Title

Deception and Detection in Psychiatric Diagnosis.

Publication/Presentation Date

12-1-1998

Abstract

Deception is ubiquitous in all communication and relationships. It can be conscious, unconscious, or both. It is present in all psychiatric diagnoses as alterations of history, symptom fabrication, symptom enhancement or minimization, and noncompliance with treatment recommendations. We are born better deceivers than we are detectors and untrained intuition may result in very unreliable discrimination. In order to improve our ability to distinguish fact from fiction, the diagnostician must attend to clues in the patient's history and physical and mental status examinations. Laboratory examination, psychological testing, and polygraphy also can be useful adjuncts in detection; however, the first step is always suspicion.

Volume

21

Issue

4

First Page

869

Last Page

893

ISSN

0193-953X

Disciplines

Psychiatry

PubMedID

9890127

Department(s)

Department of Psychiatry, Department of Psychiatry Faculty

Document Type

Article