Essay On Malingering

Symptomatology: All organ systems are potential targets, and the symptoms presented are limited only by the individual’s medical knowledge, sophistication and imagination.

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Management: It is same as discussed above under “Factitious disorder with physical symptoms.”It is defined by intentional production of physical or psychological symptoms motivated by identifiable “external incentives” (avoiding work or military obligation, obtaining financial compensation, evading criminal prosecution, obtaining drugs etc.).

In contrast to factitious disorder, there should be an identifiable goal for behaviour other than that of securing the role or parenthood. A high index of suspicion of malingering should be aroused if any combination of the following is noted: (i) Medicolegal context of presentation e.g., the person’s being referred by the court to the physician for examination.(ii) Marked discrepancy between the person’s claimed distress or disability and the objective findings.(iii) Lack of cooperation with the diagnostic evaluation and prescribed treatment regimen.(iv) The presence of antisocial personality disorder.

This refers to physical or mental symptoms which are caused psychologically in circumstances where the patient has made an unsettled claim for compensation.

Symptoms persist as long as the claim continues or longer if compensation depends on regular review of the disability.

Management: A comprehensive evaluation of family and occupational situations is important.

If initial confrontation does not result in denial or flight, a plan of psychotherapy can possibly be instituted and ideally should begin with inpatient psychiatric care.

Essay Contents: Factitious disorders are characterized by the conscious, deliberate, and surreptitious feigning of physical or psychological symptoms to simulate disease.

The only goal that is evident in such behaviour is the attainment of the role of the patient; this motivation is contrasted to malingering, in which a clear identifiable role is evident such as money, disability or relief from work.

Claims and litigations for benefits, and a constant preoccupa­tion with disability are common features of this syn­drome.

describes malingering as the intentional production of false or grossly exaggerated physical or psychological problems.


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