How to detect tendencies of Denial or Malingering: Almost all of the 70 SCATI items are stated blatantly pathologically, i.e., endorsement of the item with a 3 or 4 is an endorsement of psychopathology. The column Norm Frequency is based on a normal sample of responding, thus, only 2.9 times (on average) did the normal sample answer (4) Strongly True, and only 11.3 times (on average) did the normal sample answer (3) More True than False. Therefore, the normal sample chose (3) or (4) a total of 14.2 times, which indicates even a normal sample will report some psychopathology.

It may indicative of Denial if your patient (Patient heading) chose (3) or (4) well less than 14 times. It may also indicative of Denial if your patient chose (1) or (2) more than 55.6 times.

In clinical practice, particularly in institutional settings, Denial is more common than Malingering. However, if your patient does have an exceptionally high total sum for (3) and (4) answers, e.g., well over 25 times answering (3) and (4) in total, then the patient may either have serious psychopathology, may be consciously or unconsciously exaggerating their psychopathology, and it could also represent a cry for help.

This table reports the frequency for which the Patient chose

(1) Strongly False

(2) More False than True

(3) More True than False, or

(4) Strongly True.

In the adjacent column(Norm Frequency), the frequencies are reported for a purportedly normal sample.

(1) Strongly False

(2) More False than True

(3) More True than False, or

(4) Strongly True.