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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 ...
screen for possible malingering The Structured Inventory of Malingered Symptomatology (SIMS) is a 75-item true-false questionnaire intended to measure malingering ; that is, intentionally exaggerating or feigning psychiatric symptoms, cognitive impairment, or neurological disorders.
Malingering differs fundamentally from factitious disorders in that the malingerer simulates illness intending to obtain a material benefit or avoid an obligation or responsibility. Somatic symptom disorders , though also diagnoses of exclusion , are characterized by physical complaints that are not produced intentionally.
If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered malingering. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas ...
With the possible exception of cogwheel rigidity, these are best understood as neuroanatomical maladaptations to long-continued pain and, as Waddell and colleagues have stressed, do not indicate faking or malingering but rather that there are psychosocial issues that militate against successfully treating low back pain by lumbar discectomy, and ...
More extracts from Professor Sir Patrick Vallance’s diaries have been shown at the inquiry.
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Malingering cases were also positively correlated with severity of the crimes for subjects in competency to stand trial assessments. The incidence of malingering among individuals accused of murder or robbery is more than twice that of other subjects evaluated for competency.