The ability of the Test of Memory Malingering (TOMM), reaction times (RT) and Event-Related Potentials (ERP) to detect malingered neurocognitive deficit (MNCD) was examined in 32 normal individuals answering under honest (HON; n = 16) or malingering instructions (MAL; n = 16) as well as in 15 patients with Traumatic Brain Injury (TBI) who answered under honest instructions. Overall, the TOMM was the most effective at classifying groups. However, new accuracy, RT, and ERP measures reached promising hit rates in the range of 71%-88%. In particular, the difference in frontal versus posterior ERP obtained during an old-new task was effective at classifying MAL vs. TBI (hit rate = 87%).In the Diagnostic and Statistical Manual of Mental Disorders, IVth Edition, Text Revision (APA, 2000), malingering is defined as the deliberate fabrication or gross exaggeration of physical or psychological symptoms in pursuit of external goals such as avoiding duty or obtaining financial compensation. Malingering is distinguished from Somatoform Disorders in that in the latter, symptoms are not thought to be under voluntary control and are produced in pursuit of internal goals, such as resolving unconscious conflicts. Malingering is discriminated from Factitious Disorder in that in the latter, although symptoms are consciously produced, they appear to be in pursuit of internal goals such as achieving the sick role.Malingered symptoms have been of increasing concern in neuropsychological assessment because most cognitive tests require optimal effort from the evaluee in order to achieve results that accurately reflect brain functioning. In situations in which patients are being evaluated for disability pensions or monetary compensation for damages sustained in accidents, the potential motivation to exaggerate or even fabricate problems is obvious. In fact, surveys of forensic neuropsychologists have suggested that up to 40% of individuals undergoing evaluations following mild head injuries may be malingering deficits (Mittenberg, Patton, Canyock & Condit, 2002).Neuropsychologists have responded to this concern by developing and validating a number of tests for the identification of inadequate effort during neuropsychological examinations. Vickery et al. (2001) published a meta-analysis of widely studied malingering tests and found that most had large effect sizes, high specificity (percentage of honest patients correctly classified) and moderate sensitivity (percentage of feigners correctly classified). However, recently, concerns have been raised that unscrupulous parties to legal proceedings may be "coaching" plaintiffs to avoid being detected by commonly used malingering tests TOMM;Tombaugh, 1996), other approaches have explored aspects of the evaluee's responses that are under less conscious control, such as reaction time (RT) and brain activity using electroencephalograph (EEG). In general, these two approaches hypothesize that the physiologic markers of neural processes that are normally "automatic" in cooperative test-t...