questions honestly or spontaneously when someone
else is in the room. The effect of the observer on the
outcome may be particularly powerful when the plain-
tiff is a child and the observer is the therapist or a par-
ent who has a distinct opinion about what happened
and how it affected the child. The child may be aware
of the parent’s or therapist’s view and may capitulate
to it in any case, but it is possibly more likely to do so
when the parent or the therapist is in the room.
Third, observers sometimes have difficulty remain-
ing passive or silent. They may attempt to contribute
to the discussion, speaking for the plaintiff. Indirectly,
they may telegraph their attitudes to the plaintiff and
affect the plaintiff’s answers to questions. When mul-
tiple interviews occur, observers may intervene
between interviews by pointing out to the examinee
any problem areas and suggesting alternative answers
to questions.
Examiners may, for all of these reasons, object to
the presence of an observer or may attempt to struc-
ture the observation. This structuring might include,
for example, offering to audio or video record the
examination (possibly through an observation win-
dow) in lieu of having an observer in the room,
requesting a neutral observer whose input is limited to
ending the interview if the plaintiff seems to be in
need of such protection, or seating the observer out-
side the line of vision of the examiner. Ultimately,
however, the court may override these requests in
favor of unrestricted observation.
Techniques Used in
Personal Injury Assessment
The techniques and instruments that may be useful in
personal injury assessment are as varied as the nature
of the claimed psychological injury. Often the data
collected by the forensic examiner through interview
or questionnaires address day-to-day functioning. The
examiner may ask for collateral data in the form of
documents, records, or interviews with people who
would have relevant information about the plaintiff’s
past and present lifestyle. Information is gathered
regarding how the plaintiff lived before, including
the interests, activities, and pleasure in life that are
reflected in collateral information. Also explored
are the plaintiff’s coping resources as manifested in
the handling of previous crises or trauma.
Testing may include formal assessment of any
claimed loss in cognitive function, as well as assess-
ment of general personality functioning, response style,
or impression management and in-depth exploration
of specific reported symptoms. While there is a prolif-
eration of instruments designed to assess trauma or
posttraumatic stress, face validity may render these
instruments so vulnerable to dissimulation that their
utility is limited for forensic purposes. Similarly, check-
listswithout well-designed measures of response style
may generate unreliable results regarding depression
or anxiety. Multisource, multimethod assessment
accomplished with reliable tools leads to robust psy-
chological findings that are useful to the court.
Report of Findings
Ordinarily, the referring attorney is given the findings
of an examination, and then, he or she determines
whether they are sufficiently useful to justify calling
the psychologist to testify. If the psychologist is desig-
nated as a testifying expert, opposing counsel may
request a deposition to determine what opinions will
be offered and the foundation for those opinions. Per-
sonal injury matters are often, but not always, resolved
at some point before the case is set for trial. If settle-
ment efforts fail and the case goes to court, the expert
may testify to the findings of the examination. The fact
finder (generally a jury but sometimes a judge alone)
makes the determination about whether the defendant
owed a duty, whether that duty was breached, whether
the plaintiff was injured as a result of the breach, and
what the defendant owes to make the plaintiff whole.
This determination may be reached, at least in part, by
relying on expert testimony, but the expert does not
make the determination. Rather it is a matter for the
fact finder to decide.
Mary Connell
See also Capacity to Consent to Treatment; Damage Awards;
Detection of Deception in Children; Detection of
Deception in High-Stakes Liars; Disability and Workers’
Compensation Claims, Assessment of; Forensic
Assessment; Litigation Stress; Malingering
Further Readings
Boccaccini, M. T., & Brodsky, S. L. (1999). Diagnostic
test usage by forensic psychologists in emotional injury
cases. Professional Psychology: Research and Practice,
30,253–259.
Foote, W. E., & Shuman, D. W. (2006). Consent, disclosure
and waiver for the forensic psychological evaluation:
Rethinking the roles of psychologist and lawyer.
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