Indian Journal of Clinical Psychology
  • Year: 2018
  • Volume: 44
  • Issue: 2

Clinical Neuropsychological Assessment of Sub-Optimal Effort: A Case Report

  • Author:
  • Himani Kashyap1,
  • Total Page Count: 4
  • Page Number: 156 to 159

1Assistant Prof., Deptt. of Clinical Psychology, MVG Building (3rd floor), National Institute of Mental Health And NeuroSciences (NIMHANS), Bengaluru 560029, Karnataka, India

*Corresponding Author: Himani Kashyap. Email: himani@nimhans.ac.in

Online published on 19 February, 2018.

Abstract

Psychological and neuropsychological evaluations are rendered invalid by ‘less than maximal performance on testing’. However a structured approach to the evaluation of effort and/or biased responding is not common, particularly in clinical settings. The case described highlights the difficulties faced in the detection of biased responding in a rehabilitation setting. The discussion summarises the current international recommendations, and outlines a structured flowchart for the evaluation of sub-optimal performance, biased responding, and malingering.

Keywords

Effort Detection, Malingering, Sub-optimal Effort, Performance Validity Testing, Neuropsychological Assessment