This investigation explored the effect of posttraumatic stress disorder (PTSD) simulation on Minnesota Multiphasic Personality Inventory-2 (MMPI-2) responses, to detect malingered from genuine PTSD. Sixty-four adult PTSD outpatients at a child sexual abuse (CSA) survivor treatment program were compared with 85 adult college students instructed and trained to malinger PTSD. MMPI-2 overreporting indices examined were F, F-Fb, F-K, F(p), Ds2, O-S, OT, and FBS. A stepwise discriminant analysis identified F(p), F-K, and O-S as the best malingering predictors. A predictive discriminant analysis yielded good hit rates for the model, with impressive cross-validation results. Cutoff scores were assessed for the model's predictors. Clinical implications for detecting malingered PTSD using the MMPI-2 are discussed.
Histrionic Personality Disorder is one of 10 personality disorders listed in the
Diagnostic and Statistical Manual of Mental Disorders
(DSM‐IV‐TR; American Psychiatric Association, 2000). DSM‐IV‐TR defines a personality disorder as an enduring pattern of inner experience and inflexible, pervasive, and ultimately self‐defeating behavior, which is “stable and of long duration and its onset can be traced back at least to adolescence or early adulthood” (p. 689). Individuals diagnosed with histrionic personality disorder typically display exaggerated attention‐seeking behavior, dramatic emotionality, and often sexually seductive or otherwise provocative behavior, all of which are intended to manipulate others to ensure that their childlike dependency needs might be met. One's initial impression of such individuals is that of a rather charming, outgoing, and entertaining person who is often flirtatious and places a great deal of emphasis on his or her physical attractiveness. However, as time passes it becomes evident that this interpersonal style is a superficial façade, calculated to exploit and manipulate others into providing them with excitement and a corresponding, albeit fleeting, sense of self‐worth and identity.
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