Specificity of the MMPI-2 Fake Bad Scale as a marker for personal injury malingering

Psychologists who evaluate patients in medicolegal contexts should utilize objective assessment data with empirically established sensitivity and specificity for identifying negative response bias. The purpose of this study was to investigate the specificity of the Fake Bad Scale for identifying negative response bias in personal injury claimants. The cutoff scores proposed by Lees-Haley and colleagues were applied a federal prison, medical outpatients, and patients from to inmate volunteers from substance abuse unit. Half of the inmates were given instructions to malinger psychopathology to affect the adjudication process, and the remaining inmates and all of the hospital patients were given standard instructions. The original cutoff scores correctly identified the majority of inmates instructed to malinger psychopathology, but these scores resulted in unacceptably high rates of false positive classifications. The revised cutoff scores resulted in fewer false positives, i.e., 8%-24%.     

The cues that children use in acquiring adjectival phrases and compound nouns: evidence from bilingual children

This study explores the cues used in acquisition of two semantically similar structures that are ordered differently in French and English: adjectival phrases and compound nouns. One possible prediction is that children attend primarily to meaning, so they should order both structures similarly. Another is that children attend primarily to structure, so they should learn these structures independently. Two kinds of data were obtained from eight 4-year old bilinguals: (1) spontaneous production and (2) experimental elicitation. The children were nearly perfect in their ordering of adjectival phrases, but less so in compounds. These results conform to neither prediction, leaving open the question of which cues children use in acquisition.     

Stem homographs and lemma level representations

Previous studies have found that priming a target like cerr-o ("hill") with an unmasked stem-homograph (e.g., cerr-ar, "to close") or with an unmasked allomorph of a stem-homograph (e.g., cierr-a, "he/she/it closes") has an inhibitory effect on target recognition. We report evidence from stem-homograph priming studies that implicate both morphological parsing and lexical selection processes at the lemma level. We argue that stem-homograph inhibition is the product of lexical selection mechanisms that are engaged just when a fully ambiguous stimulus (here, an inflectional stem) must be assigned one of its viable interpretations in order to afford conscious perception of lexical identity.     

Age differences in overlapping-task performance: evidence for efficient parallel processing in older adults

Two psychological refractory period (PRP) experiments were conducted to examine overlapping processing in younger and older adults. A shape discrimination task (triangle or rectangle) for Task 1 (T1) and a lexical-decision task (word or nonword) for Task 2 (T2) were used. PRP effects, response time for T2 increasing as stimulus onset synchrony (SOA) decreased, were obtained for both age groups. The effect of word frequency on T2 was smaller at the short SOA than at the long SOA, reflecting slack effects, which were larger for older than younger adults in both experiments. These results suggest that older adults can perform lexical access of T2 in parallel with the processing of T1 at least as efficiently as younger adults.     

Differential age effects for case and hue mixing in visual word recognition

The authors compare older adults' lexical-decision data with younger adults' data reported in P. Allen, A. F. Smith, et al. (2002). On the basis of their work, it was proposed that consistent-case wordswould be processed by the faster holistic (magnodominated) stream, but that mixed-case words would be processed by the slower analytic (interblob-dominated or blob-dominated) steams. Hue mixing was predicted to have no effect on consistent-case performance, but mixed-hue/mixed-case words were predicted to be recognized faster than monochrome/mixed-case words. Younger adults showed the predicted results, but older adults did not. These results suggest that holistic central processes are maintained, but that older adults exhibited an analytic decrement     

Pharmacogenetics: ethical issues and policy options

Pharmacogenetics offers the prospect of an era of safer and more effective drugs, as well as more individualized use of drug therapies. Before the benefits of pharmacogenetics can be realized, the ethical issues that arise in research and clinical application of pharmacogenetic technologies must be addressed. The ethical issues raised by pharmacogenetics can be addressed under six headings: (1) regulatory oversight, (2) confidentiality and privacy, (3) informed consent, (4) availability of drugs, (5) access, and (6) clinicians' changing responsibilities in the era of pharmacogenetic medicine. We analyze each of these categories of ethical issues and provide policy approaches for addressing them.     

The myth of Freud's ostracism by the medical community in 1896-1905: Jeffrey Masson's assault on the truth

The story recounted by Jeffrey M. Masson of the medical community's outraged response to the seduction theory is treated as historical fact in some of the recent literature on Freud's early psychoanalytic experiences. In this article the evidence adduced by Masson in The Assault on Truth (1984) to buttress his account of Freud's supposed ostracism is critically examined. It is concluded that this evidence fails to substantiate Masson's version of events, that there is abundant evidence that refutes it, and that he has ignored the historical research that demonstrates that the notion that Freud's early psychoanalytic writings received an irrationally hostile reception is a myth.     

Who is exaggerating cognitive impairment and who is not?

This chart review examined the effects of effort on neuropsychological assessment and test performance patterns among genuine and exaggerating patients, with and without neurological findings, as aids to diagnosing symptom exaggeration. The sample consisted of 561 consecutive patients involved in compensation claims. With a flexible neuropsychological test (NPT) battery, the claims were assessed over 2 days. The sample included 303 patients evaluated for traumatic brain injury, 55 patients with neurological disease, and 203 patients assessed for other conditions (eg, depression or chronic pain). An average of 38 ability measures per patient were used to generate an overall NPT domain score. Composite scores were also computed for symptom validity tests, self-report measures of psychiatric symptoms, and memory complaint inventory. Seven NPT cognitive subdomain scores were multiply regressed onto the symptom validity test composite, accounting for 45% of its total variance. Patients were also assigned to Genuine or Exaggerator groups based on symptom validity test performance. The NPT for Exaggerating patients averaged 1.43 standard deviations below that of Genuine patients, suggesting that NPT scores for most Exaggerating patients are underestimates of their true ability. Factor analysis results differed between these groups. As a result, clinicians might avoid falsely identifying genuine patients as exaggerating by incorporating their self-reports of psychiatric symptoms and memory complaints into the diagnostic process.