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Previous research on the use of disguise in structured tests of psychopathology is extended to a clinical population. Based on a sample of 112 adult psychiatric patients for whom clinical criterion ratings were obtained, psychopathological test item validities were calculated and related to indices of test item disguise. Data contraindicated the use of disguise and were interpreted in terms of the various philosophies of test construction that underlie the structured assessment of psychopathology. In particular, results suggested the merit of a rational test construction strategy that emphasizes the use of relevant test item content.
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