Pain-Related Symptom Reporting Among Hispanics: Implications for Forensic Psychological Evaluations

Competent forensic psychologists constantly pursue the understanding of cultural differences. The purposes of this paper were to describe and explain the literature regarding the influences of the Hispanic culture on reports of pain-related symptoms and disabilities, and to illustrate ways in which culture-specific factors can impact a forensic psychological evaluation that includes malingering identification. The reviewed literature indicates that, as a group, Hispanics do not consistently differ from other ethnic groups on pain-related symptom reports. However, when examining culture-specific indicators, individuals from a Puerto Rican background and those with high acculturation to the American culture tend to report more pain and psychological distress than non-Hispanic Whites and other Hispanic subgroups. Additionally, language barriers and cultural-structured views of health and illness seem to hinder help-seeking options among the Mexican and less-acculturated Hispanics. Based on these results, we discuss a number of recommendations to make forensic psychological evaluations more sensitive to differences in acculturation and country of heritage. By taking these within-culture characteristics into consideration, the forensic psychologist can most accurately comprehend the meanings associated with the Hispanic client’s pain-related experience.