cognitive Performance, Stephen R. Nitch and David M. Glassmire

6. Intelligence Tests as Measures of Effort, Talin Babikian and Kyle Brauer Boone

7. Use of Standard Memory Tests to Detect Suspect Effort, Po H. Lu, Steven A. Rogers, and Kyle Brauer Boone

8. Validity Indicators within Executive Function Measures: Use and Limits in Detection of Malingering, Jerry J. Sweet and Nathaniel W. Nelson

9. Use of Motor and Sensory Tests as Measures of Effort, Ginger Arnold and Kyle Brauer Boone

10. The MMPI-2 Fake Bad Scale in Detection of Noncredible Brain Injury Claims, Manfred F. Greiffenstein, David Fox, and Paul R. Lees-Haley

III. Cognitive Effort Testing in Various Clinical Populations

11. Malingering Mild Traumatic Brain Injury: Behavioral Approaches Used by Both Malingering Actors and Probable Malingerers, John E. Meyers

12. Including Measures of Effort in Neuropsychological Assessment of Pain- and Fatigue-Related Medical Disorders: Clinical and Research Implications, Julie Suhr and Brad Spickard

13. The Impact of Psychiatric Disorders on Cognitive Symptom Validity Test Scores, Hope E. Goldberg, Carla Back-Madruga, and Kyle Brauer Boone

14. Identification of Feigned Mental Retardation, Tara L. Victor and Kyle Brauer Boone

15. Symptom Validity Tests in the Epilepsy Clinic, David J. Williamson, Daniel L. Drane, and Elizabeth S. Stroup

16. The Use of Effort Tests in the Context of Actual versus Feigned Attention-Deficit /Hyperactivity Disorder and Learning Disability, Kimberly Alfano and Kyle Brauer Boone

17. Cognitive Complaints in Multiple Chemical Sensitivity and Toxic Mold Syndrome, Robert J. McCaffrey and Christine L. Yantz

18. The Use of Effort Tests in Ethnic Minorities and in Non-English-Speaking and English as a Second Language Populations, Xavier F. Salazar, Po H. Lu, Johnny Wen, and Kyle Brauer Boone

19. Assessment of Malingering in Criminal Forensic Neuropsychological Settings, Robert L. Denney

20. Future Directions in Effort Assessment, Martin L. Rohling and Kyle Brauer Boone

View More



Kyle Brauer Boone, PhD, ABPP, is Professor-in-Residence in the Department of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine, University of California, Los Angeles, and Director of Neuropsychological Services and Training in the Department of Psychiatry at Harbor-UCLA Medical Center in Torrance, California. She has published over 100 peer-reviewed articles in professional journals in the area of neuropsychological assessment and is a coauthor of Handbook of Normative Data for Neuropsychological Assessment. Dr. Boone has also published two tests used to assess for effort on neuropsychological exams: the b Test and the Dot Counting Test.


This is an excellent book that provides state-of-the-art perspectives on assessing and determining noncredible neuropsychological performance. The book suggests advances beyond the pejorative and sometimes simplistic term 'malingering,' looking instead at both conscious and nonconscious motives for poor performance. Contributors review an astonishing array of techniques and strategies for detecting noncredible performance on symptom validity tests and clinical measures. Proposing novel nomenclature and conceptual thinking, this volume will help move the field forward in this important area of research and practice.--Wilfred G. van Gorp, PhD, Department of Psychiatry, Columbia University College of Physicians and Surgeons
This comprehensive work features contributions by many of the best-known people in the field. Covering assessment of diverse groups--including persons with psychogenic seizures, criminal forensic examinees, and cultural and linguistic minority group members--this will be a useful text for graduate-level courses and a resource for practicing clinicians.--Laurence M. Binder, PhD, Departments of Psychiatry and Neurology, Oregon Health and Science University
Boone and her colleagues effectively review a large selection of clinical circumstances that require neuropsychological assessment of feigned cognitive impairment, and thoroughly examine a broad range of tests used for that purpose. The book is filled with thoughtful exploration of current issues attending assessment of feigning. This comprehensive text will become an essential reference for neuropsychologists and other forensic clinicians, and will serve well as a textbook for graduate-level courses in neuropsychological assessment.--Richard I. Frederick, PhD, United States Medical Center for Federal Prisoners, Springfield, Missouri
Boone is well known for her innovative research on assessment of response bias, making her an ideal editor for this comprehensive volume. The section on effort testing in various clinical populations is important, for it focuses not only on feigned impairment in different clinical disorders, but also on correct identification of legitimately impaired patients who are manifesting valid test performance. This book will be a valuable asset to the practicing clinician, and it is also appropriate for use as a text in advanced graduate and postdoctoral clinical training.--Glenn J. Larrabee, PhD, private practice, Sarasota, Florida