title: An examination of the ECST-R as a screen for feigned incompetency to stand trial.
abstract: Psychological assessments of competency-to-stand-trial (CST) referrals must consider whether the defendants' impairment is genuine or feigned. This study addressed feigning on the Evaluation of Competency to Stand Trial--Revised (ECST-R), a standardized interview designed for assessing dimensions of CST and screening for feigned CST. In particular, this study examined the effectiveness of the ECST-R's Atypical Presentation (ATP) scales as screens for feigned incompetency. It examined ATP scales for (a) jail detainees (n=96) in simulation and control conditions and (b) inpatient competency cases (n=56) in clinical comparison and probable malingering groups. Comparisons of ATP scales yielded very large effect sizes for feigners when compared with jail controls (mean d=2.50) and genuine inpatient competency cases (mean d=1.83). Several cut scores were established with very few false negatives and robust sensitivity estimates. In summary, the ECST-R ATP scales appear to be homogenous scales with established clinical use as feigning screens in CST evaluations.
authors.affiliation: Department of Psychology, University of North Texas, Denton, TX, USA. rogersr@unt.edu
authors.forename: Richard
authors.initials: R
authors.lastname: Rogers
authors.forename: Rebecca L
authors.initials: RL
authors.lastname: Jackson
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Sewell
authors.forename: Kimberly S
authors.initials: KS
authors.lastname: Harrison
mesh_terms: D003415:Crime / Q000331:legislation & jurisprudence*; D006801:Humans; D016743:Mental Competency / Q000331:legislation & jurisprudence*; D015203:Reproducibility of Results; D012107:Research Design; D011795:Surveys and Questionnaires