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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. In the U.S. military, malingering is a court-martial offense under the Uniform Code of Military Justice.
Malingering is the fabrication, feigning, or exaggeration of physical or psychological symptoms designed to achieve a desired outcome, such as personal gain, relief from duty or work, avoiding arrest, receiving medication, or mitigating prison sentencing. It presents a complex ethical dilemma within domains of society, including healthcare ...
The prevalence of malingering PTSD varies based on what one may be seeking. Differentiating between forensic and non-forensic evaluations, it has been found that malingering may be attempted in 15.7 percent of forensic evaluations and 7.4 percent of non-forensic evaluations. [6]
If a patient's disease allows them to miss work, avoid military duty, obtain financial compensation, obtain drugs, avoid a jail sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have stomach cramps would be a secondary gain.
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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.
A psychological injury is the psychological or psychiatric consequence of a traumatic event or physical injury. Such an injury might result from events such as abusive behavior, whistleblower retaliation, bullying, kidnapping, rape, motor vehicular collision or other negligent action.
For example, in their survey of validity test use, Sharland and Gfeller (2007) [3] found that the FBS was the third most widely used validity test by neuropsychologists. In a more recent study, Martin, Schroeder, and Odland (2015) found in a survey of general practitioners that the FBS was the most widely used symptom validity test (SVT) for ...