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22 Crim. Just. & Behavior 3 (1995)

handle is hein.journals/crmjusbhv22 and id is 1 raw text is: DETECTING THE MALINGERING OF PSYCHOSIS IN OFFENDERS: No Easy Solutions PAUL KARSTEN FAUTECK 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 3 from the SAGE Social Science Collections. All Rights Reserved.

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