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Der Nervenarzt May 2017Patients with factitious disorders intentionally fabricate, exaggerate or feign physical and/or psychiatric symptoms for various open and covert psychological reasons.... (Review)
Review
Patients with factitious disorders intentionally fabricate, exaggerate or feign physical and/or psychiatric symptoms for various open and covert psychological reasons. There are many issues regarding the diagnostic state and classification of factitious disorders. Both the categorical differentiation of and clinical continuum ranging from somatoform/dissociative disorders to malingering are being controversially debated. Epidemiological studies on the frequency of factitious disorder meet basic methodological difficulties. Reported rates of prevalence and incidence in the professional literature most probably have to be considered underestimations. Illness deception and self-harm as core features of the abnormal illness behaviour in factitious disorder may refer to various highly adverse and traumatic experiences during early development in a subgroup of patients. Chronic courses of illness prevail; however, there are also episodic variants.
Topics: Diagnosis, Differential; Dissociative Disorders; Evidence-Based Medicine; Factitious Disorders; Humans; Malingering; Self-Injurious Behavior; Somatoform Disorders; Treatment Outcome
PubMed: 28451707
DOI: 10.1007/s00115-017-0337-8 -
The Clinical Neuropsychologist Sep 2009During the past two decades clinical and research efforts have led to increasingly sophisticated and effective methods and instruments designed to detect exaggeration or...
During the past two decades clinical and research efforts have led to increasingly sophisticated and effective methods and instruments designed to detect exaggeration or fabrication of neuropsychological dysfunction, as well as somatic and psychological symptom complaints. A vast literature based on relevant research has emerged and substantial portions of professional meetings attended by clinical neuropsychologists have addressed topics related to malingering (Sweet, King, Malina, Bergman, & Simmons, 2002). Yet, despite these extensive activities, understanding the need for methods of detecting problematic effort and response bias and addressing the presence or absence of malingering has proven challenging for practitioners. A consensus conference, comprised of national and international experts in clinical neuropsychology, was held at the 2008 Annual Meeting of the American Academy of Clinical Neuropsychology (AACN) for the purposes of refinement of critical issues in this area. This consensus statement documents the current state of knowledge and recommendations of expert clinical neuropsychologists and is intended to assist clinicians and researchers with regard to the neuropsychological assessment of effort, response bias, and malingering.
Topics: Cognition Disorders; Deception; Humans; Malingering; Medical History Taking; Neuropsychological Tests; Personality Inventory; Psychometrics
PubMed: 19735055
DOI: 10.1080/13854040903155063 -
The American Journal of Psychiatry Aug 1996
Topics: Diagnosis, Differential; Factitious Disorders; Humans; Malingering
PubMed: 8678184
DOI: 10.1176/ajp.153.8.1108a -
Journal of Anxiety Disorders 2007Pseudo-posttraumatic stress disorder (pseudo-PTSD) refers to cases in which a patient's presentation is but a simulation of the actual clinical syndrome. The problem of... (Review)
Review
Pseudo-posttraumatic stress disorder (pseudo-PTSD) refers to cases in which a patient's presentation is but a simulation of the actual clinical syndrome. The problem of pseudo-PTSD has been neglected by many clinicians and researchers, who often rely on the assumption that a patient's reported symptoms can be accepted as valid. The purpose of this article is to (a) consider the diverse causes of pseudo-PTSD, (b) emphasize the importance of the DSM-IV's guideline to rule out malingering, and (c) discuss the implications that pseudo-PTSD has for research and clinical practice.
Topics: Compensation and Redress; Diagnosis, Differential; Humans; Malingering; Stress Disorders, Post-Traumatic; Veterans
PubMed: 17084063
DOI: 10.1016/j.janxdis.2006.09.011 -
Medical History Apr 2023The fear of the malingering soldier or veteran has existed in Australia since its first nationwide military venture in South Africa. The establishment of the...
The fear of the malingering soldier or veteran has existed in Australia since its first nationwide military venture in South Africa. The establishment of the Repatriation Department in 1917 saw the medical, military and political fields work collectively, to some extent, to support hundreds of thousands of men who returned from their military service wounded or ill. Over the next decades the medical profession occasionally criticised the Repatriation Department's alleged laxness towards soldier recipients of military pensions, particularly those with less visible war-related psychiatric conditions. In 1963 this reached a crescendo when a group of Australian doctors drew battle lines in the correspondence pages of the , accusing the Repatriation Department of directing a 'national scandal', and provoking responses by both the Minister for Repatriation and the Chairman of the War Pensions Assessment Appeal Tribunal. Although this controversy and its aftermath does allow for closer investigation of the inner workings of the Repatriation Department, the words of the doctors themselves about 'phony cronies', 'deadbeats' and 'drongoes' also reveal how the medical fear of the malingering soldier, and particularly the traumatised soldier-malingerer, lingered into the early 1960s and beyond. This paper will analyse the medical conceptualisation of the traumatised soldier in the 1960s in relation to historical conceptions of malingering, the increasingly tenuous position of psychiatry, as well as the socio-medical 'sick role', and will explore possible links with the current soldier and veteran suicide crisis in Australia.
Topics: Male; Humans; Malingering; Military Personnel; Australia; Mental Disorders; Fear
PubMed: 37525458
DOI: 10.1017/mdh.2023.19 -
Health & Social Work May 2006
Topics: Female; Humans; Male; Malingering; Social Work
PubMed: 16776034
DOI: 10.1093/hsw/31.2.155 -
Clinics in Podiatric Medicine and... Jan 1994Malingering behavior presents a tremendous and unfair burden on our nation's health care system. Physicians must be prepared to identify and diplomatically discourage... (Review)
Review
Malingering behavior presents a tremendous and unfair burden on our nation's health care system. Physicians must be prepared to identify and diplomatically discourage such abuse whenever possible. Failure to do so could jeopardize the economy of the entire health care system and will prevent good care from reaching those in most need of it at affordable rates.
Topics: Humans; Malingering; Physician-Patient Relations; Private Practice
PubMed: 8124657
DOI: No ID Found -
International Journal of Offender... Jun 2004
Topics: Humans; Malingering
PubMed: 15142306
DOI: 10.1177/0306624X04263993 -
Acta Ophthalmologica Sep 2019
Topics: Adolescent; Adult; Aged; Equipment Design; Eye Diseases; Female; Humans; Male; Malingering; Middle Aged; Reproducibility of Results; Vision Tests; Visual Acuity; Young Adult
PubMed: 30761765
DOI: 10.1111/aos.14015 -
Versicherungsmedizin Mar 2008Post-traumatic stress disorder is a frequently diagnosed disorder. Expert assessments of claimants with PTSD symptoms have become a common challenge for physicians in...
Post-traumatic stress disorder is a frequently diagnosed disorder. Expert assessments of claimants with PTSD symptoms have become a common challenge for physicians in civil lawsuits. Since diagnosis of PTSD relies primarily on the patient's subjective report, this syndrome is particularly vulnerable to malingering. For this reason, it is important for physicians to try to identify individuals with true PTSD and differentiate them from those who malinger the disorder. This paper outlines the general problems and assessment strategies involved in the detection of malingering. A special focus is placed on the typical presentation of malingered PTSD symptoms.
Topics: Compensation and Redress; Diagnosis, Differential; Eligibility Determination; Expert Testimony; Germany; Humans; Insurance Claim Review; Malingering; Somatoform Disorders; Stress Disorders, Post-Traumatic
PubMed: 18405229
DOI: No ID Found