Neurobiology of Deception

Deception is a complex psychosocial engagement where the executor deliberately tries to implant a thought in the mind of another person in a manner that one accepts what executor knows as not true (Abe et al, J Cogn Neurosci 19(2):287–295, 2007; Abe, Curr

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The Non-Disclosing Patient

Alexander Lerman

The Non-Disclosing Patient A Clinician's Guide

Alexander Lerman Westchester Medical Center New York Medical College Valhalla NY USA

ISBN 978-3-030-48613-6    ISBN 978-3-030-48614-3 (eBook) https://doi.org/10.1007/978-3-030-48614-3 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

Part I DND in the Clinical Encounter 1 A Personal Encounter with Deceit�������������������������������   3 A Question of Relevance�����������������������������������������������   7 2 Deception in the Psychiatric Interview������������������������   9 Fact Collection and “Templating”���������������������������������  10 Assessment Goes Awry���������������������������������������������  11 Psychotherapeutic Literature�����������������������������������  12 Therapeutic Repulsion����������������������������������������������  13 References������������������������������������������������������������������������  16 3 Types of Interviews, Types of Listening�����������������������  17 The Fact-Based Interview����������������������������������������������  17 The Meaning-Focused Interview�����������������������������������  19 Beyond Facts: The Transactional Interview������������������  20 Stratified Listening����������������������������������������������������������  21 Level I: The Subjective Narrative����������������������������  23 Level II: The Emotional Narrative��������������������������  23 Level III: Omissions and Distortions����������������������  24 Level IV: (Formulation-Guided) Listening������������  25 “Hard” and “Soft” DND������������������������������������������������  25 Conclusion