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21/12/2025

Pwede pang Continuing Professional Education content ito: a test of malingering

https://m.facebook.com/story.php?story_fbid=122110756779092788&id=61582783648128&mibextid=wwXIfr

Iโ€™ll be honest: before this week, I had never heard of the Coin in the Hand Test.

Coin test? Parang magic trick? Yun agad pumasok sa utak ko.

Then I saw it mentioned in the ICC documents on Rodrigo Duterte, and that one line made me go down the rabbit hole.

What is this test? How does it work? And how on earth do you โ€œfailโ€ something that sounds so simple?

While waiting for my flight, I started reading about it.

๐ŸŸฅ So, what is this coin test?

Apparently, the Coin in the Hand Test is a very simple task used in neuropsychology.

It looks like a memory test on the surface, but it is actually designed to check if someone is faking or exaggerating cognitive problems, like memory loss or confusion.

They call it a โ€œsymptom validityโ€ or โ€œperformance validityโ€ test.

Ang arte ng term, pero simple lang siya: it helps doctors see if the patient is really impaired, or just pretending to be.

And the wild part?

Even people with real dementia can usually do it.

๐ŸŸฅ How itโ€™s actually done

The procedure is almost insultingly simple.

- An examiner shows you a coin in, say, the right hand. You see it clearly.

- Then they close both hands and ask you to close your eyes and count backward from 10 to 1, or do some small distraction task.

- When you open your eyes, they ask: โ€œWhich hand has the coin?โ€ You point.

- Important detail: the coin does not move from hand to hand during the sequence. The examiner tells you this from the start.

Thatโ€™s one trial.

They repeat this around ten times, alternating which hand they show the coin in at the beginning, but always keeping it in that same hand for that trial.

If your memory is genuinely poor, or youโ€™re anxious, or distracted, you might miss a few. But across ten trials, you should still get a decent number correct, even by random guessing, because itโ€™s always a 50/50 choice.

๐ŸŸฅ What itโ€™s really measuring

The test is not mainly about how sharp your memory is. Apparently, itโ€™s more about effort and honesty.

What theyโ€™ve seen in studies is this:

- People with real cognitive disorders, including mild to moderate dementia, tend to perform at or above chance, sometimes even near-perfect, on this task.

- People who are pretending to have very bad memory often โ€œoveractโ€ and do worse than chance, picking the wrong hand more often than a random guesser would.

Doing worse than chance on a coin test that simple is already a red flag.

If you were just confused and guessing, youโ€™d still land somewhere near 5 out of 10 right. To do significantly worse than that, you basically have to be subconsciously or consciously avoiding the correct answer.

Thatโ€™s why this tool is used as one of several ways to detect malingering: pretending to be more impaired than you really are.

๐ŸŸฅ Where Duterte comes in

So when I read that the ICC medical panel used the Coin in the Hand Test on Rodrigo Duterte, my first reaction was: โ€œTalaga? That simple?โ€ Then again, hindi ito parlor trick. Itโ€™s a trap for people who think they can game the system.

Three independent experts examined Duterte: a forensic psychiatrist, a neuropsychologist, and a geriatric/behavioral neurologist. They ran a series of tests to see if he was mentally fit to stand trial at the ICC.

The prosecutors later told the court that Duterteโ€™s performance on the Coin in the Hand Test fit a pattern of someone feigning cognitive problems to avoid trial.

The medical panel concluded that he is, in fact, fit to participate in the proceedings and can understand the charges against him.

Put it this way:

The coin test helped expose that his supposed โ€œcognitive impairmentโ€ did not match how real impairment behaves on an objective, very low-level test.

What gets me is how small the test is.

Isang coin lang. Left or right. Ten tries.

And yet, that tiny setup can help answer a very big question: is this powerful man truly too impaired to face the people whose lives he changed forever, or is he pretending?

I had never heard of the Coin in the Hand Test until now. But once you understand what itโ€™s for, it becomes hard to unsee.

Itโ€™s a mirror. Not of memory, but of intent.

๐ŸŸฅ Sources:

1. The coin-in-the-hand test: a new โ€œbed-sideโ€ test for the detection of malingering in patients with suspected memory disorder โ€“ PubMed
https://pubmed.ncbi.nlm.nih.gov/8158200/

2. The coin-in-the-hand test: a new โ€œbed-sideโ€ test for the detection of malingering in patients with suspected memory disorder โ€“ full text (PMC)
https://pmc.ncbi.nlm.nih.gov/articles/PMC1072844/

3. The Coin-in-the-Hand Test and dementia: more evidence for a screening test for neurocognitive symptom exaggeration โ€“ PubMed
https://pubmed.ncbi.nlm.nih.gov/22960438/

4. The Coin-in-the-Hand Test and Dementia โ€“ PDF (cut-off scores and interpretation)
https://neuropsychologyresources.com/wp-content/uploads/2024/01/Coin-in-the-Hand-test-cut-off-scores-2012.pdf

5. Coin in the Hand Test for detection of malingering memory impairment in patients with dementia and mild cognitive impairment โ€“ ฤŒeskรก a Slovenskรก Neurologie a Neurochirurgie
https://www.csnn.eu/en/journals/czech-and-slovak-neurology-and-neurosurgery/2019-3-3/coin-in-the-hand-test-for-detection-of-malingering-memory-deficit-in-patients-with-dementia-and-mild-cognitive-impairment-66383

6. Detection of malingering in the memory of patients with dementia: A pilot study on coinโ€‘inโ€‘theโ€‘hand test in a Northern Taiwan Memory Clinic
https://www.airitilibrary.com/Article/Detail/10114564-201904-201904150014-201904150014-81-89

7. Validation of the Coin in Handโ€“Extended Version among older adults (performance validity) โ€“ PDF
https://www.psicologia.ulisboa.pt/wp-content/uploads/2020/03/2022-Validation-of-the-Coin-in-Hand-Extended-Version-Among-Older-Adults.pdf

8. Coin-in-the-Hand Test โ€“ summary of procedure and use
https://befund.net/coin-in-the-hand-test/

9. Effectiveness of the forcedโ€‘choice coin test for detecting malingering during forensic psychiatric examinations
https://onlinelibrary.wiley.com/doi/full/10.1002/pcn5.87

10. Evaluating malingering in cognitive and memory examinations โ€“ overview of performance validity tests
https://www.cambridge.org/core/journals/advances-in-psychiatric-treatment/article/evaluating-malingering-in-cognitive-and-memory-examinations/61F7D6A0BA53E6B0F4B89B2713F653D1

11. Review of brief cognitive tests for patients with suspected dementia โ€“ International Psychogeriatrics
https://www.cambridge.org/core/journals/international-psychogeriatrics/article/review-of-brief-cognitive-tests-for-patients-with-suspected-dementia/EF9AB6A829EFB7D1E946BFD8A03B29BD

12. Assessment of cognition in early dementia โ€“ PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC3613863/

13. Performance validity and symptom validity tests โ€“ overview (NIH/PMC)
https://pmc.ncbi.nlm.nih.gov/articles/PMC8405123/

14. Effort, symptom validity testing, performance validity testing, and malingering โ€“ PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC4673569/

15. Symptom Validity Test Performance in the Huntington Disease Clinic โ€“ PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC8629023/

16. The Test of Memory Malingering (TOMM): normative data from cognitively intact, cognitively impaired, and elderly patients with dementia
https://www.sciencedirect.com/science/article/pii/S0887617703000787

17. BBC News โ€“ Coins used โ€œto diagnoseโ€ dementia
http://news.bbc.co.uk/2/hi/health/817558.stm

18. Coin Test: A Complementary Examination for Assessing Cognitive Impairment in Dementia (general โ€œcoin testโ€ dementia assessment)
https://pmc.ncbi.nlm.nih.gov/articles/PMC11582992/

19. ICC medical panel finds Duterte fit to stand trial โ€“ Philstar.com
https://www.philstar.com/headlines/2025/12/19/2495473/icc-medical-panel-finds-duterte-fit-stand-trial

20. Why ICCโ€™s prosecutor believes Rody Duterte was caught faking cognitive impairment โ€“ Philstar.com
https://www.philstar.com/headlines/2025/12/19/2495480/why-iccs-prosecutor-believes-rody-duterte-was-caught-faking-cognitive-impairment

21. ICC says Rodrigo Duterte is fit for trial โ€“ Philstar Life
https://philstarlife.com/news-and-views/925617-icc-says-rodrigo-duterte-is-fit-for-trial

22. ICC medical team finds Duterte fit for proceedings โ€“ Philstar.com
https://www.philstar.com/headlines/2025/12/20/2495564/icc-medical-team-finds-duterte-fit-proceedings

23. ICC prosecutors say Duterte is โ€œfeigning cognitive impairmentโ€ to avoid trial โ€“ ABS-CBN News
https://www.abs-cbn.com/news/nation/2025/12/19/icc-prosecutors-say-duterte-is-feigning-cognitive-impairment-to-avoid-trial-1206

24. ICC medical panel โ€œunanimously finds Duterte fit to stand trialโ€ โ€“ Cebu Daily News / Inquirer
https://cebudailynews.inquirer.net/680548/icc-medical-panel-unanimously-finds-duterte-fit-to-stand-trial

25. ICC Urged To Resume Duterte Trial After Medical Panel Clears Fitness โ€“ Evrim AฤŸacฤฑ summary
https://evrimagaci.org/gpt/icc-urged-to-resume-duterte-trial-after-medical-panel-clears-fitness-520555

26. Rodrigo Duterte Can Participate In Pre-Trial Proceedings, Medical Experts Tell ICC Judges โ€“ OneNews
https://www.onenews.ph/rodrigo-duterte-can-participate-in-pre-trial-proceedings-medical-experts-tell-icc-judges

27. Duterte can undergo trial, medical experts tell ICC โ€“ MEXC News
https://www.mexc.co/en-IN/news/304059

28. ICC: Duterte fit for trial โ€“ Philstar Life social post (context, headline & framing)
https://www.facebook.com/philstarlife/posts/icc-duterte-fit-for-trial-an-independent-medical-panel-appointed-by-the-internat/1308497387314210/

29. ICC: Duterte fit for trial โ€“ Instagram post (Philstar Life)
https://www.instagram.com/p/DSd-Vl9E-r9/

30. ICC Medical Panel Declares Former President Rodrigo Duterte Fit for Trial โ€“ EMEC
https://www.emec.org.uk/?s-news-22953816-2025-12-19-icc-medical-panel-declares-ex-president-duterte-fit-for-trial

18/12/2025

Celebrating my 10th year on Facebook. Thank you for your continuing support. I could never have made it without you. ๐Ÿ™๐Ÿค—๐ŸŽ‰ Meta has got irresistible memory! Congrats everyone!

Photos from PSYCH 105 DWCL's post 18/12/2025

Look who I was with today? Name them hoping your memory is sharper than a 2-edged sword hahahaha. Congrats Maria Theresa Galan and husband Charlton John Padulip on your wedding day, my second wedding on same day 32 years ago (which happened to be my brotherโ€™s and his wife). Praying for your deepening love and sacred commitment. Take care. Always love!

06/07/2025

This seems apt here no? How are you doing guys? Long time no hear. Just comment and keep the engagement pls. Tnx and God bless

08/05/2025

Blessed you are to do OJT here.

๐Ÿง ๐—ฃ๐˜€๐˜†๐—ฐ๐—ต๐—ผ๐—น๐—ผ๐—ด๐˜† ๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐˜€๐—ต๐—ถ๐—ฝ ๐—ข๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜๐˜‚๐—ป๐—ถ๐˜๐˜† โ€“ ๐—”๐˜€๐˜€๐—ฒ๐˜€๐˜€๐—บ๐—ฒ๐—ป๐˜ ๐—™๐—ผ๐—ฐ๐˜‚๐˜€๐Ÿง 

Are you a psychology student or fresh graduate looking to gain practical experience in assessment development and research? We are now ๐—ฎ๐—ฐ๐—ฐ๐—ฒ๐—ฝ๐˜๐—ถ๐—ป๐—ด ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ฝ๐—น๐—ฒ ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐˜€ for an exciting ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐˜€๐—ต๐—ถ๐—ฝ ๐—ผ๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜๐˜‚๐—ป๐—ถ๐˜๐˜† focused on education, psychology, and learning! ๐Ÿ“šโœจ

๐Ÿ”น๐—ฃ๐—ผ๐˜€๐—ถ๐˜๐—ถ๐—ผ๐—ป: Psychology Intern (Assessment and Research)

๐Ÿ”น๐—ช๐—ต๐—ฎ๐˜ ๐—ฌ๐—ผ๐˜‚โ€™๐—น๐—น ๐—•๐—ฒ ๐—œ๐—ป๐˜ƒ๐—ผ๐—น๐˜ƒ๐—ฒ๐—ฑ ๐—œ๐—ป:
- Assisting in creating and reviewing academic and psychological assessments
- Conducting research to ensure tests meet educational and psychological standards
- Helping analyze assessment data and suggesting improvements

๐Ÿ”น ๐—ช๐—ต๐—ผ ๐—ฆ๐—ต๐—ผ๐˜‚๐—น๐—ฑ ๐—”๐—ฝ๐—ฝ๐—น๐˜†:
โœ… Psychology students or recent graduates
โœ… Strong background in ๐—ฝ๐˜€๐˜†๐—ฐ๐—ต๐—ผ๐—น๐—ผ๐—ด๐—ถ๐—ฐ๐—ฎ๐—น ๐˜€๐˜๐—ฎ๐˜๐—ถ๐˜€๐˜๐—ถ๐—ฐ๐˜€ and ๐—ฎ๐˜€๐˜€๐—ฒ๐˜€๐˜€๐—บ๐—ฒ๐—ป๐˜ ๐—ฑ๐—ฒ๐˜ƒ๐—ฒ๐—น๐—ผ๐—ฝ๐—บ๐—ฒ๐—ป๐˜
โœ… Excellent writing, research, and critical thinking skills
โœ… Detail-oriented and eager to learn

๐Ÿ”น ๐—ช๐—ต๐—ฎ๐˜ ๐—ฌ๐—ผ๐˜‚โ€™๐—น๐—น ๐—š๐—ฎ๐—ถ๐—ป:
โœจ Practical, hands-on experience in psychological and educational assessment
โœจ Mentorship from experienced professionals
โœจ Certificate of Completion
โœจ Flexible working setup (Remote/Hybrid)

๐Ÿ“๐—Ÿ๐—ผ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป: Heritage Condominium, Vasquez Street, Malate, Manila, Philippines

๐Ÿ“ฉ To apply, send your resume/CV and application letter to [email protected]

๐—ก๐—ผ๐˜๐—ฒ: This is an internship opportunity intended for learning and experience, ๐—ฎ๐—ป๐—ฑ ๐˜„๐—ฒ ๐—ฎ๐—ฟ๐—ฒ ๐˜„๐—ฒ๐—น๐—ฐ๐—ผ๐—บ๐—ถ๐—ป๐—ด ๐—บ๐˜‚๐—น๐˜๐—ถ๐—ฝ๐—น๐—ฒ ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐˜€ to join our team!

20/08/2024

Thanks be to God! I got back my yahoo. email account. Whoever helped out, thank you very much. You should see my smile! A thankful heart is a happy heart.

The owner of these two numbers must change ways:
0994-918-8488, and
0994-919-5046.

There are better ways to live. The experience was a lesson on taking thought before simply following. God bless

20/08/2024

I am right now trying to open my yahoo email. I'm unable to change my password because a mobile number is texting me a code which makes me think he's trying to GRAB the email. These are the mobile numbers being used to send me codes: 0994-919-5046, and the first one that replied was 0994-918-8488. Please assist. Thanks and God bless

When one clicks the "Forgot password," one gets asked about information to verify identity and ensure account security. One of the two-step verifications can be done using the email or the mobile number. Here are the replies sent my mobile number:

0994-918-8488 replied: goodday po iyonngnetworksCodYanyanh059795

0994-91-5046 replied: goodday po iyonngnetworksCodYanyanh115765

Obviously, someone's in the other end trying to pull my account away from my grasp.

A certain Z Tal Son replied to me in my other tagged account:
same thing happened to my account yesterday but mine was unlocked by PATCH_ASSIST on Instagram because thereโ€™s no help from support team

Is this a way for me to open an Instagram account? I haven't one and I don't intend to open one as of the moment.

20/08/2024

I am right now trying to open my yahoo email. I'm unable to change my password because a mobile number is texting me a code which makes me think he's trying to GRAB the email. These are the mobile numbers being used to send me codes: 0994-919-5046, and the first one that replied was 0994-918-8488. Please assist. Thanks and God bless

10/08/2024

On C.O.K.E.

Pacman: 'nay, ilang liters meron sa 5000 mL na COKE?

Dionisia: 4 Liters!

Pacman: oh? Are you shur 'nay?

Dionisia: yis bebe!
Liter C
Liter O
Liter K
Liter E

Hindi naman pweding maging 5 liters! Ano yun?...

COKES!??

Whahaha....

Atin-atin lang 'to ha? Wala pong 5000mL na Coke sa palengke. 500mL lang kaya good guess yan hehehehe

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