PHYS THER
Vol. 79, No. 1, January 1999, pp. 94-96
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Letters and Responses

Sincerity of Effort


Because this article has no abstract, we have provided an extract of the full text and any section headings.

To the Editor:

"Detecting Sincerity of Effort: A Summary of Methods and Approaches" by Lechner and colleagues (August 1998) addressed a very important and controversial topic. The authors handled the discussion well, forcing the reader to rethink what all these "symptom magnification" tests really mean. I agree with their conclusions that it is not the clinician's role to detect sincerity of effort. However, I think an important distinction needs to be made here to avoid misinterpretation of this article. If we avoid addressing consistency of effort, we are underreporting what I believe is an important bit of information. "Consistency" does not mean "sincerity." To say someone is consistent is to report an observation. To say someone is sincere is to judge that person, using our own personal value system.

Here is the distinction: we can and should report the results of tests such as Waddell's signs,1 and our observations on . . . [Full Text of this Article]

Robin Saunders, PT

4250 Norex Dr
Chaska, MN 55318

Deborah E Lechner, PT

Associate Professor
Division of Physical Therapy
The University of Alabama at Birmingham
Bishop 102
900 19th St S
Birmingham, AL 35284


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Related Article

Detecting Sincerity of Effort: A Summary of Methods and Approaches
Deborah E Lechner, Sam F Bradbury, and Laurence A Bradley
Physical Therapy 1998 78: 867-888. [Abstract] [PDF]