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In the context of a positive Hoover's sign, functional weakness (or "conversion disorder") is much more likely than malingering or factitious disorder. [3] Strong hip muscles can make the test difficult to interpret. [4] Efforts have been made to use the theory behind the sign to report a quantitative result. [5]
Ganser syndrome was listed under Factitious Disorder with Psychological Symptoms in the DSM-III. [13] The criteria of this category emphasized symptoms that cannot be explained by other mental disorders, psychological symptoms under the control of the individual, and the goal of assuming a patient role, not otherwise understandable given their circumstances.
Low specificity hinders the test's ability to accurately distinguish legitimate patients from malingerers. Stating that an individual is malingering can cause iatrogenic harm to patients if they are actually not exaggerating or feigning. Such iatrogenic harm may consist in delaying or denying medical attention, therapies, or insurance benefits.
The result means that, of these, 24 will not be identified as having schizophrenia by use of FRS (42% of 57). Then, of the 43 people really without schizophrenia, 13 may be incorrectly diagnosed with schizophrenia by the FRS. For all three estimates there are important issues regarding patient selection, use of index test and reference standard.
Factitious disorder imposed on self (also called Munchausen syndrome) was for some time the umbrella term for all such disorders. [1] Factitious disorder imposed on another (also called Munchausen syndrome by proxy, Munchausen by proxy, or factitious disorder by proxy) is a condition in which a person deliberately produces, feigns, or ...
Primary gain can be a component of any disease, but is most typically demonstrated in conversion disorder — a psychiatric disorder in which stressors manifest themselves as physical symptoms without organic causes, such as a person who becomes blind after seeing a murder. The "gain" may not be particularly evident to an outside observer.
Symptoms of conversion disorder usually occur suddenly. Conversion disorder was typically observed in people ages 10 to 35, [7] affecting between 0.011% and 0.5% of the general population. [8] Conversion disorder presented motor or sensory symptoms including: Motor symptoms or deficits: Impaired coordination or balance
Conversion disorder involves the unintentional production of symptoms or deficits affecting motor or sensory function that are not fully explained by a neurological or medical condition. [1] This can manifest as paralysis, for example. It generally involves psychological factors, and symptoms may worsen in the context of situational conflict. [1]