Emory Inconsistency Profile

• a complete absence of objective findings indicating an organic pathology?

• complaints that are overly dramatic and which do not fit any anatomic or physiologic pattern?

• inconsistencies between statements and/or behaviors?

• resistance to any evaluation while claiming to want to find the cause of the pain?

• responses to diagnostic nerve blocks that do not fit any predictable pattern?

• increasing pain complaints while reporting improvement in other aspects of a pain rehabilitation program?

• positive incentives to malinger?

• a history of manipulative behaviors?

• discrepancies between reports of the patient and the spouse regarding pain behavior at home?

• unprompted expressions of desire to work, inconsistent with behavior?

• unprompted denial of malingering?

• an inappropriate flat affect?

• an inappropriately histrionic (dramatic) affect?

• high scores on all scales of the MMPI despite reports of continuing, severe, and disabling pain?

• inconsistencies in responses to repeated items on the MMPI?

• L (lying)?

• F (bizarre psychological complaints)?

• Hs (hypochondriasis)?

• K (defensiveness)?

• Pd (high psychopathic deviance)?