Association of the MMPI-2 Restructured Form (MMPI-2-RF) Validity Scales with Structured Malingering Criteria

The current study examined the validity scales of the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF; Ben-Porath and Tellegen 2008) in relation to the structured malingering criteria developed to assess malingered neurocognitive dysfunction and pain-related disability. These criteria examined a sample of 251 individuals undergoing compensation-seeking evaluations, who completed a battery of response bias measures. The MMPI-2-RF over-reporting scales yielded large effect sizes in contrasting those in the probable/definite malingering groups from the incentive only groups. The largest effects were found for the Infrequent Responses and Gervais et al. (Assessment, 14, 196–208, 2007) Response Bias Scale, an experimental scale that can be scored on the MMPI-2-RF. Classification analyses were also utilized to examine various cut scores for the individual validity scales, as well as their use in combination. These results suggest that the MMPI-2-RF validity scales can be used to screen for malingering, as they exhibited good sensitivity at lower cutoffs. The implications of these results and their use in forensic evaluations are discussed.     

Use of the MMPI-2 Restructured Clinical (RC) Scales in Detecting Criminal Malingering

The purpose of the present study was to assess the effects of criminal malingering on the MMPI-2 Restructured Clinical (RC) scales. Sixty undergraduate students were given the MMPI-2 twice. One administration was conducted according to the MMPI-2 manual, and the other was given with a special set of malingering instructions specific to a prison setting. The two MMPI-2 profiles for each participant were scored for both the Basic and RC scales. Eight participants were eliminated from the data analysis due to validity (VRIN or TRIN) concerns. Data from the remaining 52 participants were analyzed using a 2 × 2 repeated measures ANOVA. Results showed that, as expected, the participants achieved higher MMPI-2 scores in the malingering condition. Also, participants achieved higher scores overall on the Basic scales and a significant interaction showed that participants achieved higher scores on the Basic Scales in the malingering condition than on the RC scales in that condition. These results supported prior research, indicating that malingerers produce elevated RC profiles. However, the present results also suggest that the Basic scales may be more effective in actually detecting malingerers, mainly due to the much lower ceiling on the RC scaled scores. Further implications of these findings for research and clinical work are also discussed.     

Potential for Bias in MMPI-2 Assessments Using the Fake Bad Scale (FBS)

The Fake Bad Scale (FBS), developed to identify malingering of emotional distress among claimants seeking compensation for personal injuries, was recently added to the MMPI-2 scoring materials, resulting in its widespread dissemination across the various clinical settings that use the MMPI-2 in psychological evaluations. We examine: (1) questions of item bias in the FBS; (2) how malingering and nonmalingering groups are identified in FBS studies, including whether the research has been broadly inclusive and fully represents the populations assessed by the MMPI-2; (3) the reliability and validity of the FBS; (4) the highly variable recommendations for raw score cut-offs and how they relate to T scores; (5) two inpatient groups [men in a tertiary care Veterans Affairs Healthcare System (VA) unit and women in an eating disorders program] who may be inappropriately labeled as malingering by the FBS; (6) the publisher’s statement on use of the FBS; and (7) a Frye hearing in Florida where the FBS was excluded from expert testimony, one of three so far. We raise questions about its potential bias against people with disabilities and physical illnesses, women, individuals exposed to highly traumatic situations, and those motivated to present themselves in a favorable light. Psychologists using the FBS for making decisions about clients’ motivations need to be aware of the serious problems with the scale’s use and the cases of its inadmissibility in court.     

Security in the Interparental Subsystem (SIS) Scale: Psychometric Characteristics in a Sample of Portuguese Adolescents

The Security in the Interparental Subsystem Scale (SIS) is based on emotional security theory. This study examined the psychometric properties of an adaptation of the SIS to a sample of Portuguese adolescents (60.3 % girls; 10 to 18 years old; Mage?=?13 years; N?=?229), recruited in public schools. Discriminant and concurrent validity were assessed by analyzing SIS dimensions associations with adolescents’ exposure to interparental conflict (IC), and psychological adjustment, respectively. Exploratory and confirmatory factor analyses of the SIS supported a six-factor solution, with satisfactory internal consistency. Evidence for discriminant and concurrent validity was provided: most SIS dimensions significantly discriminated between adolescents exposed to higher vs. lower levels of IC; and a significant positive association between emotional reactivity and adolescents’ externalizing symptoms was found. These findings suggest that the SIS is a reliable tool for assessing adolescents’ emotional insecurity in the interparental relationship within the context of this sample.     

The MMPI-2 Symptom Validity Scale (FBS) is an Empirically-Validated Measure of Over-reporting in Personal Injury Litigants and Claimants: reply to William et al. (2009)

We respond briefly to Williams et al.'s (Psychological Injury and the Law 2:182–197, 2009) most recent effort to critique the MMPI-2 Symptom Validity scale, noting that the authors repeat many of the unfounded claims and conclusions of Butcher et al. (Psychological Injury and the Law 1:191–209, 2008) while ignoring and/or reflecting a misunderstanding of many of the points raised in our rebuttal. Rather than repeat our detailed responses to their initial review, we limit this comment to addressing new points Williams et al. (Psychological Injury and the Law 2:182–197, 2009) bring up and offer a succinct summary of the issues raised in this exchange.     

The MMPI-2 Symptom Validity Scale (FBS) Is an Empirically Validated Measure of Overreporting in Personal Injury Litigants and Claimants: Reply to Butcher et al. (2008)

We address issues raised by Butcher et al. (Psychological Injury and the Law 1:191–209, 2008) in their critique of the Minnesota Multiphasic Personality Inventory-2 Symptom Validity Scale (FBS) and show that their analyses and conclusions are based on faulty premises, a misunderstanding of basic concepts in the assessment of overreporting, a selective review of the literature and mischaracterization of the findings they do cite, problematic analyses of a dataset that had already been similarly analyzed, and a flawed analysis of a legal case they discuss. We complement the review of existing research with some new findings that provide further empirical support and clarification of current interpretive recommendations for proper use of the FBS in evaluations of personal injury litigants and claimants.     

Screening for suicide risk factors in prison inmates: Evaluating the efficiency of the Depression,Hopelessness and Suicide Screening Form (DHS)

The Depression, Hopelessness and Suicide Screening Form (DHS; Mills & Kroner, 2002 ) is a recently developed self‐report instrument to aid in screening inmates in the titled areas. Research has shown the DHS to have good internal consistency, factor structure and construct validity. The present study extends the previous validation research by comparing the disclosure of suicide risk factors on the DHS with both interview‐based and file review information. In addition, the DHS scores were used to predict psychological distress. The results indicate that despite the paper‐and‐pencil self‐report approach of the DHS it is comparably efficient in gathering suicide risk factors to other methods. In addition, the predictive accuracy of the DHS in identifying inmates experiencing psychological distress was confirmed. The current study has implications for the method of collection of suicide screening information. The discussion centres on the potential of self‐report in screening for suicide and self‐harm indicators in inmate populations.     

Comparability of the MMPI-2 F(p) and F scales and the SIRS in clinical use with suspected malingerers

Relationships among Structured Interview of Reported Symptoms (SIRS) scores and Minnesota Multiphasic Personality Inventory--2 (MMPI-2) F(p) and F scores were examined for 63 suspected malingerers evaluated at either of two psychiatric facilities. Despite differences between facilities in terms of seriousness of subjects' offenses, mean scores on the malingering tests were similar. Cutting scores for F(p) and F resulting in substantial correspondence between these scales and the SIRS were derived. Use of the cut score for F(p) proposed by Arbisi and Ben-Porath (1995) resulted in less agreement with the SIRS than did a lower cut score. No substantial difference between F(p) and F in each scale's overall agreement with the SIRS was observed. A principal components analysis of the SIRS primary scales produced two factors, interpreted as Overreporting of Symptoms and Implausible Symptoms. F(p) was observed to correlate significantly with Implausible Symptoms but not with Overreporting of Symptoms; F was significantly correlated with both factors.     

The (Heterosexual) Regendering of a Modern State: Criminalizing and Implementing Domestic Violence Law in Trinidad

This paper investigates one example of a process with global implications that I describe as the "regendering" of the state. Regendering refers to the process of bringing to public and legal attention categories and activities that were formerly without name but that constituted harm to women, denied them rights, silenced them, or limited their capacity to engage in actions available to men. I examine the regendering of the Trinidadian state by focusing on one of its most salient examples, the Domestic Violence Act. I identify first the coalition of forces and events that brought the subject of violence against women to lawmakers' attention and made possible the first Domestic Violence Act in the English-speaking Caribbean. I then investigate the interplay between the global discourse about domestic violence law-the passage of which has become an important symbol of the "modern" state-and local concerns about justice, gender, and family. Finally, I consider problems in the implementation of domestic violence law.     

Fatal firearm wounds: a retrospective study in Bari (Italy) between 1988 and 2003

Fatal gunshot injuries are routinely encountered by forensic pathologists practicing in Southern Italy. Bari, the capital city of the Italian region known as Apulia, is a leader with regard to the number of firearm deaths in Italy. This is mainly attributable to local organized crime groups which control a variety of illicit activities. This retrospective study analyzes autopsy data related to fatal firearm wounds, handled by the Institute of Legal Medicine [University of Bari], between 1988 and 2003. A total of 717 cases were selected and classified as follows: firearm homicides (634); suicides (82); and accidental death (1). A significant number of variables have been reviewed such as: month in which the violent event took place; the victims' nationalities; gender and age of victims; site and number of entrance wounds; weapon type used; and manner of death (i.e. homicide; suicide; accidental). Analysis has revealed a homicide versus suicide ratio of almost 8:1. Victims were mostly male with a lower mean age than in other similar studies. Homicides with multiple gunshot wounds were more common than ones with single entrance wounds. For example, in one case, 30 entrance wounds were identified in the murder of a gang boss. Four suicides with two entrance gunshot wounds were identified. Handguns were the most frequently used weapon in all groups (i.e. homicide, suicide, and accidental), with 7.65 mm and 9 mm being the most common calibres. This study revealed a very low incidence of suicide among females. Mental and other types of illness, as well as financial stress were the apparent motives which prompted most of the suicide victims. The homicide cases described were most often related to continual, ongoing fights among local criminal gangs (75%).     

Post-mortem SNP analysis of CYP2D6 gene reveals correlation between genotype and opioid drug (tramadol) metabolite ratios in blood

Tramadol is an opioid drug metabolised in phase I by cytochrome P450 (CYP) enzymes, of which CYP2D6 is mainly responsible for the O-demethylation of tramadol, but is not involved in N-demethylation. Defects in the genes encoding drug metabolising enzymes (DMEs) may lead to adverse drug effects, even to death. To aid interpretation of the forensic toxicology results, we studied how the genetic variation of the CYP2D6 gene is reflected in tramadol metabolite ratios found in post-mortem samples. In 33 Finnish autopsy cases where tramadol was found, we analysed both the CYP2D6 genotype and the concentrations of tramadol and its metabolites O- and N-demethyltramadol. As expected, we found a correlation between the number of functional CYP2D6 alleles and the ratio of tramadol to O-demethyltramadol. We also found a correlation between the number of functional alleles and the ratio of tramadol to N-demethyltramadol. This can be explained by the complementary nature of the two main tramadol demethylation pathways. No known CYP2D6 inhibitors were associated with exceptional metabolic ratios. Furthermore, no accidental tramadol poisonings were associated with a defective CYP2D6 gene. Our results on the tramadol are among the first to demonstrate that genetic variation in drug metabolising enzymes can be analysed in post-mortem blood, and that it correlates well with the parent drug to metabolite ratios. The results also suggest that genetic factors play, in general, a dominant role over other factors in the metabolism of individual drugs.     

Asymmetric barriers in atmospheric politics of transboundary air pollution: a case of particulate matter (PM) cooperation between China and South Korea

International Environmental Agreements: Politics, Law and Economics - Existing studies have argued that regional cooperation is urgent in order to tackle transboundary air pollution. However, few...     

Forensic Analysis of Explosives Using Isotope Ratio Mass Spectrometry (IRMS)—Part 2: Forensic Inter-Laboratory Trial: Bulk Carbon and Nitrogen Stable Isotopes in a Range of Chemical Compounds (Australia and New Zealand)

Abstract:  Comparability of data over time and between laboratories is a key issue for consideration in the development of global databases, and more broadly for quality assurance in general. One mechanism that can be utilized for evaluating traceability is an inter-laboratory trial. This paper addresses an inter-laboratory trial conducted across a number of Australian and New Zealand isotope ratio mass spectrometry (IRMS) laboratories. The main objective of this trial was to determine whether IRMS laboratories in these countries would record comparable values for the distributed samples. Four carbon containing and four nitrogen containing compounds were distributed to seven laboratories in Australia and one in New Zealand. The laboratories were requested to analyze the samples using their standard procedures. The data from each laboratory was evaluated collectively using International Standard ISO 13528 ( Statistical methods for use in proficiency testing by inter-laboratory comparisons ). "Warning signals" were raised against one participant in this trial. "Action signals" requiring corrective action were raised against four participants. These participants reviewed the data and possible sources for the discrepancies. This inter-laboratory trial was successful in providing an initial snapshot of the potential for traceability between the participating laboratories. The statistical methods described in this article could be used as a model for others needing to evaluate stable isotope results derived from multiple laboratories, e.g., inter-laboratory trials/proficiency testing. Ongoing trials will be conducted to improve traceability across the Australian and New Zealand IRMS community.     

Implementation of section 403(a)(2) of Social Security Act; bonus to reward decrease in illegitimacy ratio. Administration for Children and Families, HHS. Final rule

The Administration for Children and Families is issuing a final rule describing how we will award a bonus to those States that experience the largest decreases in out-of-wedlock childbearing and also reduce their abortion rates. The total amount of the bonus will be up to $100 million in each of fiscal years 1999 through 2002, and the award for each eligible State in a given year will be $25 million or less. This incentive provision is a part of the welfare reform block grant program enacted in 1996--the Temporary Assistance for Needy Families, or TANF, program.