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19 Cards in this Set
- Front
- Back
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Reliable response style
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present symptoms in honest and self-disclosing manner
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Irrelevant response style
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not engaged and may respond inconsistent or random manner
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Defensive response style
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deny/minimize the psych problems; conscious process of deliberate distortion
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Malingering response style
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deliberately fabricate or grossly exaggerate problems
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How is Malingering response style distinguished from factious disorders?
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on the basis of their external goals;
solely to assume the sick role=factious; all other malingering |
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RS
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Rare symptoms: occur infrequently in psychiatric pts
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SC
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Symptom Combinations: psych sxs which rarely occur simultaneously; not infreq sxs but not commonly found together
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IA
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Improbable or Absurd Sx
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BL
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Blatant Sx-sxs an untrained person would over endorse bc obvious signs of a mental disorder;
high score on BL (>10) indicates that the client is endorsing a very high proportion of sxs associated with a major mental illness |
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SU
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Subtle Symptoms; untrained person would see as everyday problem and not indicative of mental illness;
a high score (<15) indicates pt is endorsing a high proportion of everyday problems and is not indicative of a mental illness; feigning still occurs here |
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SEL
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Selectivity of Sxs-indisriminate endorsement
DS and DA should be examined unsophisticated attmempt to appear mentally ill |
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RO
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Reported vs Observed Sxs; >6 does not appear aware of movements during interview
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DS
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Defensive Sxs
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DA
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Direct Appraisal of Honest: level of disclosure in self-reports and to their providers
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OS
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Overly specified Sxs: endorsement of sxs with a high degree of specificity
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SO
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Sx Onsets-uncharteristic sxs of acute onset of a d/o
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INC
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Inconsistency of Sxs: Malingers had time to remember
disorganized may have difficulty also |
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Total SIRS Sore for Feigning
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>76
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Total SIRS Sore for Honesty
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<71
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