[Role of the forensic doctor in the assessment of brain injury]. / Papel del médico forense en la valoración de los traumatismos craneoencefálicos.

Although the rate of brain injury remains stable, due to medical advances, many patients who have suffered serious brain injury survive the accident, but remain with very important consequences. The role of the forensic doctor is increasingly more relevant in establishing curing periods, injury stabilization, treatments received and accident consequences so that the courts can dictate the corresponding compensations, incapacity levels and penal grades.

Papel del médico forense en la valoración de los traumatismos craneoencefálicos / Role of the forensic doctor in the assessment of brain injury

A pesar de que la tasa de traumatismos craneoencefálicos se mantiene estable, los avances de la medicina han conllevado que muchos pacientes con traumatismos craneoencefálicos graves sobrevivan a los mismos, pero queden con secuelas muy importantes. El papel del médico forense es cada vez más relevante para establecer períodos de curación o estabilización lesional, tratamientos recibidos y secuelas, para que los tribunales puedan dictaminar las indemnizaciones correspondientes, los grados de incapacidad y la calificación penal (AU)

Although the rate of brain injury remains stable, due to medical advances, many patients who have suffered serious brain injury survive the accident, but remain with very important consequences. The role of the forensic doctor is increasingly more relevant in establishing curing periods, injury stabilization, treatments received and accident consequences so that the courts can dictate the corresponding compensations, incapacity levels and penal grades (AU)

Valoración médico-legal de la secuelas derivadas de traumatismos craneoencefálicos moderados-graves / Legal medical evaluation of the sequels derived from moderate-serious cranioencephalic traumas

En la actualidad, el aumento de personas que sobreviven a un traumatismo craneoencefálico (TCE) de carácter moderado-grave ha provocado un mayor número de secuelas. Esto ha hecho necesario estudiar de forma más específica dichas secuelas. Por esta razón hemos querido reflejar mediante nuestra experiencia profesional y las actuales investigaciones realizadas al respecto cuáles son las secuelas más habituales en casos de pacientes que han padecido un TCE moderado-grave. Asimismo, señalamos la necesidad de concienciar de estos déficits, ya que muchas veces éstos (en concreto los neuropsicológicos) son demasiado específicos si los comparamos con la generalidad del baremo usado para su valoración (AU)

Currently, the increasing number of subjects who survive a moderate to severe cranioencephalic traumatism (CET) has led to a greater number of sequels. This has made it necessary to study these sequels more specifically. Thus, we have wanted to manifest which are the most common sequels in the cases of patients who have suffered moderate to severe CET through our professional experience and current research done on this. Furthermore, we indicate the need to become aware of these deficits since these (specifically neuropsychological) are often too specific if we compare them with the generality of the standard used for their evaluation (AU)

[Legal medical evaluation of the sequels derived from moderate-serious cranioencephalic traumas]. / Valoración médico-legal de la secuelas derivadas de traumatismos craneoencefálicos moderados-graves.

Currently, the increasing number of subjects who survive a moderate to severe cranioencephalic traumatism (CET) has led to a greater number of sequels. This has made it necessary to study these sequels more specifically. Thus, we have wanted to manifest which are the most common sequels in the cases of patients who have suffered moderate to severe CET through our professional experience and current research done on this. Furthermore, we indicate the need to become aware of these deficits since these (specifically neuropsychological) are often too specific if we compare them with the generality of the standard used for their evaluation.

[Relationship between malingered psychometric profiles and personality styles in prisoners]. / Perfiles psicométricos fingidos en relación con estilos de personalidad en reclusos.

INTRODUCTION: One of the most typical clinical problems is the assessment of malingering in the field of forensic and penitentiary psychiatry. OBJECTIVE: The purpose of this research was to find associations between different personality types and psychometric response styles. MATERIAL AND METHODS. SUBJECTS: participants consisted of 41 imprisoned male offenders. Instruments and data collection: the psychometric tools used were the Millon Clinical Multiaxial Inventory (MCMI-II) and the Minnesota Multiphasic Personality Inventory (MMPI-2). STATISTICS: data were analyzed with the Statistical Package for the Social Sciences (SPSS, version 10.0). A p < 0.05 significance level was proposed. RESULTS: There is significant correlation between personality types and styles of responses in the inventories. CONCLUSIONS: The greatest relationships were found between personality types shaping cluster B of DSM-IV-TR and validity indexes that measure malingering as response style.

Perfiles psicométricos fingidos en relación con estilos de personalidad en reclusos / Relationship between malingered psychometric profiles and personality styles in prisoners

Introducción. En el ámbito forense y penitenciario uno de los problemas es la evaluación de la simulación de síntomas psicopatológicos. El objetivo del presente estudio fue examinar la relación entre diversos patrones de personalidad y diferentes estilos de respuesta al contestar inventarios. Material y métodos. Sujetos: la muestra utilizada estuvo configurada por 41 varones encarcelados. Instrumentos: los instrumentos de media fueron el Inventario Clínico Multiaxial de Millon (MCMI-II) y el Minessota Multiphasic Personality Inventory-2 (MMPI_2). Análisis estadístico: para el análisis de los datos se utilizaron diversos estadísticos descriptivos y correlaciones de Pearson a través del Statistical Package for the Social Sciences (SPSS, versión 10.0). Se propuso un nivel de significación de p<0,05. Resultados. Los datos pusieron de manifiesto que existen asociaciones entre diversos prototipos de personalidad y estilos de respuesta en los inventarios. Conclusiones. Las mayores relaciones se encontraron entre los tipos de personalidad que configuran el clúster B del DSM-IVTR y los índices de validez que miden simulación de patología como estilo de respuesta (AU)

Introduction. One of the most typical clinical problems is the assessment of malingering in the field of forensic and penitentiary psychiatry. Objective. The purpose of this research was to find associations between different personality types and psychometric response styles. Material and methods. Subjects: participants consisted of 41 imprisoned male offenders. Instruments and data collections: the psychometric tools used were the Millon Clinical Multiaxial Inventory (MCMI-II) and the Minnesota Multiphasic Personality Inventory (MMPI-2). Statistics: data were analyzed with the Statistical Package for the Social Sciences (SPSS, version 10.0). A p<0.05 significance level was proposed. Results. There is significant correlation between personality types and styles of responses in the inventories. Conclusion. The greatest relationships were found between personality types shaping cluster B of DSM-IV-TR and validity indexes that measure malingering as response style (AU)