Citation

Zasler ND, Bender SD. Phys. Med. Rehabil. Clin. N. Am. 2019; 30(3): 621-636.

Affiliation

Institute of law, psychiatry and Public policy, Department of Psychiatry and Neurobehavioral Science, University of Virginia, 1230 Cedars Court, Suite 108, Charlottesville, VA 22903, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.pmr.2019.03.009

PMID

31227137

Abstract

This article provides an overview of validity assessment in persons with traumatic brain injury including evaluation caveats. Specific discussion is provided on post-concussive disorders, malingering, examination techniques to assess for validity, response bias, effort and non-organic/functional presentations. Examinee and examiner biases issues will also be explored.

DISCUSSION is also provided regarding judicial trends in limiting examiner scope of testing and/or testimony, and risk of liability when providing expert witness opinions on validity of examinee presentations. The hope is to encourage physiatrists to become more aware and skilled in validity assessment given its importance in differential diagnosis of impairment following traumatic brain injury.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Behavior; Cognition; Forensic; Malingering; Physical examination; Response bias; Traumatic brain injury; Validity