Antisocial features are not predictive of symptom exaggeration in forensic patients

Abstract

A core concern in forensic psychiatric and psychological evaluations is the accuracy of examinees' self-reported information. Primary concerns in this respect are distorted symptom presentations and biased accounts of crimes or misconduct. At first blush, such

Assessment of ICD-11 Personality Disorder Severity in Forensic Patients Using the Semi-structured Interview for Personality Functioning DSM-5 (STiP-5.1): Preliminary Findings

“…This may reflect the specific nature of this sample, as discussed before, characterized by a profound lack of self-reflection and personality traits like deceitfulness and defensiveness (1,28). Although we have no evidence that an expert-based rating reflects a more valid rating of these patients' personality functioning, these characteristics suggest that selfreport scores should indeed be interpreted cautiously in forensic settings (23)(24)(25)(26)(27). Interestingly, and opposite to our expectations, we found no associations between informant-reports of personality pathology and STiP-5.1 based expert ratings.…”

“…Deceitfulness is a core feature of ASPD (1) and ASPD has been associated with malingering (23)(24)(25). Although studies on malingering in ASPD subjects show mixed results (26), a careful or even suspicious attitude regarding self-report in the presence of ASPD is advised (25,27). Second, it has been demonstrated that many convicted patients suffer from severe personality pathology, limiting their reflective capacities (28).…”