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Mild Traumatic Brain Injuries Pose Different Set of Rules

By Gerald Tramontano, PhD
November 30, 2004

In last month's newsletter, we looked at the symptoms of traumatic brain injury (TBI) and the incentives plaintiffs who claim such injuries may have to exaggerate their symptoms. In this month's conclusion, we see how forensic experts test for and detect this type of fraud on defendants and their insurers.

How Forensic Experts Test for Malingering

For the most part, forensic experts in clinical neuropsychology – whether commissioned by the plaintiff's attorney or a defense attorney – administer a battery of cognitive tests to assess the patient's cortex, along with a standardized assessment of emotional and behavioral functioning. We begin the process by strongly encouraging patients to exert their best effort, explaining that they may have a brain injury and, as such, attempts to exaggerate their symptoms during testing will only undermine their credibility. The tests are sensitive enough, we remind them, that they must avoid the need to “highlight” their symptoms. This sort of behavior only ends up compromising their cases.

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