malingering psychosis

[Dogdaysofsummer]

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What are your top questions to ask a patient you suspect of malingering psychotic symptoms? Specifically AH?

I spent one day with a forensic psychologist as a PGY 4 and saw him use the Structured Interview of Reported Symptoms which was pretty awesome but not quick or free. I ask all sorts of questions when someone reports AH- how many voices? can you understand them? what do they say? outside your head or inside? male/female? what language? commands? if commands, do you always obey? always there or come and go? etc.

I wish there was a malingering scale that has been validated that I could use for free. 👎

 

[nitemagi]

What are your top questions to ask a patient you suspect of malingering psychotic symptoms? Specifically AH?

I spent one day with a forensic psychologist as a PGY 4 and saw him use the Structured Interview of Reported Symptoms which was pretty awesome but not quick or free. I ask all sorts of questions when someone reports AH- how many voices? can you understand them? what do they say? outside your head or inside? male/female? what language? commands? if commands, do you always obey? always there or come and go? etc.

I wish there was a malingering scale that has been validated that I could use for free. 👎

Check out Rogers book -- clinical assessment of malingering and deception. There's a whole chapter on this.

 

[notdeadyet]

Phil Resnick had a great article called something like the detection of malingered psychosis. Very good.

 

[Ceke2002]

You can read a preview of Resnick's chapter on Malingered Psychosis here.

http://books.google.com.au/books?id...ck detection of malingering psychosis&f=false

 

[Dogdaysofsummer]

You can read a preview of Resnick's chapter on Malingered Psychosis here.

http://books.google.com.au/books?id...ck detection of malingering psychosis&f=false

Perfect!
Thank you all!

 

[Ceke2002]

Perfect!
Thank you all!

You might also find these helpful 🙂

http://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1422&context=jeffjpsychiatry

http://www.jaapl.org/content/26/4/579.full.pdf

http://www.cme-ce-summaries.com/psychiatry/ps3720.html

http://www.jfponline.com/Pages.asp?AID=2821

I saw an article on malingering versus atypical presentation a while ago as well, from the point of view of learning how to distinguish between the two, but I can't seem to find it now. If I come across it again, I'll post it. I would imagine being able to tell the difference between someone malingering psychosis and someone who was just presenting with atypical symptoms would be one of the difficulties in making a diagnosis.