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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.
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 ...
Practitioners are currently working in almost every U.S. state.
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
Factitious disorders include "factitious disorder by proxy", also known as Münchausen syndrome by proxy, where a person claims that another person, usually their child, has the alleged illness(es), again to gain medical attention.
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.
One of Iowa's largest cities repealed its ban on “conversion therapy” — the discredited practice of trying to change a person’s sexual orientation or gender identity through counseling ...