ABSTRACT

This chapter begins with conceptual and clinical issues pertaining, to suspected malingering and to what is known about the differences between dissimulated and genuine psychotic symptoms. It discusses the Rorschach's role in detecting malingered psychotic symptomatology. Detecting malingering in clinical and forensic evaluations is a not an uncommon concern for practitioners. Furthermore, as demonstrated by Resnick and Knoll, the detection of malingered psychosis requires extensive knowledge about the phenomenology of psychotic symptomatology. The most effective detection strategies are those involving standardized methods that are conceptually based, empirically validated, systematically differentiating, and delineating a specific response style. According to Sherman, Trief, and Sprafkin, malingerers have more difficulty feigning the disorganized form and idiosyncratic process of psychotic thinking than they do imitating the content of a bogus delusion. Thus, when an individual claims to have bizarre delusions without evidence of a formal disturbance in thinking or speech, the index of suspicion for malingering is raised.