Symptom validity tests are measurement to detect feigning. They rely on the premise that test takers who feign or prone to malingering perceived the task as more difficult than it actually is. This study aims to identify if performance on a neuropsychological SVT is related to psychological symptom credibility and which specific neuropsychological SVT’s are most related to noncredible psychological presentation. This research studied 106 examinees that scored 13-15 on Glasgow Coma Scale (GCS), who did not have intracranial injury and with less than 24 hours Post traumatic amnesia.
The measurement used were Personality Assessment Inventory (PAI), Test of Memory Malingering (TOMM), Rey 15-item test, Trial-Making Test A (TMT-A) and Reliable digit span. Multiple Regression Analysis was employed in this study. The results indicated that Neuropsychological SVT’s (TOMM) is seen with the most related to psychological symptom credibility, PAI’s negative impression management (NIM) while others are not. In addition, Rey-15 is seen to be related to the infrequency scale of PAI but not in NIM. Lastly, the retention trial of TOMM was seen to be most related in the credibility of psychological presentation. The researcher concluded that clinicians must employ the various SVT’s together due to its lack or strong relationship to measure psychopathology. And as a limitation, the study was unable to test whether the symptoms are consciously done or unconsciously done.
I believe that as psychologists, we must not rely solely in neuropsychological testing such as SVT to identify the psychological distress of the patients because it is prone to faking good or faking bad in order for patients to receive benefits from their affiliated institutions. More holistic approach may be done to thoroughly assess the patients who deserve immediate clinical attention and to back up the results of neuropsychological tests like interviewing the patient and their significant others and doing observation. In the case of patients with Post Traumatic Stress Disorder (PTSD) who survived war and calamities, with their traumatic experiences, I think they ought to receive financial assistance from the government like in the case of Filipino veterans and the family of victims and survivors of SAF 44 because they need this for psychological therapeutic intervention to relieve them of their trauma. I am blessed to have a class on Eye Movement Desensitization and Reprocessing (EMDR) wherein we will visit an institution and will employ EMDR Therapy for the Filipino veterans.
I remember when I was young, I dreamt of helping our fellow veterans in alleviating their trauma symptoms, because flashbacks and nightmare may haunt them for years. I believe with the perspective of Filipino psychologists, the government knew that these unsung heroes fought for our country in order for us to attain the peace we are experiencing. It is not really a big deal to assist them financially because Filipino employees from all sectors pay for taxes. Giving financial assistance to the families of victims and survivors of war and typhoon Yolanda can help them adjust to their everyday living, much better if the Filipino community can support them by conducting entrepreneur seminars in order for the survivors and their families to earn a living and for them to strengthen their camaraderie and for the Filipino community to assist them towards their journey to recovery.
Jennifer Francia P Villanueva, RPm