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Cox, J., Stinar, L.D., Foster, E.E. (2017). On being a novice forensic evaluator: Reflections for early career forensic psychologists. Psychological Injury and Law, 10, 191-195.
Previous research has considered the psychologist’s professional transition from trainee to independent practitioner. However, this work has generally focused on the experiences of psychotherapists or general psychologists. The purpose of the current commentary is to reflect on the experiences of early professional forensic evaluators. This commentary addresses four specific areas including difficulties with adversarial allegiance, perceptions of professional competency, balancing responsibilities associated with “expert” status, and roadblocks to standard test administration and scoring. When applicable, we reference empirical literature and professional ethical guidelines. We also offer suggestions for coping with these experiences. We hope this commentary will normalize these experiences for other early career evaluators as well as aid graduate students’ transition into the independent evaluator role.
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Smith, S.T., Cox, J., Mowle, E., & Edens, J.F. (2017). Intentional inattention: Detecting feigned Attention-Deficit/Hyperactivity Disorder on the Personality Assessment Inventory. Psychological Assessment, 29, 1447-1457.
Given the increasing number of college students seeking Attention-Deficit/Hyperactivity Disorder (ADHD) diagnoses as well as the potential secondary gains associated with this disorder (e.g., access to stimulant medication, academic accommodations), the detection of malingered symptom presentations in this population is a major concern. The present study examined the ability of validity indicators on the widely used Personality Assessment Inventory (PAI; Morey, 1991) to distinguish between individuals experiencing genuine ADHD symptoms and individuals instructed to present with ADHD symptomatology for secondary gain. Sixty-six participants who successfully simulated ADHD (based on elevations on the Conners’ Adult ADHD Rating Scale; Conners, Erhardt, & Sparrow, 1998) were compared with a sample of undergraduate students meeting diagnostic criteria for ADHD (N = 22) and an archival sample of adults who received an ADHD diagnosis at a university psychology clinic following a comprehensive psychological evaluation (N = 41). Successful simulators obtained significantly higher scores on all relevant PAI validity indicators compared with the clinical and archival comparison samples, with the Rogers Discriminant Function demonstrating the highest predictive accuracy (AUC = .86). Traditional cut scores on the Negative Impression (NIM) validity scale used to designate probable malingering, however, were not sensitive to simulated ADHD symptoms, although they did demonstrate excellent specificity. The PAI may be informative as an indicator of potentially exaggerated or malingered symptom presentation, but alternative cut scores for symptom validity indicators may be necessary to maximize its utility in these particular types of psychological evaluations. |
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