The detection of malingering in neuropsychological assessment

Although malingering, or the manipulation of data by the patient, is a problem commonly faced by neuropsychologists, there has been little systematic investigation of this problem. This paper reviews the literature on the detection of malingering in assessment instruments commonly used by clinical neuropsychologists. Criticism of previous research is discussed, and suggestions are made both for future research and for clinical practice.     

Prevalence of personality disorders among bulimics,nonbulimic binge eaters,and normal controls

We examined the comorbidity of bulimia and personality pathology among college women. Subjects included women (n=23) meeting DSM-III-R criteria for bulimia nervosa (bulimics), women (n=23) who reported binge eating but did not fulfill the criteria for bulimia nervosa (binge eaters), and women (n=23) who did not binge eat (normals). The subjects completed an assessment battery consisting of the Personality Disorders Examination and the SCID as well as the Beck Depression Inventory, the Rosenberg Self-Esteem Index, and measures of impulsivity and self-defeating tendencies. Fourteen of 23 bulimics (61%) met criterion for a personality disorder using DSM-III-R Axis II criteria. In comparison, 3 of 23 (13%) binge eaters and 1 of 23 (4%) normal subjects received an Axis II diagnosis. Borderline and self-defeating diagnoses were the predominant personality disorders in 96% of the bulimics exhibiting clinically significant personality pathology. Bulimics also exhibited significantly more depression, impulsivity, and self-defeating behavior and lower self-esteem than binge eaters and normals. The findings are discussed within a conceptual framework that posits an interaction between personality pathology and restrained eating.     

Preemployment screening procedures: How human resource managers perceive them

A survey of Human Resource practitioners' perceptions of pre-employment screening procedures was conducted. The results indicated differences between tests in terms of perceived accuracy and offensiveness, as well as other attributes. Regression analyses suggested that beliefs about validity, the number of other companies using these procedures, perceived offensiveness of the test, and ease in passing the test were important factors in the willingness to use a particular test. Conversely, perceptions regarding the discriminatory impact of the test and the cost of using the test generally were not related to willingness to use the test. Limitations of this study, which was primarily exploratory, are noted.     

Near-death experiences and the measurement of blood gases

Although cerebral anoxia is not thought to be responsible for triggering near-death experiences (NDEs), the issue is not so clear in the case of hypercapnia. Detection of normal blood gases in Michael Sabom's (1982) case study seems to be the major reply to suggestions that hypercapnia may have a causal role in NDEs. We argue, however, that routine arterial measures of blood gases are not a reliable indicator of cerebral levels.     

Statistical simulation on microcomputers

The statistical simulation program DATASIM is designed to conduct large-scale sampling experiments on microcomputers. Monte Carlo procedures are used to investigate the Type I and Type II error rates for statistical tests when one or more assumptions are systematically violated-assumptions, for example, regarding normality, homogeneity of variance or covariance, mini-mum expected cell frequencies, and the like. In the present paper, we report several initial tests of the data-generating algorithms employed by DATASIM. The results indicate that the uniform and standard normal deviate generators perform satisfactorily. Furthermore, Kolmogorov-Smirnov tests show that the sampling distributions ofz, t, F, χ², andr generated by DATASIM simulations follow the appropriate theoretical distributions. Finally, estimates of Type I error rates obtained by DATASIM under various patterns of violations of assumptions are in close agreement with the results of previous analytical and empirical studies; These converging lines of evidence suggest that DATASIM may well prove to be a reliable and productive tool for conducting statistical simulation research.     

Neuropsychological identification of motor problems: Can we learn something from the feet and legs that hands and arms will not tell us?

The degree of structural and functional specialization that differentiates between upper and lower limb use in humans is quite unparalleled among primates. It is argued that less neural resources are devoted to leg and foot control than to arm and hand control, and that this aspect of lower limb innervation, together with the uniquely restricted use of the lower limb, renders lower limb function more sensitive to general neural insult. In addition, the status of leg and foot control differs from that of arm and hand control both early in life and during the later years of decline.     

CONVERGING METHODS FOR INVESTIGATING LEXICAL ACCESS

Abstract— In our discussion of the articles in this Special Section, we ask how well the various methods employed in these investigations can be made to converge on a common issue. We review how current evidence from positron emission tomography, studies of event-related potentials, cognitive methods, lesion studies, and network models relates to the mental processing of an ambiguous word. While many puzzles remain, we are impressed by the promising possibility of bringing these different methods together to deal with an issue central to cognition.