“…Measures designed to assess memory or neuropsychological functioning can serve a dual role in the assessment process because of their ability to assess a patient's cognitive functioning as well as his or her level of effort or response style (Gfeller & Cradock, 1998;Greve, Bianchini, Mathias, Houston, & Crouch, 2003;Langeluddecke & Lucas, 2003;Mittenberg, Azrin, Millsaps, & Heilbronner, 1993). Numerous investigators have explored the utility of the Rey Auditory Verbal Learning Test (RAVLT; Rey, 1964) for identifying suboptimal effort (e.g., Bernard, 1991;Bernard, Houston, & Natoli, 1993;Binder, Villaneuva, Howieson, & Moore, 1993;King, Gfeller, & Davis, 1998;Suhr, 2002;Sullivan, Deffenti, & Keane, 2002). For example, King et al (1998) investigated the validity of several markers of malingering based on component scores on the RAVLT, e.g., the total number of words recalled after a delay and the total number of intrusion errors during recognition testing.…”