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What Does A Test Of Memory Malingering Report Indicate?
Question: Hello,
I have questions about psychological testing on behalf of my daughter who was a pedestrian in an MVA.
She has undergone several tests. She had a mTBI. which affected her memory
1. the TOMMS test. What does it mean when it states she 'failed' the first part of the test. I do not have the test with me, but I assume [perhaps wrongly] that this test measures symptom endorsement.
2. She did pass the 2nd part of the test, although I am not sure what this measures.
3. Why would she be administered the MCM1-111 if it is normed for a clinical population? The report I have states "bi-polar and thought disorder are not clinically evident. Then, in the same paragraph the results state bi-polar and thought disorder are in the range of clinically significant?
4. Why would the psychologists report be altered, e.g. words, sentences, phrases, omissions and additions four years later? I do not believe it was the psychologist who altered the report.
Thank you so much for your time and expertise
Regards XXXXXXX
I have questions about psychological testing on behalf of my daughter who was a pedestrian in an MVA.
She has undergone several tests. She had a mTBI. which affected her memory
1. the TOMMS test. What does it mean when it states she 'failed' the first part of the test. I do not have the test with me, but I assume [perhaps wrongly] that this test measures symptom endorsement.
2. She did pass the 2nd part of the test, although I am not sure what this measures.
3. Why would she be administered the MCM1-111 if it is normed for a clinical population? The report I have states "bi-polar and thought disorder are not clinically evident. Then, in the same paragraph the results state bi-polar and thought disorder are in the range of clinically significant?
4. Why would the psychologists report be altered, e.g. words, sentences, phrases, omissions and additions four years later? I do not believe it was the psychologist who altered the report.
Thank you so much for your time and expertise
Regards XXXXXXX
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
The TOMMS is a test that can discriminate between true memory impairment versus memory impairment that a patient is faking. If the failed the first part but passed the second part, this means she has true memory deficits and is not faking them. Regarding MCM1-111, if your daughter is not a psychiatric inpatient, the test may not be valid -- it retains some validity in non-clinical populations, but may be wrong. The contradictory statements in the report suggest that. Regarding altering reports, sometimes psychologists write reports for a clinical reader (other doctors), but alter it to be more readable and understandable to a patient.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Brief Answer:
Followup
Detailed Answer:
There is no formal diagnosis of emotional disequilibrium. That is a symptom of many disorders including bipolar disorder and borderline personality disorder.
Perhaps the psychologist edited the report as they changed their mind about some things. One can never be sure.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at xxxxxx-xxxxxxxxxxxx xxxxxxxx, xxxxxxxx #1 for xxxxxxxxxxin the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
The TOMMS is a test that can discriminate between true memory impairment versus memory impairment that a patient is faking. If the failed the first part but passed the second part, this means she has true memory deficits and is not faking them. Regarding MCM1-111, if your daughter is not a psychiatric inpatient, the test may not be valid -- it retains some validity in non-clinical populations, but may be wrong. The contradictory statements in the report suggest that. Regarding altering reports, sometimes psychologists write reports for a clinical reader (other doctors), but alter it to be more readable and understandable to a patient.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Brief Answer:
Followup
Detailed Answer:
There is no formal diagnosis of emotional disequilibrium. That is a symptom of many disorders including bipolar disorder and borderline personality disorder.
Perhaps the psychologist edited the report as they changed their mind about some things. One can never be sure.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at xxxxxx-xxxxxxxxxxxx xxxxxxxx, xxxxxxxx #1 for xxxxxxxxxxin the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by :
Dr. Prasad
Thank you so much Dr.Sheppe
You have answered many questions that have been troubling me for a long time. However, I just have one more quick question. Is there such as diagnosis of emotional dis-equalibrium in the DSM IV or 5. What could this possibly mean. It sounds rather vague.
As for the records being made more cogent to the lay public, these documents were Dr. to Dr.
Best regards XXXXXXX
You have answered many questions that have been troubling me for a long time. However, I just have one more quick question. Is there such as diagnosis of emotional dis-equalibrium in the DSM IV or 5. What could this possibly mean. It sounds rather vague.
As for the records being made more cogent to the lay public, these documents were Dr. to Dr.
Best regards XXXXXXX
Brief Answer:
Followup
Detailed Answer:
You're welcome!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at xxxxxxxxxx Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
You're welcome!
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at xxxxxxxxxx Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by :
Dr. Prasad
Hello Dr. Scheppe
I have yet another question regarding data that I am not familiar with. To me, the following phraseology appears to speak of a modified test. I would like to know if this is indeed modified, and what does it mean. The quotation marks in the quote are my own.
Ms XXXX reproduced an "expected" number of items on the 15-figure Rey Memory Test augmented by a recognition component [that increases the sensitivity of the examination without compromising specificity) suggesting that dissimulation of cognitive problems was "unlikely". On a screening neurocognitive measure, The Montreal Cognitive Assessment (MOCA, version 7.2) Ms XXXX scored 25/20 loosing one point in a test for language, two points in tests of abstraction, and two points for failure to recall two of five words that had been recited approximately five minutes earlier.
Could you please tell me if this test was modified. For me, it looks as if her memory is not functioning that well.
Regards
D
I have yet another question regarding data that I am not familiar with. To me, the following phraseology appears to speak of a modified test. I would like to know if this is indeed modified, and what does it mean. The quotation marks in the quote are my own.
Ms XXXX reproduced an "expected" number of items on the 15-figure Rey Memory Test augmented by a recognition component [that increases the sensitivity of the examination without compromising specificity) suggesting that dissimulation of cognitive problems was "unlikely". On a screening neurocognitive measure, The Montreal Cognitive Assessment (MOCA, version 7.2) Ms XXXX scored 25/20 loosing one point in a test for language, two points in tests of abstraction, and two points for failure to recall two of five words that had been recited approximately five minutes earlier.
Could you please tell me if this test was modified. For me, it looks as if her memory is not functioning that well.
Regards
D
Brief Answer:
Followup
Detailed Answer:
It is not modified. And yes, she has some memory impairment.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
It is not modified. And yes, she has some memory impairment.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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