Malingering - Physical Deficits on physical examination do...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
Malingering is not a mental illness in the DSM-IV-TR. The essential feature of Malingering is the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding military duty, avoiding work, obtaining financial compensation, evading criminal prosecution, or obtaining drugs Malingering is deliberate behavior for a known external purpose. It is not considered a form of mental illness or psychopathology, although it can occur in the context of other mental illnesses. It is often associated with antisocial personality disorder and histrionic personality style. The person who is malingering usually lacks knowledge of the nuances of the feigned disorder. Prolonged interview and examination of a person suspected of a malingering disorder may induce fatigue and diminish the ability of the person who is malingering to maintain the deception. Rapid firing of questions increases the likelihood of contradictory or inconsistent responses.
Background image of page 1
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Physical: Deficits on physical examination do not follow known anatomical distributions. Otherwise, there are no specific techniques of physical examination that reliably detect malingering. Common contexts in which it may occur are in prison, military service, worker’s compensation and desire for drugs Treatment: Do not accuse the patient directly of faking an illness. Hostility, breakdown of the doctor-patient relationship, lawsuit against the doctor, and, rarely, violence may result. Confront the person indirectly by remarking that the objective findings do not meet the physician's objective criteria for diagnosis. Allow the person who is malingering the opportunity to save face. Alternatively, the physician may inform people who are malingering that they are required to undergo invasive testing and uncomfortable treatments. However, this will more likely do harm than good. http :// emedicine . medscape . com / article /293206-treatment...
View Full Document

This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

Ask a homework question - tutors are online