However, they must be interpreted with special caution in the unique context of psychological injury evaluations, where there runs a greater risk of false-positive identification of overreporting. Findings from this narrative review suggest that both the MMPI-2-RF and the PAI are sound SVTs with growing bodies of empirical support. Each instrument is reviewed for its overreporting scales, including scale development strategies, standard cutoff values, and research support, with particular attention afforded to psychological injury litigation considerations. It then focuses on two of the most well-established SVTs, i.e., the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and the Personality Assessment Inventory (PAI). This literature review first covers foundational knowledge to guide evaluators in the careful interpretation of SVTs. It is thus imperative for psychological injury evaluators to possess a working understanding of the conceptual and empirical foundations of symptom validity tests (SVTs). Among the most pressing considerations in psychological injury litigation is potential overreporting of symptoms or impairments by the plaintiff.
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