22 Crim. Just. & Behavior 3 (1995)

handle is hein.journals/crmjusbhv22 and id is 1 raw text is: 



No Easy Solutions

Circuit Court of Cook County, Illinois

The feigning of a major mental illness is especially likely to occur in criminal forensic contexts.
In particular, malingered psychosis is appealing to defendants and often troublesome for
examiners. In spite of major improvement in both clinical interviewing techniques and psycho-
logical tests (the examiner's main defenses against deception), there is still no foolproof detection
method. The author discusses the strengths and weaknesses in common approaches, the most
recent innovations, and recommends an eclectic approach to forensic examinations, as well as
special sensitivity to the problem of false positives.

A lthough the behavior currently known as malingering has from
      time immemorial . . . attracted the attention of physicians
(Jones & Llewellyn, 1918, p. 8), it was virtually ignored in the
literature of psychology and psychiatry until conscription problems of
World War II spurred a renewal of interest (e.g., H. Goldstein, 1945;
Hunt, 1946; Hunt & Older, 1943). The military service generally was
seen as the most likely forum for the playacting of mental disorders
(Eissler, 1951; Szasz, 1957).
   Early texts (e.g., Jones & Llewellyn, 1918) made no distinction
between malingering and what would now be called a factitious
disorder. The crucial distinction is whether the objective is (a) a readily
identifiable external gain (malingering) or (b) a pathological need to
play the patient role (factitious disorder; American Psychiatric Asso-

AUTHOR'S NOTE: Address all correspondence to Paul Karsten Fauteck, Psychi-
atric Institute of the Circuit Court of Cook County, Suite 1001, 2650 S. California
Avenue, Chicago, IL 60608.
CRIMINAL JUSTICE AND BEHAVIOR, Vol. 22 No. 1, March 1995 3-18
 1995 American Association for Correctional Psychology

from the SAGE Social Science Collections. All Rights Reserved.

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