False statements and the differential diagnosis of abuse allegations.
OBJECTIVE
Because child psychiatrists do not have a consistent way to classify the untruthful child and because there are no generally accepted definitions of the many ways in which false statements occur in allegations of abuse, the objective of this paper is to classify and define the various ways in which false statements occur in allegations of abuse.


METHODS
The author reviewed 40 articles, chapters, and books that contained examples of false statements made by children or caregivers in the context of an abuse allegation.


RESULTS
This paper clarifies the concepts of indoctrination, suggestion, fantasy, delusion, misinterpretation, miscommunication, innocent lying, deliberate lying, confabulation, pseudologia phantastica, overstimulation, group contagion, and perpetrator substitution.


CONCLUSIONS
The correct classification of abuse allegations is important in both clinical and forensic child psychiatry. The definitions in this paper, which are based on clinical experience, should be studied through systematic research.
Bernet
W
W
Vanderbilt Child and Adolescent Psychiatric Hospital, Nashville, TN.
D002648:Child; D002649:Child Abuse / Q000331:legislation & jurisprudence* / Q000523:psychology; D002650:Child Abuse, Sexual / Q000175:diagnosis / Q000331:legislation & jurisprudence* / Q000523:psychology; D008192:Deception; D003937:Diagnosis, Differential; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006801:Humans; D010552:Personality Assessment