Summary 10.5.2

Clinical Factors Suggestive of Malingering

  • Marked inconsistencies and contradictions

  • Improbable psychiatric symptoms

  • Mixed symptom profile: endorsement of depressive symptoms while mood is euphoric

  • Overly dramatic behavior

  • Extremely unusual responses to questions about improbable situations

  • Evasiveness or noncooperation

  • Excessively guarded or hesitant responses

  • Frequent repetition of questions

  • Frequent declaration of ignorance (“I don't know”) in response to simple questions

  • Hostile, intimidating behavior, seeking to control or refusing to participate in the interview

  • Overemphasis of positive symptoms of schizophrenia