Psychological Injury and Law

, Volume 4, Issue 3–4, pp 187–216 | Cite as

A Practical Guide to Conducting VA Compensation and Pension Exams for PTSD and Other Mental Disorders

  • Mark D. WorthenEmail author
  • Robert G. Moering


Despite being one of the most common forensic mental health evaluations, no article has ever appeared in a peer-reviewed journal describing how to conduct US Department of Veterans Affairs (VA) mental health compensation and pension examinations. This article rectifies that paucity of information. We outline the legal framework, ethical considerations, and administrative challenges inherent in these evaluations. We provide separate guidelines for private practice clinicians and VA staff or contractors. We pay special attention to the multiple sources of collateral information available for these exams and how to access relevant records. The article alerts examiners to the possibility that they might face resistance from VA officials if they screen for and assess symptom exaggeration or feigning and that they could encounter VA-imposed restrictions on time allotted for exams. Specific suggestions are made for different types of exams: Initial Post-traumatic Stress Disorder (PTSD), PTSD Review, Initial Mental Disorder, and Mental Disorder Review.


PTSD Veterans Affairs (VA) Compensation and pension (C&P) examination Disability Benefits Questionnaire (DBQ) 



The authors thank Francis Gilbert, Sofia Marsano, and Chad Hagans for their superb feedback and suggestions.


  1. American Academy of Psychiatry and the Law (2008). AAPL practice guideline for the forensic evaluation of psychiatric disability. The Journal of the American Academy of Psychiatry and the Law, 36(4), S3–S50.Google Scholar
  2. American Psychiatric Association (2000). Diagnostic and statistical manual for mental disorders (4, text revth ed.). Washington, DC: American Psychiatric Association.Google Scholar
  3. American Psychological Association (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073.CrossRefGoogle Scholar
  4. Andrews, L. B. (2008). The psychiatric interview and mental status examination. In R. E. Hales, S. C. Yudofsky & G. O. Gabbard (Eds.), The American psychiatric publishing textbook of psychiatry (5th ed.). Arlington, VA: American Psychiatric.Google Scholar
  5. Arbisi, P. A. & Ben-Porath, Y. S. (1995). An MMPI-2 infrequent response scale for use with psychopathological populations: The infrequency psychopathology scale, F(p). Psychological Assessment, 7, 424–431. doi: 10.1037/1040-3590.7.4.424 CrossRefGoogle Scholar
  6. Arbisi, P. A., Ben-Porath, Y. S. & McNulty, J. (2006). The ability of the MMPI-2 to detect feigned PTSD within the context of compensation seeking. Psychological Services, 3(4), 249–261.CrossRefGoogle Scholar
  7. Arbisi, P. A., Murdoch, M., Fortier, L. & McNulty, J. (2004). MMPI-2 validity and award of service connection for PTSD during the VA compensation and pension evaluation. Psychological Services, 1(1), 56–67. doi: 10.1037/1541-1559.1.1.56 CrossRefGoogle Scholar
  8. Bellini, J., Bolton, B. & Neath, J. (1998). Rehabilitation counselors ‘assessments of applicants’ functional limitations as predictors of rehabilitation services provided. Rehabilitation Counseling Bulletin, 41(4), 242–258.Google Scholar
  9. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., et al (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8(1), 75–90. doi: 10.1002/jts.2490080106 PubMedCrossRefGoogle Scholar
  10. Bush, S. S., Connell, M. A. & Denney, R. L. (2006). Collection and review of information. In S. S. Bush, M. A. Connell & R. L. Denney (Eds.), Ethical practice in forensic psychology: A systematic model for decision making (pp. 49–57). Washington, DC: American Psychological Association. doi: 10.1037/11469-003 CrossRefGoogle Scholar
  11. Calhoun, P., Earnst, K., Tucker, D., Kirby, A. & Beckham, J. (2000). Feigning combat-related posttraumatic stress disorder on the personality assessment inventory. Journal Of Personality Assessment, 75(2), 338–350.PubMedCrossRefGoogle Scholar
  12. Ciccone, J. & Jones, J. W. (2010). Personal injury litigation and forensic psychiatric assessment. In R. I. Simon & L. H. Gold (Eds.), The American psychiatric publishing textbook of forensic psychiatry (2nd ed., pp. 261–282). Arlington, VA: American Psychiatric.Google Scholar
  13. Crewe, N. M., & Athelstan, G. T. (1984). Functional assessment inventory manual. Minneapolis, MN: University of Minnesota. Available at:
  14. Dalton, J. E., Tom, A., Rosenblum, M. L., Garte, S. H. & Aubuchon, I. N. (1989). Faking on the Mississippi scale for combat-related posttraumatic stress disorder. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(1), 56–57.CrossRefGoogle Scholar
  15. Dawes, R., Faust, D. & Meehl, P. (1989). Clinical versus actuarial judgment. Science, 243(4899), 1668–1674.PubMedCrossRefGoogle Scholar
  16. DeClue, G. (2011). Harry Potter and the structured interview of reported symptoms? Open Access Journal of Forensic Psychology, 3, 1–18. Published online only at: Google Scholar
  17. Department of Veterans Affairs (2001). C&P clinicians guide. Washington, D.C.: Department of Veterans Affairs. Available at:
  18. DeViva, J. C. & Bloem, W. D. (2003). Symptom exaggeration and compensation seeking among combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 16, 503–507.PubMedCrossRefGoogle Scholar
  19. Eakin, D. E., Weathers, F. W., Benson, T. B., Anderson, C. F. & Funderburk, B. (2006). Detection of feigned posttraumatic stress disorder: A comparison of the MMPI-2 and PAI. Journal of Psychopathology and Behavioral Assessment, 28(3), 145–155.CrossRefGoogle Scholar
  20. Economic Systems Inc (2004). VA disability compensation program: Legislative history. Washington, DC: VA Office of Policy, Planning and, Preparedness.Google Scholar
  21. Endicott, J. & Spitzer, R. L. (1978). A diagnostic interview: The schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35(7), 837–844.PubMedCrossRefGoogle Scholar
  22. Erbes, C., Dikel, T., Eberly, R., Page, W. & Engdahl, B. (2006). A comparative study of posttraumatic stress disorder assessment under standard conditions and in the field. International Journal of Methods in Psychiatric Research, 15(2), 57–63.PubMedCrossRefGoogle Scholar
  23. First, M. B., Spitzer, R. L., Gibbon, M. & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
  24. Foa, E. B. & Tolin, D. F. (2000). Comparison of the PTSD symptom scale-interview version and the clinician-administered PTSD scale. Journal of Traumatic Stress, 13, 181–191.PubMedCrossRefGoogle Scholar
  25. Foote, W. E. (2008). Evaluations of individuals for disability in insurance and Social Security contexts. In R. Jackson (Ed.), Learning forensic assessment (international perspectives on forensic mental health) (pp. 449–479). New York: Taylor & Francis Group.Google Scholar
  26. Franklin, C., Repasky, S., Thompson, K., Shelton, S. & Uddo, M. (2002). Differentiating overreporting and extreme distress: MMPI-2 use with compensation-seeking veterans with PTSD. Journal Of Personality Assessment, 79(2), 274–285.PubMedCrossRefGoogle Scholar
  27. Freeman, T., Powell, M. & Kimbrell, T. (2008). Measuring symptom exaggeration in veterans with chronic posttraumatic stress disorder. Psychiatry Research, 158(3), 374–380.Google Scholar
  28. Frisch, M. (1994). Quality of life inventory: Manual and treatment guide. San Antonio, TX: NCS Pearson.Google Scholar
  29. Frisch, M. B., Clark, M. P., Rouse, S. V., Rudd, M. D., Paweleck, J. K., Greenstone, A. & Kopplin, D. A. (2005). Predictive and treatment validity of life satisfaction and the quality of life inventory. Assessment, 12, 66–78.PubMedCrossRefGoogle Scholar
  30. Frisch, M. B., Cornell, J., Villanueva, M. & Retzlaff, P. J. (1992). Clinical validation of the Quality of Life Inventory. A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4(1), 92–101. doi: 10.1037/1040-3590.4.1.92 CrossRefGoogle Scholar
  31. Frueh, B., Buckley, T. C., Grubaugh, A. L. & Elhai, J. D. (2008). ‘Military-related PTSD, current disability policies, and malingering’: Reply. American Journal of Public Health, 98(5), 774–775. doi: 10.2105/AJPH.2007.133512 CrossRefGoogle Scholar
  32. Frueh, B., Elhai, J., Gold, P., Monnier, J., Magruder, K., Keane, T. & Arana, G. (2003). Disability compensation seeking among veterans evaluated for posttraumatic stress disorder. Psychiatric Services, 54(1), 84–91.PubMedCrossRefGoogle Scholar
  33. Frueh, B. C., Gold, P. B. & de Arellano, M. A. (1997). Symptom overreporting in combat veterans evaluated for PTSD: Differentiation on the basis of compensation seeking status. Journal of Personality Assessment, 68, 369–384.PubMedCrossRefGoogle Scholar
  34. Frueh, B., Grubaugh, A., Elhai, J. & Buckley, T. (2007). US Department of Veterans Affairs disability policies for posttraumatic stress disorder: Administrative trends and implications for treatment, rehabilitation, and research. American Journal of Public Health, 97(12), 2143–2145.PubMedCrossRefGoogle Scholar
  35. Frueh, B. C., Hamner, M. B., Cahill, S. P., Gold, P. B. & Hamlin, K. L. (2000). Apparent symptom overreporting in combat veterans evaluated for PTSD. Clinical Psychology Review, 20(7), 853–885.PubMedCrossRefGoogle Scholar
  36. Gilbert v. Derwinski, 1 Vet. App. 49 (1990)Google Scholar
  37. Ginzburg, K., Ein-Dor, T. & Solomon, Z. (2010). Comorbidity of posttraumatic stress disorder, anxiety and depression: A 20-year longitudinal study of war veterans. Journal of Affective Disorders, 123(1–3), 249–257.PubMedCrossRefGoogle Scholar
  38. Gough, H. G. (1950). The F minus K dissimulation index for the Minnesota Multiphasic Personality Inventory. Journal of Consulting Psychology, 14, 408–413. doi: 10.1037/h0054506 PubMedCrossRefGoogle Scholar
  39. Gough, H. (1954). Some common misconceptions about neuroticism. Journal of Consulting Psychology, 18(4), 287–292.Google Scholar
  40. Graham, J. R. (2006). MMPI-2: Assessing personality and psychopathology (4th ed.). New York: Oxford University Press.Google Scholar
  41. Green v. Derwinksi, 1 Vet. App. 121 (1991).Google Scholar
  42. Green, D. & Rosenfeld, B. (2011). Evaluating the gold standard: A review and meta-analysis of the Structured Interview of Reported Symptoms. Psychological Assessment, 23(1), 95–107.PubMedCrossRefGoogle Scholar
  43. Greenberg, S. A. & Shuman, D. W. (1997). Irreconcilable conflict between therapeutic and forensic roles. Professional Psychology: Research and Practice, 28, 50–57.CrossRefGoogle Scholar
  44. Greenberg, S. A. & Shuman, D. W. (2007). When worlds collide: Therapeutic and forensic roles. Professional Psychology: Research and Practice, 38(2), 129–132.CrossRefGoogle Scholar
  45. Greene, R. L. (2008). Malingering and defensiveness on the MMPI-2. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed., pp. 159–181). New York: Guildford Press.Google Scholar
  46. Gros, D., Simms, L. & Acierno, R. (2010). Specificity of posttraumatic stress disorder symptoms: An investigation of comorbidity between posttraumatic stress disorder symptoms and depression in treatment-seeking veterans. The Journal of Nervous and Mental Disease, 198(12), 885–890.PubMedCrossRefGoogle Scholar
  47. Guriel, J. & Fremouw, W. (2003). Assessing malingered posttraumatic stress disorder: A critical review. Clinical Psychology Review, 23(7), 881–904.PubMedCrossRefGoogle Scholar
  48. Guy, L. S., Kwartner, P. P. & Miller, H. A. (2006). Investigating the M-FAST: Psychometric properties and utility to detect diagnostic specific malingering. Behavioral Sciences & the Law, 24(5), 687–702.CrossRefGoogle Scholar
  49. Hall, R. C. W. & Hall, R. C. W. (2006). Malingering of PTSD: Forensic and diagnostic considerations, characteristics of malingerers and clinical presentations. General Hospital Psychiatry, 28, 525–535.PubMedCrossRefGoogle Scholar
  50. Hall, R. & Hall, R. (2007). Detection of malingered PTSD: An overview of clinical, psychometric, and physiological assessment: Where do we stand? Journal of Forensic Sciences, 52(3), 717–725.PubMedCrossRefGoogle Scholar
  51. Hodge v. West, 155 F.3d 1356, 1362 (Fed. Cir. 1998).Google Scholar
  52. Hyer, L., Boudewyns, P., Harrison, W. R., O’Leary, W. C., Bruno, R. D., Saucer, R. T. & Blount, J. B. (1988). Vietnam veterans: Overreporting versus acceptable reporting of symptoms. Journal of Personality Assessment, 52, 475–486.PubMedCrossRefGoogle Scholar
  53. IOM (Institute of Medicine) and NRC (National Research Council). (2007). PTSD compensation and military service. Washington, DC: The National Academies Press.Google Scholar
  54. Jones v. Shinseki, 23 Vet. App. 382 (2010).Google Scholar
  55. Knoll, J. & Resnick, P. (2006). The detection of malingered post-traumatic stress disorder. The Psychiatric Clinics of North America, 29(3), 629–647.PubMedCrossRefGoogle Scholar
  56. Lange, R., Sullivan, K. & Scott, C. (2010). Comparison of MMPI-2 and PAI validity indicators to detect feigned depression and PTSD symptom reporting. Psychiatry Research, 176(2–3), 229–235.PubMedCrossRefGoogle Scholar
  57. Lopez, C., Antoni, M., Penedo, F., Weiss, D., Cruess, S., Segotas, M.,...Fletcher, M. (2011). A pilot study of cognitive behavioral stress management effects on stress, quality of life, and symptoms in persons with chronic fatigue syndrome. Journal of Psychosomatic Research, 70(4), 328–334.Google Scholar
  58. Marx, B. P., Miller, M. W., Sloan, D. M., Litz, B. T., Kaloupek, D. G. & Keane, T. M. (2008). Military-related PTSD, current disability policies, and malingering. American Journal of Public Health, 98(5), 773–774. doi: 10.2105/AJPH.2007.133223 PubMedCrossRefGoogle Scholar
  59. McAlinden, N. & Oei, T. (2006). Validation of the Quality of Life Inventory for patients with anxiety and depression. Comprehensive Psychiatry, 47(4), 307–314.PubMedCrossRefGoogle Scholar
  60. McLennan, S., Mathias, J., Brennan, L., Russell, M. & Stewart, S. (2010). Cognitive impairment predicts functional capacity in dementia-free patients with cardiovascular disease. The Journal Of Cardiovascular Nursing, 25(5), 390–397.PubMedGoogle Scholar
  61. McNally, R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual Review of Psychology, 5(4), 229–252.CrossRefGoogle Scholar
  62. Messer, J. M. & Fremouw, W. J. (2007). Detecting malingered posttraumatic stress disorder using the Morel Emotional Numbing Test-Revised (MENT-R) and the Miller Forensic Assessment of Symptoms Test (M-FAST). Journal of Forensic Psychology Practice, 7(3), 33–57.CrossRefGoogle Scholar
  63. Meyer, G. J., Finn, S. E., Eyde, L. D., Kay, G. G., Moreland, K. L., Dies, R. R.,...Reed, G. M. (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist, 56(2), 128–165.Google Scholar
  64. Miller, H. A. (2001). M-FAST: Miller Forensic Assessment of Symptoms Test and professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  65. Miller, P. R., Dasher, R., Collins, R., Griffiths, P. & Brown, F. (2001). Inpatient diagnostic assessments: 1. Accuracy of structured vs. unstructured interviews. Psychiatry Research, 105(3), 255–264. doi: 10.1016/S0165-1781(01)00317-1 PubMedCrossRefGoogle Scholar
  66. Miller, M., Wolf, E., Martin, E., Kaloupek, D. & Keane, T. (2008). Structural equation modeling of associations among combat exposure, PTSD symptom factors, and global assessment of functioning. Journal of Rehabilitation Research and Development, 45(3), 359–369.PubMedCrossRefGoogle Scholar
  67. Moering, R. (2011). Military service records: Searching for the truth. Psychological Injury and Law, 4(3), (in this issue).Google Scholar
  68. Moos, R. H., McCoy, L. & Moos, B. S. (2000). Global assessment of functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes. Journal of Clinical Psychology, 56(4), 449–461.PubMedCrossRefGoogle Scholar
  69. Morel, K. & Shepherd, B. (2008a). Developing a symptom validity test for posttraumatic stress disorder: Application of the binomial distribution. Journal of Anxiety Disorders, 22(8), 1297–1302.PubMedCrossRefGoogle Scholar
  70. Morel, K. R. & Shepherd, B. E. (2008b). Meta-analysis of the Morel Emotional Numbing Test for PTSD: Comment on Singh, Avasthi, and Grover. German Journal of Psychiatry, 11(3), 128–131.Google Scholar
  71. Mossman, D. (1994). At the VA, it pays to be sick. The Public Interest, 114, 35–47.Google Scholar
  72. Mueller, T. I., Leon, A. C., Keller, M. B., Solomon, D. A., Endicott, J., Coryell, W.,...Maser, J. D. (1999). Recurrence after recovery from major depressive disorder during 15 years of observational follow-up. The American Journal of Psychiatry, 156, 1000–1006.Google Scholar
  73. Murdoch, M., Sayer, N., Spoont, M., Rosenheck, R., Noorbaloochi, S., Griffin, J.,...Hagel, E. (2011). Long-term outcomes of disability benefits in US veterans with posttraumatic stress disorder. Archives Of General Psychiatry, 68(10), 1072–1080.Google Scholar
  74. Nasreddine, Z., Phillips, N., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I.,...Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699.Google Scholar
  75. Neath, J., Bellini, J. & Bolton, B. (1997). Dimensions of the functional assessment inventory for five disability groups. Rehabilitation Psychology, 42(3), 183–207.CrossRefGoogle Scholar
  76. Nieves-Rodriguez v. Peake, 22 Vet. App. 295 (2008).Google Scholar
  77. Niv, N., Cohen, A., Sullivan, G. & Young, A. (2007). The MIRECC version of the global assessment of functioning scale: Reliability and validity. Psychiatric Services, 58(4), 529–535.PubMedCrossRefGoogle Scholar
  78. Petry, N., Alessi, S. & Hanson, T. (2007). Contingency management improves abstinence and quality of life in cocaine abusers. Journal of Consulting and Clinical Psychology, 75(2), 307–315.PubMedCrossRefGoogle Scholar
  79. Pietrzak, R., Goldstein, M., Malley, J., Johnson, D. & Southwick, S. (2009). Subsyndromal posttraumatic stress disorder is associated with health and psychosocial difficulties in veterans of operations enduring freedom and Iraqi freedom. Depression and Anxiety, 26(8), 739–744.PubMedCrossRefGoogle Scholar
  80. Poyner, G. (2010). Psychological evaluations of veterans claiming PTSD disability with the Department of Veterans Affairs: A clinician’s viewpoint. Psychological Injury and Law, 3, 130–132. doi: 10.1007/s12207-010-9076-x CrossRefGoogle Scholar
  81. Resnick, P. J. (1997). Malingering of posttraumatic disorders. In R. Rogers (Ed.), Clinical assessment of malingering and deception (2nd ed., pp. 130–152). New York: Guilford Press.Google Scholar
  82. Resnick, P. J., West, S. & Payne, J. W. (2008). Malingering of posttraumatic disorders. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed., pp. 109–127). New York: Guilford Press.Google Scholar
  83. Ridgway, J. D. (2011). The splendid isolation revisited: Lessons from the history of veterans benefits before judicial review. Veterans Law Review, 3, 135–219.Google Scholar
  84. Rogers, R. (2001). Handbook of diagnostic and structured interviewing. New York: Guilford Press.Google Scholar
  85. Rogers, R. (Ed.). (2008). Clinical assessment of malingering and deception (3rd ed.). New York: Guilford Press.Google Scholar
  86. Rogers, R., Bagby, R. M. & Dickens, S. E. (1992). Structured interview of reported symptoms professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  87. Rogers, R., Payne, J. W., Berry, D. T. R. & Granacher, R. P. (2009a). Use of the SIRS in compensation cases: An examination of its validity and generalizability. Law and Human Behavior, 33, 213–224. doi: 10.1007/s10979-008-9145-9 PubMedCrossRefGoogle Scholar
  88. Rogers, R., Payne, J. W., Correa, A. A., Gillard, N. D. & Ross, C. A. (2009b). A study of the SIRS with severely traumatized patients. Journal of Personality Assessment, 91(5), 429–438. doi: 10.1080/00223890903087745 PubMedCrossRefGoogle Scholar
  89. Rogers, R., Sewell, K. W. & Gillard, N. D. (2010). Structured interview of reported symptoms, 2nd edition, professional manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
  90. Rosales, G. A. (2011, June 9). Re: Interviewing collaterals: Separate or with the veteran? [Electronic mailing list message]. Retrieved from AVAPL (Association of VA Psychology Leaders) Comp & Pen electronic mailing list (no URL available).Google Scholar
  91. Roy-Byrne, P., Dagadakis, C., Unutzer, J. & Ries, R. (1996). Evidence for limited validity of the revised global assessment of functioning scale. Psychiatric Services, 47(8), 864–866.PubMedGoogle Scholar
  92. Rubenzer, S. (2009). Posttraumatic stress disorder: Assessing response style and malingering. Psychological Injury And Law, 2(2), 114–142. doi: 10.1007/s12207-009-9045-4 CrossRefGoogle Scholar
  93. Satel, S. (2011). PTSD’s diagnostic trap. Policy Review, 165, 41–54.Google Scholar
  94. Simon, R. (Ed.). (2003). Posttraumatic stress disorder in litigation: Guidelines for forensic assessment (2nd ed.). Washington, DC: American Psychiatric Press.Google Scholar
  95. Smith, D. W. & Frueh, B. C. (1996). Compensation seeking, comorbidity, and apparent symptom exaggeration of PTSD symptoms among Vietnam combat veterans. Psychological Assessment, 8, 3–6.CrossRefGoogle Scholar
  96. Solomon, D. A., Keller, M. B., Leon, A. C., Mueller, T. I., Lavori, P. W., Shea, M. T.,...Endicott, J. (2000). Multiple recurrences of major depressive disorder. The American Journal of Psychiatry, 157, 229–233.Google Scholar
  97. Sparr, L. & Pankratz, L. D. (1983). Factitious posttraumatic stress disorder. The American Journal of Psychiatry, 140(8), 1016–1019.PubMedGoogle Scholar
  98. Stecker, T., Fortney, J., Owen, R., McGovern, M. P. & Williams, S. (2010). Co-occurring medical, psychiatric, and alcohol-related disorders among veterans returning from Iraq and Afghanistan. Psychosomatics, 51, 503–507.PubMedGoogle Scholar
  99. Stender, W. W. & Walker, E. (1974). The National Personnel Records Center fire: A study in disaster. The American Archivist, 37(4), 521–549.Google Scholar
  100. Strasburger, L. G., Gutheil, T. G. & Brodsky, A. (1997). On wearing two hats: Role conflict in serving as both psychotherapist and expert witness. The American Journal Of Psychiatry, 154(4), 448–456.PubMedGoogle Scholar
  101. Taylor, S., Frueh, B. & Asmundson, G. (2007). Detection and management of malingering in people presenting for treatment of posttraumatic stress disorder: Methods, obstacles, and recommendations. Journal of Anxiety Disorders, 21(1), 22–41.PubMedCrossRefGoogle Scholar
  102. Thomas, M., Skilbeck, C. & Slatyer, M. (2009). Pre-injury estimates of subjective quality of life following traumatic brain injury. Brain Injury, 23(6), 516–527.PubMedCrossRefGoogle Scholar
  103. Tolin, D., Steenkamp, M., Marx, B. & Litz, B. (2010). Detecting symptom exaggeration in combat veterans using the MMPI-2 symptom validity scales: A mixed group validation. Psychological Assessment, 22(4), 729–736.PubMedCrossRefGoogle Scholar
  104. Ustün, T., Chatterji, S., Kostanjsek, N., Rehm, J., Kennedy, C., Epping-Jordan, J.,...Pull, C. (2010). Developing the world health organization disability assessment schedule 2.0. Bulletin of the World Health Organization, 88(11), 815–823.Google Scholar
  105. Veterans Benefit Administration (2010). Annual benefits report: Fiscal year 2010. Washington, DC: Department of Veterans Affairs.Google Scholar
  106. Weathers, F. W., Keane, T. M. & Davidson, J. R. (2001). Clinician-administered PTSD scale: A review of the first ten years of research. Depression and Anxiety, 13(3), 132–156.PubMedCrossRefGoogle Scholar
  107. Weathers, F. W., Ruscio, A. M. & Keane, T. M. (1999). Psychometric properties of nine scoring rules for the clinician-administered posttraumatic stress disorder scale. Psychological Assessment, 11(2), 124–133.CrossRefGoogle Scholar
  108. Weiss, D. S. (2004). Structured clinical interview techniques for PTSD. In J. P. Wilson, T. M. Keane, J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (2nd ed., pp. 103–121). New York: Guilford Press.Google Scholar
  109. Wetter, M. W., Baer, R. A., Berry, D. T. R., Robison, L. H. & Sumpter, J. (1993). MMPI-2 profiles of motivated fakers given specific symptom information: A comparison to matched patients. Psychological Assessment, 5(3), 317–323.CrossRefGoogle Scholar
  110. Widows, M. R. & Smith, G. P. (2005). Structured inventory of malingered symptomatology, professional manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
  111. Wisdom, N., Callahan, J. & Shaw, T. (2010). Diagnostic utility of the structured inventory of malingered symptomatology to detect malingering in a forensic sample. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, 25(2), 118–125.CrossRefGoogle Scholar
  112. Yarvis, J., Bordnick, P., Spivey, C. & Pedlar, D. (2009). Subthreshold PTSD: A comparison of alcohol, depression, and health problems in Canadian peacekeepers with different levels of traumatic stress. In B. E. Bride & S. A. MacMaster (Eds.), Stress, trauma and substance use (pp. 117–135). New York: Routledge/Taylor & Francis Group.Google Scholar

Copyright information

© Springer Science + Business Media, LLC. 2011

Authors and Affiliations

  1. 1.Compensation & Pension Program, Charles George VA Medical CenterDepartment of Veterans AffairsAshevilleUSA
  2. 2.Compensation & Pension Office, James A. Haley Veteran’s HospitalDepartment of Veterans AffairsTampaUSA

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