“…The application of the binomial distribution in developing an SVT, however, is far less abstruse (Colby, 2000(Colby, , 2001a(Colby, , 2001b. Indeed, Pankratz, Fausti, and Peed (1975) published the first study using this technique to evaluate feigned deafness in a hysterical patient who was believed to be malingering. Essentially, SVTs are psychometric instruments that utilize a two-alternative forced-choice recognition format to detect response bias (i.e., poor or sub-maximal effort).…”