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Malingering can lead to a decline in research and subsequent treatment for PTSD as it interferes with true studies. False data skews findings, making it more difficult to develop effective treatments. [4] Insurance fraud may also come about through malingering, burdening the economy, healthcare systems, and taxpayers. [5]
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.
The remaining 79.9% to 86.4% whom those criteria indicate to be malingering are in fact false positives, i.e., non-malingerers erroneously classified as malingerers. Being falsely accused of malingering may cause adverse reactions, some of which lead to violence. Thus, the accurate detection of malingering is a pressing societal issue. [27]
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.
Examples include: Employees at a factory shipping product to customers too early so their inventory is reduced to meet a projection; [ 8 ] Production plants refusing shipments of raw material at month-end so that monthly completion projections are met, even if doing so causes a negative impact on customer deliverables and overall production ...
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In Malingering, the individual also produces the symptoms intentionally, but has a goal that is obviously recognizable when the environmental circumstances are known. For example, the intentional production of symptoms to avoid jury duty … would be classified as Malingering. …
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