Validity Assessment in Clinical Neuropsychological Practice

Evaluating and Managing Noncredible Performance

Edited by Ryan W. Schroeder and Phillip K. Martin

Hardcovere-bookprint + e-book
November 16, 2021
ISBN 9781462542499
Price: $85.00
478 Pages
Size: 7" x 10"
September 20, 2021
ePub and PDF ?
Price: $85.00
478 Pages
print + e-book
Hardcover + e-Book (ePub and PDF) ?
Price: $170.00 $93.50
478 Pages

Practical and comprehensive, this is the first book to focus on noncredible performance in clinical contexts. Experts in the field discuss the varied causes of invalidity, describe how to efficiently incorporate validity tests into clinical evaluations, and provide direction on how to proceed when noncredible responding is detected. Thoughtful, ethical guidance is given for offering patient feedback and writing effective reports. Population-specific chapters cover validity assessment with military personnel; children; and individuals with dementia, psychiatric disorders, mild traumatic brain injury, academic disability, and other concerns. The concluding chapter describes how to appropriately engage in legal proceedings if a clinical case becomes forensic. Case examples and sample reports enhance the book's utility.

“To say that this book fills a void in clinical neuropsychology would be an understatement. The reader comes away with an appreciation of the importance of validity assessment across all settings in which clinical neuropsychologists work. I am hard pressed to think of any context or patient group that is not addressed. Schroeder and Martin are leaders in validity assessment in clinical settings, and the chapter authors include many of the best-known scientists and practitioners in this area.”

—Robert L. Heilbronner, PhD, ABPP-CN, Chicago Neuropsychology Group; Feinberg School of Medicine, Northwestern University

“This thoughtful and thorough review of the complexities of validity assessment is a welcome addition to the clinical neuropsychologist’s library. For anyone who works with patients, this text comprehensively examines issues that until now have received far more attention in the forensic arena. The topics—ranging from ethical considerations to communicating about feigning verbally and in written reports—will be tremendously helpful to practitioners as they navigate challenging and nuanced situations. In my classes, I would use the book to help prepare students for real-world clinical practice.”

—Douglas Whiteside, PhD, ABPP-CN, Department of Rehabilitation Medicine, University of Minnesota Medical School

“Most books on validity assessment focus on the forensic side, and on diagnoses that are likely to result in litigation and/or compensation seeking. But not all forensic concepts can be easily applied to clinical settings. This volume provides fresh perspectives and up-to-date data that all clinicians can benefit from. Readers will find detailed information on how to explain performance validity test failure, provide feedback, and write reports, while maintaining clinical care. Ethical and cultural considerations, statistics, test selection, and use of performance validity tests with specific populations are covered.”

—Dominic A. Carone, PhD, ABPP-CN, Department of Physical Rehabilitation and Medicine, Upstate Medical University, State University of New York

Table of Contents

I. Neuropsychological Validity Assessment: Important Distinctions for Nonforensic Practice

1. Validity Assessment in Clinical Settings: How It Differs from Forensic Settings and Why It Is Important, Ryan W. Schroeder & Phillip K. Martin sample

2. Explanations of Performance Validity Test Failure in Clinical Settings, Ryan W. Schroeder & Phillip K. Martin

3. Malingering: Maintaining a Perspective of Clinical Care When Patients Feign, Phillip K. Martin & Ryan W. Schroeder

4. A Framework for Providing Clinical Feedback When Patients Invalidate Testing, Phillip K. Martin & Ryan W. Schroeder

5. Incorporation of Validity Assessment and Validity Findings When Writing Clinical Reports, Ryan W. Schroeder & Phillip K. Martin

6. Ethical Considerations Associated with Validity Assessment in Clinical Evaluations, Phillip K. Martin, Ryan W. Schroeder, Kyle Brauer Boone, & Shane S. Bush

II. Clinical and Methodological Considerations throughout the Evaluation

7. Clinical Judgment and Clinically Applied Statistics: Description, Benefits, and Potential Dangers When Relying on Either One Individually in Clinical Practice, Brechje Dandachi-FitzGerald & Phillip K. Martin

8. An Overview of Common Performance Validity Tests for Practicing Clinicians: Cutoffs, Classification Accuracy, and Administration Times, Jason R. Soble, Troy A. Webber, & K. Chase Bailey

9. The MMPI-2-RF Validity Scales: An Overview of Research and Applications, Jordan T. Hall & Yossef S. Ben-Porath

10. The Nuts and Bolts of Incorporating Validity Assessment in Clinical Evaluations, Sara M. Lippa

11. Synthesizing Data to Reach Clinical Conclusions Regarding Validity Status, Glenn J. Larrabee

12. Performance Validity Testing with Culturally Diverse Individuals and Non-Native English Speakers: The Need for a Cultural Perspective in Neuropsychological Practice, Adriana M. Strutt & Jennifer M. Stinson

III. Validity Assessment in Specific Clinical Settings and Contexts

13. Validity Assessment within Veterans Affairs and Active Duty Settings, Robert D. Shura, John H. Denning, Patrick Armistead-Jehle, & Bradley N. Axelrod

14. Validity Assessment within the Memory Disorders/Dementia Clinic, Ryan W. Schroeder & Phillip K. Martin

15. Validity Assessment within the Rehabilitation Setting, Jeremy J. Davis

16. Validity Assessment in Academic Evaluations, Julie A. Suhr, Grace J. Lee, & Kaley Angers

17. Validity Assessment in Patients with Psychiatric Disorders, Paul S. Marshall & Ryan W. Schroeder

18. Validity Assessment in Patients with Mild Traumatic Brain Injury, Ryan W. Schroeder, Phillip K. Martin, & Glenn J. Larrabee

19. Validity Assessment in Patients with Somatic Symptom and Related Disorders, Christopher J. Graver & Kyle Brauer Boone

20. Validity Assessment for Clinical Patients Pursuing Social Security Disability, Ryan W. Schroeder &Michael Chafetz

21. Validity Assessment for Clinical Patients with Workers’ Compensation Claims, Caleb P. Peck & Howard Oakes

22. Validity Assessment with Children and Adolescents: Comparisons to Adult Evaluations, Danielle M. Ploetz, Carolyn T. Caldwell, & Kristian P. Nitsch

23. Forensic Primer for the Nonforensic Neuropsychologist: When Clinicians Participate in Forensic Proceedings, Jerry J. Sweet & Kristen M. Klipfel


About the Editors

Ryan W. Schroeder, PsyD, ABPP-CN, is a board-certified clinical neuropsychologist practicing both clinical and forensic neuropsychology. He is a tenured Associate Professor in the Department of Psychiatry and Behavioral Sciences at the University of Kansas School of Medicine–Wichita and Adjunct Faculty in the Clinical Psychology Program at Wichita State University. Dr. Schroeder has published numerous high-impact book chapters and journal articles on neuropsychological validity assessment, presented on varied validity assessment issues at multiple national conventions, and served on expert committees related to topics such as validity assessment and test security within neuropsychological settings. His scholarly work and professional contributions to the field have been recognized by an Early Career Award from the National Academy of Neuropsychology, an Early Career Achievement Award from the American Psychological Association, and Fellow designation from the National Academy of Neuropsychology.

Phillip K. Martin, PhD, ABPP-CN, is a board-certified clinical neuropsychologist and Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Kansas School of Medicine–Wichita. Dr. Martin is an active clinician, supervisor of neuropsychology trainees, teacher, and researcher. His published works target the topics of validity assessment and neuropsychological evaluation of dementia and movement disorders. He has made unique contributions to the neuropsychological validity assessment literature with his scholarly articles pertaining to professional beliefs and practices, the management of clinical patients who produce invalid test performance, and meta-analysis of specific validity measures. In addition to his published research, Dr. Martin’s participation in the evolving discussion of neuropsychological validity assessment practice has included serving as an expert committee member and being a recurrent national conference speaker.


Neuropsychologists, clinical psychologists, and psychiatrists; also of interest to forensic psychologists.

Course Use

May serve as a supplemental text in graduate-level courses.