C L Bookless-Pratz’s research while affiliated with University of Adelaide and other places

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Publications (1)


The Evaluation of Illness Behaviour and Exaggeration of Disability
  • Article

April 1986

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18 Reads

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10 Citations

The British journal of psychiatry: the journal of mental science

J R Clayer

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C L Bookless-Pratz

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The evaluation of illness behaviour can be complicated by subjective influences in either the patient or the clinician; these often arise in the evaluation of persons seeking compensation for injuries in which the symptoms are apparently exaggerated. The present study attempts to assess the usefulness of the CE Scale in determining the degree of conscious exaggeration by compensation claimants. Comparisons were made between psychiatrists' clinical evaluations of claimants and the scores obtained on this scale. The relationship between these two measures was found to be significant at the 1% level and specificity and sensitivity for less than 25% exaggeration on psychiatrists rating with a CE Scale cut-off of 11.69% and 100% respectively: for less than 34% exaggeration, they were 88% and 83%.

Citations (1)


... developed the Conscious Exaggeration Scale using items from the Illness Behavior Questionnaire (Pilowsky & Spence, 1975) that differentiated those instructed to feign a serious injury (not specifically pain) and normal controls or pain patients whose pain was considered to be "neurotically" determined. Clayer, Bookless, and Ross (1986) later found that scores on the Conscious Exaggeration Scale were positively related to independent assessment of conscious malingering by psychiatric interview. However, subsequent studies have not found that this scale is useful in distinguishing between those pain patients in litigation or on compensation vs. those who were not (Mendelson, 1987;Fishbain, Cutler, Rosomoff, & Steele-Rosomoff, 2002). ...

Reference:

Malingering: Chronic Pain
The Evaluation of Illness Behaviour and Exaggeration of Disability
  • Citing Article
  • April 1986

The British journal of psychiatry: the journal of mental science