Abstract
The cry for help is a contentious attribution to give to the motivation for symptom exaggeration or negative response bias in results that do not reach the bar for malingering on symptom validity tests in psychological injury forensic and related disability assessments. Young (Psychological Injury and Law, 12(3–4), 225–237, 2019) had argued that the cry for help is a valid interpretive option in these circumstances, given that it refers to a call for attention for the most part. This paper advocates for replacing the term cry for help with a less contested one—a call for aid. This replacement term has multiple advantages relative to the term of a cry for help, which are elucidated. The evaluee might be experiencing litigation distress, for example, and feel that aid is required and behave in ways, either overtly or covertly, that call for the aid. The term cry for help is not actively researched, with only two relevant publications including the term since the 2019 article in question was published. Here, we examine those papers, and reflect on the implications for test/scale result interpretations involving psychological injury assessments. Also, through those articles, we propose mechanisms that might be at work in expressing the call for aid. Recommendations relate to undertaking a comprehensive research program on the call for aid in the types of assessments to which it might apply as a possible explanation of symptom validity test (SVT) and performance validity test (PVT) testing results. To facilitate research on the question, the article provides a table of 25 possible explanations for SVT/PVT results in forensic disability and related assessments that implicate exaggerated symptoms.
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Ali, A. N., & Wright, M. G. (2021). Response of trichogramma papilionis to semiochemicals induced by host oviposition on plants. Biological Control, 154, 104510. https://doi.org/10.1016/j.biocontrol.2020.104510
American Psychiatric Association. (2000). DSM-IV-TR: Diagnostic and statistical manual of mental disorders (text revision) (4th ed.). Author.
Batt, K., Shores, E. A., & Chekaluk, E. (2008). The effect of distraction on the word memory test and test of memory malingering performance in patients with a severe brain injury. Journal of the International Neuropsychological Society, 14(6), 1074–1080. https://doi.org/10.1017/s135561770808137x
Ben-Porath, Y. S., & Tellegen, A. (2008/2011). MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2 Restructured Form) manual for administration, scoring, and interpretation. Minneapolis, MN: University of Minnesota Press.
Ben-Porath, Y. S., & Tellegen, A. (2020). Minnesota multiphasic personality inventory-3 (MMPI-3): Manual for administration, scoring, and interpretation. University of Minnesota Press.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8(1), 75–90. https://doi.org/10.1007/bf02105408
Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
Boone, K., Lu, P., & Herzberg, D. S. (2002). The b Test manual. Los Angeles, CA: Western Psychological Service.
Briere, J. (2011). Trauma symptom inventory (TSI-2) professional manual (2nd ed.). Psychological Assessment Resources.
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A., & Kaemmer, B. (1989). Manual for the restandardized Minnesota multiphasic personality inventory: MMPI-2. An interpretive guide. Minneapolis, MN: University of Minnesota Press.
Clark, A. L., Amick, M. M., Fortier, C., Milberg, W. P., & McGlinchey, R. E. (2014). Poor performance validity predicts clinical characteristics and cognitive test performance of OEF/OIF/OND veterans in a research setting. The Clinical Neuropsychologist, 28(5), 802–825. https://doi.org/10.1080/13854046.2014.904928
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Cross, T. L., Cross, J. R., Dudnytska, N., Kim, M., & Vaughn, C. T. (2020). A psychological autopsy of an intellectually gifted student with attention deficit disorder. Roeper Review, 42(1), 6–24. https://doi.org/10.1080/02783193.2019.1690081
Curtis, K. L., Aguerrevere, L. E., Bianchini, K. J., Greve, K. W., & Nicks, R. C. (2019). Detecting malingered pain-related disability with the Pain Catastrophizing Scale: A criterion groups validation study. The Clinical Neuropsychologist, 33(8), 1485–1500. https://doi.org/10.1080/13854046.2019.1575470
Dagar, A., & Falcone, T. (2020). High viewership of videos about teenager suicide on Youtube. Journal of the American Academy of Child and Adolescent Psychiatry, 59(1) 1–3.e.1. https://doi.org/10.1016/j.jaac.2019.10.012
Dandachi-FitzGerald, B., Merckelbach, H., Bošković, I., & Jelicic, M. (2020). Do you know people who feign? Proxy respondents about feigned symptoms. Psychological Injury and Law, 13(3), 225–234. https://doi.org/10.1007/s12207-020-09387-6
Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993).
Department of Veterans Affairs, & Department of Defense. (2017). Clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder (Version 3.0). Retrieved from https://www.healthquality.va.gov/guidelines/MH/ptsd/VADoDPTSDCPGClinicianSummaryFinal.pdf
Dutour, M., Kalb, N., Salis, A., & Randler, C. (2021). Number of callers may affect the response to conspecific mobbing calls in great tits (parus major). Behavioral Ecology and Sociobiology, 75(2), 29. https://doi.org/10.1007/s00265-021-02969-7
Erdodi, L. A. (2019). Aggregating validity indicators: The salience of domain specificity and the indeterminate range in multivariate models of performance validity assessment. Applied Neuropsychology: Adult, 26(2), 155–172. https://doi.org/10.1080/23279095.2017.1384925
Fokas, K. F., & Brovko, J. M. (2020). Assessing symptom validity in psychological injury evaluations using the MMPI-2-RF and the PAI: An updated review. Psychological Injury and Law, 13(4), 370–382. https://doi.org/10.1007/s12207-020-09393-8
Foote, W. E., Goodman-Delahunty, J., & Young, G. (2020). Civil forensic evaluation in psychological injury and law: Legal, professional, and ethical considerations. Psychological Injury and Law, 13(4), 327–353. https://doi.org/10.1007/s12207-020-09398-3
Fry, R. A., & Bradfield, C. (2021). A cry for help: Developing a culture of kindness in substance abuse intervention. Anaesthesia and Intensive Care. https://doi.org/10.1177/0310057x20974033
Garcia, H. A., Franklin, C. L., & Chambliss, J. (2010). Examining MMPI-2 F-family scales in PTSD-diagnosed veterans of operation enduring freedom and operation Iraqi freedom. Psychological Trauma: Theory, Research, Practice, and Policy, 2(2), 126–129. https://doi.org/10.1037/a0019155
Gasquoine, P. G. (2020). Railway spine: The advent of compensation for concussive symptoms. Journal of the History of the Neurosciences, 29(2), 234–245. https://doi.org/10.1080/0964704X.2019.1711350
Giromini, L., Viglione, D. J., Zennaro, A., Maffei, A., & Erdodi, L. A. (2020). SVT meets PVT: Development and initial validation of the inventory of problems – memory (IOP-M). Psychological Injury and Law, 13(3), 261–274. https://doi.org/10.1007/s12207-020-09385-8
Grandclerc, S., Spiers, S., Spondenkiewicz, M., Moro, M. R., & Lachal, J. (2019). The quest for meaning around self-injurious and suicidal acts: A qualitative study among adolescent girls. Frontiers in Psychiatry, 10, 190. https://doi.org/10.3389/fpsyt.2019.00190
Green, P. (2003). Word memory test for Windows: User’s manual. Green’s Publishing.
Green, P. (2005). Medical Symptom Validity Test for Windows: User’s manual and program. Green’s Publishing.
Green, J., Berry, K., Danquah, A., & Pratt, D. (2020). The role of psychological and social factors in the relationship between attachment and suicide: A systematic review. Clinical Psychology & Psychotherapy, 27(4), 463–488. https://doi.org/10.1002/cpp.2445
Guilmette, T. J., Sweet, J. J., Hebben, N., Koltai, D., Mahone, E. M., Spiegler, B. J., Stucky, K., Westerveld, M., & Participants, C. (2020). American academy of clinical neuropsychology consensus conference statement on uniform labeling of performance test scores. The Clinical Neuropsychologist, 34(3), 437–453. https://doi.org/10.1080/13854046.2020.1722244
Iverson, G. L. (2006). Ethical issues associated with the assessment of exaggeration, poor effort, and malingering. Applied Neuropsychology, 13(2), 77–90. https://doi.org/10.1207/s15324826an1302_3
Kerig, P. K., Mozley, M. M., & Mendez, L. (2020). Forensic assessment of PTSD via DSM-5 versus ICD-11 criteria: Implications for current practice and future research. Psychological Injury and Law, 13(4), 383–411. https://doi.org/10.1007/s12207-020-09397-4
Kohutis, E. A., & McCall, S. (2020). The eggshell and crumbling skull plaintiff: Psychological and legal considerations for assessment. Psychological Injury and Law, 13(4), 354–369. https://doi.org/10.1007/s12207-020-09392-9
Larrabee, G. J., Millis, S. R., & Meyers, J. E. (2009). 40 plus or minus 10, a new magical number: Reply to Russell. The Clinical Neuropsychologist, 23(5), 841–849. https://doi.org/10.1080/13854040902796735
Larrabee, G. J., Rohling, M. L., & Meyers, J. E. (2019). Use of multiple performance and symptom validity measures: Determining the optimal per test cutoff for determination of invalidity, analysis of skew, and inter-test correlations in valid and invalid performance groups. The Clinical Neuropsychologist, 33(8), 1354–1372. https://doi.org/10.1080/13854046.2019.1614227
Mailis, A., Tepperman, P. S., & Hapidou, E. G. (2020). Chronic pain: Evolution of clinical definitions and implications for practice. Psychological Injury and Law, 13(4), 412–426. https://doi.org/10.1007/s12207-020-09391-w
Mannekote Thippaiah, S., Shankarapura Nanjappa, M., Gude, J. G., Voyiaziakis, E., Patwa, S., Birur, B., & Pandurangi, A. (2020). Non-suicidal self-injury in developing countries: A review. International Journal of Social Psychiatry. https://doi.org/10.1177/0020764020943627
Maple, M., Frey, L. M., McKay, K., Coker, S., & Grey, S. (2020). “Nobody hears a silent cry for help”: Suicide attempt survivors’ experiences of disclosing during and after a crisis. Archives of Suicide Research, 24(4), 498–516. https://doi.org/10.1080/13811118.2019.1658671
Masana, L., & Reyes, M. E. S. (2020). Unraveling non-suicidal self-injury: Understanding the behavioral dynamics of Filipino adolescents at risk of deliberate self- harm. North American Journal of Psychology, 22(2), 331–354.
Merckelbach, H., Boskovic, I., Pesy, D., Dalsklev, M., & Lynn, S. J. (2017). Symptom overreporting and dissociative experiences: A qualitative review. Consciousness and Cognition, 49, 132–144. https://doi.org/10.1016/j.concog.2017.01.007
Merckelbach, H., Dandachi-FitzGerald, B., van Helvoort, D., Jelicic, M., & Otgaar, H. (2019). When patients overreport symptoms: More than just malingering. Current Directions in Psychological Science, 28(3), 321–326. https://doi.org/10.1177/0963721419837681
Merten, T., & Merckelbach, H. (2013). Symptom validity testing in somatoform and dissociative disorders: A critical review. Psychological Injury and Law, 6(2), 122–137. https://doi.org/10.1007/s12207-013-9155-x
Miller, H. A. (2001). M-FAST: Miller-forensic assessment of symptoms test professional manual. Odessa, FL: Psychological Assessment Resources.
Miskey, H. M., Martindale, S. L., Shura, R. D., & Taber, K. H. (2020). Distress tolerance and symptom severity as mediators of symptom validity failure in veterans with PTSD. The Journal of Neuropsychiatry and Clinical Neurosciences, 32(2), 161–167. https://doi.org/10.1176/appi.neuropsych.17110340
Morey, L. C. (2007). Personality assessment inventory: Professional manual (2nd ed.). Psychological Assessment Resources.
Moss, M. C. L., Aggarwal, A., Qureshi, A., Taylor, B., Guerrero-Urbano, T., & Van Hemelrijck, M. (2021). An assessment of the use of patient reported outcome measurements (PROMs) in cancers of the pelvic abdominal cavity: Identifying oncologic benefit and an evidence-practice gap in routine clinical practice. Health and Quality of Life Outcomes, 19(1), 20. https://doi.org/10.1186/s12955-020-01648-x
Norman, H., Oskis, A., Marzano, L., & Coulson, M. (2020). The relationship between self-harm and alexithymia: A systematic review and meta-analysis. Scandinavian Journal of Psychology, 61(6), 855–876. https://doi.org/10.1111/sjop.12668
Sherman, E. M. S., Slick, D. J., & Iverson, G. L. (2020). Multidimensional malingering criteria for neuropsychological assessment: A 20-year update of the malingered neuropsychological dysfunction criteria. Archives of Clinical Neuropsychology, 35(6), 735–764. https://doi.org/10.1093/arclin/acaa019
Simons, J. S., & Gaher, R. M. (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83–102. https://doi.org/10.1007/s11031-005-7955-3
Slick, D. J., Sherman, E. M. S., & Iverson, G. L. (1999). Diagnostic criteria for malingered neurocognitive dysfunction: Proposed standards for clinical practice and research. The Clinical Neuropsychologist, 13(4), 545–561. https://doi.org/10.1076/1385-4046(199911)13:04;1-y;ft545
Smith, N. B., Sippel, L. M., Rozek, D. C., Spangler, P. T., Traber, D., Straud, C. L., Hoff, R., & Harpaz-Rotem, I. (2020). Courses of suicidal ideation among military veterans in residential treatment for posttraumatic stress disorder. Depression and Anxiety, 37(3), 273–284. https://doi.org/10.1002/da.22993
Stubbing, J., & Gibson, K. (2019). Young people’s explanations for youth suicide in New Zealand: A thematic analysis. Journal of Youth Studies, 22(4), 520–532. https://doi.org/10.1080/13676261.2018.1516862
Sullivan, M. J. L., Adams, H., Yamada, K., Kubota, Y., Ellis, T., & Thibault, P. (2020). The relation between perceived injustice and symptom severity in individuals with major depression: A cross-lagged panel study. Journal of Affective Disorders, 274, 289–297. https://doi.org/10.1016/j.jad.2020.05.129
Sullivan, S. E., & Al Ariss, A. (2021). Making sense of different perspectives on career transitions: A review and agenda for future research. Human Resource Management Review, 31(1), 100727. https://doi.org/10.1016/j.hrmr.2019.100727
Tylicki, J. L., Gervais, R. O., & Ben-Porath, Y. S. (2020a). Examination of the MMPI-3 over-reporting scales in a forensic disability sample. The Clinical Neuropsychologist. https://doi.org/10.1080/13854046.2020.1856414
Tylicki, J. L., Rai, J. K., Arends, P., Gervais, R. O., & Ben-Porath, Y. S. (2020b). A comparison of the MMPI-2-RF and PAI overreporting indicators in a civil forensic sample with emphasis on the response bias scale (RBS) and the cognitive bias scale (CBS). Psychological Assessment, 33(1), 71–83. https://doi.org/10.1037/pas0000968
Tylicki, J. L., Wygant, D. B., Tarescavage, A. M., Frederick, R. I., Tyner, E. A., Granacher, R. P., & Sellbom, M. (2018). Comparability of structured interview of reported symptoms (SIRS) and structured interview of reported Symptoms-Second edition (SIRS-2) classifications with external response bias criteria. Psychological Assessment, 30(9), 1144–1159. https://doi.org/10.1037/pas0000573
Valencia-Agudo, F., Kramer, T., Clarke, V., Goddard, A., & Khadr, S. (2020). Correlates and predictors of self-harm in a prospective sample of sexually assaulted adolescents. Clinical Child Psychology and Psychiatry, 25(4), 847–859. https://doi.org/10.1177/1359104520920332
Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., Keane, T. M., & Marx, B. P. (2018). The clinician-administered PTSD scale for DSM–5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30(3), 383–395. https://doi.org/10.1037/pas0000486
Widows, M. R., & Smith, G. P. (2005). Structured inventory of malingered symptomatology (SIMS): Professional manual. Odessa, FL: Psychological Assessment Resources.
Williams, M. W., Graham, D., Sciarrino, N. A., Estey, M., McCurry, K. L., Chiu, P., & King-Casas, B. (2020). Does validity measure response affect CPT group outcomes in veterans with PTSD? Military Medicine, 185(3–4), 370–376. https://doi.org/10.1093/milmed/usz385
Yeom, J. S., Bernard, H., & Koh, S. (2020). Myths and truths about pediatric psychogenic non-epileptic seizures. Clinical and Experimental Pediatrics. https://doi.org/10.3345/cep.2020.00892
Young, G. (2014). Malingering, feigning, and response bias in psychiatric/psychological injury - Implications for practice and court. Springer Science + Business Media.
Young, G. (2015). Malingering in forensic disability-related assessments: Prevalence 15±15%. Psychological Injury and Law, 8(3), 188–199. https://doi.org/10.1007/s12207-015-9232-4
Young, G. (2016). Unifying causality and psychology: Being, brain and behavior. Springer International Publishing.
Young, G. (2019). The cry for help in psychological injury and law: Concepts and review. Psychological Injury and Law, 12(3–4), 225–237. https://doi.org/10.1007/s12207-019-09360-y
Young, G. (2020). Thirty complexities and controversies in mild traumatic brain injury and persistent post-concussion syndrome: A roadmap for research and practice. Psychological Injury and Law, 13(4), 427–451. https://doi.org/10.1007/s12207-020-09395-6
Young, G., Foote, W. E., Kerig, P. K., Mailis, A., Brovko, J., Kohutis, E. A., McCall, S., Hapidou, E. G., Fokas, K. F., & Goodman-Delahunty, J. (2020). Introducing psychological injury and law. Psychological Injury and Law, 13(4), 452–463. https://doi.org/10.1007/s12207-020-09396-5
Young, G., Merten, T., Giromini, L., Erdodi, L., & Drogin, E. (2021, submitted). Malingering and related presentations in psychological injury: Performance and symptom validity, base rates, interpretation, and legal implications. Journal of Personality Assessment.
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Young, G. The Call for Aid (Cry for Help) in Psychological Injury and Law: Reinterpretation, Mechanisms, and a Call for Research. Psychol. Inj. and Law 14, 185–200 (2021). https://doi.org/10.1007/s12207-021-09414-0
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DOI: https://doi.org/10.1007/s12207-021-09414-0