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Originalia

Der Stellenwert der Symptomvalidierung in der neuropsychologischen Begutachtung

Published Online:September 01, 2006https://doi.org/10.1024/1016-264X.16.1.29

Abstract

Zusammenfassung: Ohne eine Untersuchung der Leistungsmotivation sind neuropsychologische Testergebnisse in einem nicht zu kalkulierenden Maß verzerrt. Die Untersuchung von suboptimalem Leistungsverhalten ist im Rahmen neuropsychologischer Begutachtungen von besonderer Bedeutung. Der Artikel gibt einen umfassenden Überblick zu allen wichtigen Fragen der Diagnostik negativer Antwortverzerrungen bei der Bearbeitung gutachterlicher Fragen. Dazu werden auch international bewährte Symptomvalidierungsverfahren vorgestellt. Besonderes Augenmerk wird auf die Verantwortung des Gutachters gelegt, seinerseits die Voraussetzungen dafür zu schaffen, eine valide Diagnostik zu ermöglichen, gleichzeitig aber zielsicher zu bestimmen, wo dies nicht gelingt. Durch einen verbreiteten Einsatz von ausreichend sensitiven Symptomvalidierungstests können Qualitätsstandards neuropsychologischer Gutachten verbessert werden.


The Importance of Symptom Validity Testing in Forensic-Neuropsychological Assessment

Summary: Without appropriate effort measurement, it is difficult, if not impossible, to verify the validity of neuropsychological test profiles. Therefore, on an international scale, symptom validity testing is increasingly being employed. This article gives a comprehensive review on important problems of assessing negative response bias in the context of forensic-neuropsychological assessment and instruments available for effort measurement. Special emphasis is given to the responsibility of neuropsychologists to secure conditions for a valid assessment, and to determine where the validity of the results is compromised. In the years to come, forensic-neuropsychological practice in Germany will be able to meet internationally established quality standards only if symptom validity measurement is routinely included in assessment.

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