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Psychiatric and psychological aspects of fraud offending

  • Paul Wallang and Richard Taylor


There has been little research into the interaction between fraud offences and mental health. Fraud is perpetrated on a massive scale and a number of offenders will have psychiatric pathology either as a primary driver of the offence or as an associated phenomenon that will require psychiatric care and treatment. This article reviews the broad range of psychiatric conditions that have been associated with fraud offending, comments on management and discusses methods of psychiatric assessment in fraud offences.

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Corresponding author

Dr Paul Wallang, North London Forensic Service, Barnet, Enfield and Haringey Mental Health Trust, Chase Farm Hospital, Enfield EN2 8JL, UK. E-mail:


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For a commentary on this article see pp. 193–197, this issue.

Declaration of Interest




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Adshead, G (1997) Money for nothing: a case of ‘white collar’ crime. In A Practical Guide to Forensic Psychotherapy (eds Welden, E, van Velsen, C) 205–9. Jessica Kingsley.
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). APA.
Arvedlund, E (2009) The house that Bernie built: How did Bernard Madoff keep the world's biggest fraud running for so long? FT Magazine 4 September: 2232.
Babiak, P, Hare, R (2006) Snakes in Suits: When Psychopaths Go To Work. ReganBooks.
Babiak, P, Neumann, C, Hare, R (2010) Corporate psychopathy: talking the walk. Behavioural Sciences and the Law 28: 174–93.
Buchhandler-Raphael, M (2008) The relationship between pathological gambling disorder and substantive criminal law and sentencing. Gaming Law Review and Economics 12: 109–25.
Carozza, D (2008) These men know ‘snakes in suits’: identifying psychopathic fraudsters. Interview with Dr. Robert Hare, D. and Dr. Babiak, Paul Fraud Magazine July/August.
Cohen, L, Felson, N (1979) Social change and crime rate trends: A routine activities approach. American Sociological Review 44: 588608.
Copes, H (2003) Society attachments, offending frequency, and techniques of neutralization. Deviant Behaviour 24: 101–27.
Cornish, DB, Clarke, RV (1986) Crime as a-rational choice. In Criminological Theory: Past to Present (eds Cullen, FT, Agnew, R) 278–83. Roxbury Publishing.
Cressey, D (1973) Other People's Money A Study in the Social Psychology of Embezzlement. Patterson Smith.
Dahlstrom, W, Welsh, G, Dahlstrom, L (1975) An MMPI Handbook. Vol. 2. University of Minnesota Press.
Department of Health (2009) Safeguarding Adults: Report on the Consultation on the Review of ‘No Secrets: Guidance on Developing and Implementing Multi-Agency Policies and Procedures to Protect Vulnerable Adults from Abuse’. Department of Health.
Dike, CC, Baranoski, M, Griffith, EE (2005) Pathological lying revisited. Journal of the American Academy of Psychiatry and the Law 33: 342–9.
Dodd, L, Klos, KJ, James, H et al (2005) Pathological gambling caused by drugs used to treat Parkinson disease. Archives of Neurology 62: 1377–81.
Duffield, G, Grabosky, PN (2001) The psychology of fraud. Trends & Issues in Crime and Criminal Justice 199.
Dyer, C (1997) Consultant struck off over research fraud. BMJ 315: 205–10.
First, MB, Gibbon, M, Spitzer, RL et al (1997) Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). American Psychiatric Publishing.
Geggie, D (2001) A survey of newly appointed consultants' attitudes towards research fraud. Journal of Medical Ethics 27: 344–6.
Goldman, A (2006) Personality disorders in leaders: Implications of the DSM-IV-TR in assessing dysfunctional organizations. Journal of Managerial Psychology 21: 392414.
Grant, JE, Potenza, MN (2004) Impulse control disorders, clinical characteristics and pharmacological management. Annals of Clinical Psychiatry 16: 2737.
Grant, J, Suck, WK (2006) Medication management of pathological gambling. Minnesota Medicine 89: 4448.
Hall, I (2000) Young offenders with a learning disability. Advances in Psychiatric Treatment 6: 278–85.
Halligan, P, Bass, C, Oakley, D (2003) Malingering and Illness Deception. Oxford University Press.
Hanley, JR, Baker, GA, Ledson, S (1999) Detecting the faking of amnesia: a comparison of the effectiveness of three different techniques for distinguishing simulators from patients with amnesia. Journal of Clinical and Experimental Neuropsychology 21: 5969.
Hare, RD (2006) Psychopathy: A clinical and forensic overview. Psychiatric Clinics of North America 29: 709–24.
Heinik, J (2004) Dementia and crime: a forensic psychiatry unit study in Israel. International Journal of Geriatric Psychiatry 9: 491–4.
Jackson, R, Rogers, R, Sewell, K (2005) Forensic applications of the Miller Forensic Assessment of Symptoms Test (MFAST): screening for feigned disorders in competency to stand trial evaluations. Law and Human Behaviour 29: 199210.
James, D (2009) Fraud, deception and thieves. In New Oxford Textbook of Psychiatry (eds Gelder, M, Andreason, N, Lopez-Ibor, J et al). Oxford University Press.
Kapur, N (1994) The coin-in-the-hand test: a new ‘bed-side’ test for the detection of malingering in patients with suspected memory disorder. Journal of Neurology Neurosurgery & Psychiatry 57: 385–6.
Kates, N, Greiff, B, Hagen, D (1990) The Psychosocial Impact of Job Loss. American Psychiatric Press.
Kets de Vries, M (1989) Prisoners of Leadership. Wiley.
Law Commission (2009) Consultation Paper No 190: The Admissibility of Expert Evidence in Criminal Proceedings in England and Wales. A New Approach to the Determination of Evidentiary Reliability. TSO (The Stationery Office).
Levi, M, Burrows, J, Fleming, MH et al (2007) The nature, extent and economic impact of fraud in the UK. Report for the Association of Chief Police Officers' Economic Crime Portfolio. ACPO.
Maccoby, M (2000) Narcissistic leaders: the incredible pros, the inevitable cons. Harvard Business Review January–February: 6977.
Mackay, RD, Colman, AM, Thornton, P (1999) The admissibility of expert psychological and psychiatric testimony. In Analysing Witness Testimony: A Guide for Legal Practitioners and Other Professionals (eds Heaton-Armstrong, A, Shepherd, E, Wolchover, D): 321–34. Oxford University Press.
Marris, E (2006) Special Report: Should journals police scientific fraud? Nature 439: 520–1.
McCreadie, C, Bennett, G, Gilthorpe, MS et al (2000) Elder abuse: Do general practitioners know or care? Journal of the Royal Society of Medicine 93: 6771.
Morse, G (2004) Executive psychopaths. Harvard Business Review 82: 20–2.
National Working Group on Fraud (2012) What is fraud? UK Association of Chief Police Officers (
Noyes, GC, Naimark, D (2011) Rethinking pathological lying. American Journal of Forensic Psychiatry 32: 5962.
Paulhus, DL, Neumann, CS, Hare, RD (2012) Manual for the Self-Report Psychopathy Scale (SRP). Multi-Health Systems (in press).
Piquero, NL, Tibbetts, SG, Blakenship, MB (2005) The role of differential association and techniques of neutralization in explaining corporate crime. Deviant Behaviour 26: 159–88.
Rabiner, DJ, Brown, D, O'Keeffe, J (2005) Financial exploitation of older persons: Policy issues and recommendations for addressing them. Journal of Elder Abuse & Neglect 16: 6584.
Rix, KJB (2008a) The psychiatrist as expert witness. Part 1: General principles and civil cases. Advances in Psychiatric Treatment 14: 3741.
Rix, KJB (2008b) The psychiatrist as expert witness. Part 2: Criminal cases and the Royal College of Psychiatrists' guidance. Advances in Psychiatric Treatment 14: 109–14.
Rogers, TP, Blackwood, NJ, Farnham, F et al (2008) Fitness to plead and competence to stand trial: a systematic review of the constructs and their application. Journal of Forensic Psychiatry & Psychology 19: 576–96.
Sims, RR, Brinkman, J (2003) Enron ethics (or: Culture matters more than codes). Journal of Business Ethics 45: 243–56.
Singh, KK, Gudjonsson, GH (1992) Interrogative suggestibility among adolescent boys and its relationship with intelligence, memory, and cognitive set. Journal of Adolescence 15: 155–61.
Singleton, N, Meltzer, H, Gatward, R (1998) Psychiatric Morbidity Among Prisoners in England and Wales. Office for National Statistics.
Tempany, A (2010) When narcissism becomes pathological. FT Magazine 4 September.
Tombaugh, TN (1997) The Test of Memory Malingering (TOMM): Normative data from cognitively intact and cognitively impaired individuals. Psychological Assessment 9: 260–8.
Tonge, BJ (1999) Psychopathology of Children with Developmental Disabilities: Psychiatric and Behavioural Disorders in Developmental Disabilities and Mental Retardation. Cambridge University Press.
Walker, A, Flatley, J, Kershaw, C et al (2009) Crime in England and Wales 2008/09. Home Office Statistical Bulletin 11/09, vol 1. Home Office (
Wechsler, D (1981) WAIS–R Manual. Psychological Corporation.
Wooler, S (2006) Review of the Investigation and Criminal Proceedings Relating to the Jubilee Line Case. HM Crown Prosecution Service Inspectorate.
World Health Organization (1992) The ICD-10 Classification of Diseases, Clinical Descriptions and Diagnostic Guidelines. WHO.
Gudjonsson, G, Young, S (2009) Suboptimal effort and malingering. In Forensic Neuropsychology in Practice: A Guide to Assessment and Legal Processes (eds Young, S, Kopelman, M, Gudjonsson, G) 267300. Oxford University Press.
Daubert v Merrell Dow Pharmaceuticals, Inc (1993) 509 US 579, 589.
R v Pritchard (1836) 7 C&P 303.
R v Rayment & Others [2005].
R v Turner [1975] QB 834.

Psychiatric and psychological aspects of fraud offending

  • Paul Wallang and Richard Taylor


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Psychiatric and psychological aspects of fraud offending

  • Paul Wallang and Richard Taylor
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