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Explanatory Models Differentiating Servicemember Malingering from Delayed Symptom Report
1Dr. Umbrasis is Clinical and Forensic Psychologist, Kimbrough Ambulatory Care Center, Fort Meade, MD. karl.v.umbrasas.mil@mail.mil.
Abstract:
The military mental health clinic is a medico-legal setting that provides servicemembers with treatment, administrative, and forensic services. Clinicians must be vigilant for malingering in this setting but flexible enough to recognize genuine symptoms. This task is often complicated by servicemembers' delayed report of symptoms. Three explanatory models are proposed that distinguish delayed report from malingering: genuine delayed report of symptoms, acute distress malingering, and disability malingering. These explanatory models improve clinician objectivity and offer a systematic understanding of these different presentations.
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