The Pseudologia Fantastica Defense in Combat-Determined Post-Traumatic Stress Disorder: A Study of the Nature of This Defense and How to Differentiate It from Malingering.
The Forensic Examiner 2005, Spring, 14, 1
The Forensic Examiner
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Abstract Pseudologia fantastica (PF) refers to the fabrication of events as a defense against the reexperiencing of psychological trauma. This defense involves primary process thinking and may readily be detected as lying by forensic clinicians. Lying in a compensation and pension (C&P) interview places a post-traumatic stress disorder (PTSD) claimant at risk for misdiagnosis as a malingerer. A diagnostic error of this nature is doubly unfortunate since it deprives the claimant of both compensation and the treatment that he or she requires. This research was undertaken with the purpose of reducing the frequency of such diagnostic errors by developing criteria that differentiate PF from malingering. To this end, 144 C&P examinations for PTSD were reviewed to identify cases of malingering and of PTSD with PF. This review detected 11 cases of malingering and 2 cases of PTSD with PF. Both PF cases are presented, and 1 case of malingering is provided for comparison. The profile of the malingerer was marked by poorly substantiated trauma, exaggerated and internally inconsistent combat narratives, and an invalid psychological test profile. These characteristics were present in the profiles of all 11 malingerers. In comparison, the PF cases were marked by exaggerated combat narratives, well-documented combat exposure, and valid psychological test profiles. These profile characteristics are proposed as criteria for differentiating PTSD claimants with PF from those who are malingering.
- 2,99 €
- Kategorie: Gesundheit und Fitness
- Erschienen: 22.03.2005
- Verlag: American College of Forensic Examiners
- Druckseiten: 37 Seiten
- Sprache: Englisch