Do people behave differently when they are lying compared with when they are telling the truth? The combined results of 1,338 estimates of 158 cues to deception are reported. Results show that in some ways, liars are less forthcoming than truth tellers, and they tell less compelling tales. They also make a more negative impression and are more tense. Their stories include fewer ordinary imperfections and unusual contents. However, many behaviors showed no discernible links, or only weak links, to deceit. Cues to deception were more pronounced when people were motivated to succeed, especially when the motivations were identity relevant rather than monetary or material. Cues to deception were also stronger when lies were about transgressions.

A meta-analysis was conducted of research on the relation between judges' accuracy at detecting deception and their confidence in their judgments. A total of 18 independent samples revealed an average weighted accuracy-confidence correlation of .04, a relation not significantly different from zero. However, confidence was positively correlated with judges' tendency to perceive messages as truthful, regardless of the actual truthfulness of the messages. Judges were also more confident when they really were rating truths compared to when they were rating lies. Also, men were more confident than women, and judges who had a closer relationship to the message sender felt more confident in their judgments of truths and lies. Methodological and theoretical explanations for these findings are discussed.

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This study identified ways that telehealth systems are used to enhance service delivery for children with special health care needs. Various health professionals utilize telehealth to provide physical and behavioral health care, to conduct developmental evaluations, and to address family/social concerns. Telehealth is used most for follow-up visits after in-person specialty care and for child evaluation with treatment recommendations to local care providers. Telehealth systems have the potential to increase access to specialized services and to enhance community-based services for rural and underserved children. However, inadequate reimbursement poses a significant barrier to the development of these services.