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Research ArticleRegular Articles

A Systematic Approach to the Detection of False PTSD

Mikel Matto, Dale E. McNiel and Renee L. Binder
Journal of the American Academy of Psychiatry and the Law Online September 2019, 47 (3) 325-334; DOI: https://doi.org/10.29158/JAAPL.003853-19
Mikel Matto
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Dale E. McNiel
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Renee L. Binder
Dr. Matto is Assistant Clinical Professor of Psychiatry, Dr. McNiel is Professor of Clinical Psychology, and Dr. Binder is Professor of Psychiatry in the Department of Psychiatry, University of California, San Francisco. This article was presented, in part, at the 47th annual meeting of the American Academy of Psychiatry and the Law, October 27—30, 2016, in Portland, Oregon.
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    Table 1

    Data Domains to Consider in the Evaluation of False PTSD

    DomainAnalysis to Include
    WorkPerformance appraisals and disciplinary actions
    SchoolGrades, evaluations, test scores, and correspondence
    Friends and familyInterviews that can corroborate symptoms, particularly ones the evaluee may be unaware of (e.g., movement while sleeping or dissociation episodes). Caution is warranted in interpretation of these data because close friends or family may have a vested interest in the outcome of the evaluation.
    PoliceArrest records, police reports, or witness statements concerning criminality or past trauma
    CorrectionalAny custody records of the evaluee's observed behaviors and activities while incarcerated
    MilitaryThe DD-214 (certificate of release or discharge from active duty that lists awards that pertain to actions, wounds, and deployments), evaluations, and disciplinary actions. Given that these records can be forged, evaluators may consider ordering them directly from the National Personnel Records Center online via a SF-180 request form.
    CourtsDepositions or transcripts of civil, criminal, or administrative hearings
    Medical/psychiatricPast psychiatric and medical evaluations, diagnoses, and treatment. Medical records warrant careful review because non-mental health care providers often do not describe mental health concerns unless they are a chief complaint.
    • From References 4, 5, 9, 18, 19.

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Journal of the American Academy of Psychiatry and the Law Online: 47 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 47, Issue 3
1 Sep 2019
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A Systematic Approach to the Detection of False PTSD
Mikel Matto, Dale E. McNiel, Renee L. Binder
Journal of the American Academy of Psychiatry and the Law Online Sep 2019, 47 (3) 325-334; DOI: 10.29158/JAAPL.003853-19

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A Systematic Approach to the Detection of False PTSD
Mikel Matto, Dale E. McNiel, Renee L. Binder
Journal of the American Academy of Psychiatry and the Law Online Sep 2019, 47 (3) 325-334; DOI: 10.29158/JAAPL.003853-19
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