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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]
A factitious disorder is a mental disorder in which a person, without a malingering motive, acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms, purely to attain (for themselves or for another) a patient's role.
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.
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.
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 ...
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
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Factitious disorders are fundamentally a mental problem, despite the repeated faking of symptoms there is no clear secondary gain. Of the factitious disorders, Munchausens is the most serious of the physical factitious disorders. Malingering is fundamentally different as it is a premeditated fraudulent behaviour for a clear seconday gain.