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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.
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.
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 ...
Using a combination of assessments is critical when evaluating PTSD malingering, rather than relying solely on a single test. [41] A preliminary test which can be used is the Miller-Forensic Assessment of Symptoms (M-FAST). It can find 78 percent of test-takers asked to feign results and only takes between 5 and 10 minutes. [42]
Factitious disorder imposed on self (also called Munchausen syndrome) was for some time the umbrella term for all such disorders. [1] Factitious disorder imposed on another (also called Munchausen syndrome by proxy, Munchausen by proxy, or factitious disorder by proxy) is a condition in which a person deliberately produces, feigns, or ...
[1] [2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain. Historically they have also been used to detect malingering in patients with back pain. While testing takes less than one minute, [ 2 ] it has been described as time-consuming and alternatives have been proposed.
The Test of Memory Malingering (TOMM) is a 50-question visual memory recognition test that discriminates between true memory impairment and malingering, with two learning trials and an optional retention trial following a delay. [1] It was first published in 1996 and is intended for testing individuals ages 16 and older.
The Pediatric Symptom Checklist (PSC) is a 35-item parent-report questionnaire designed to identify children with difficulties in psychosocial functioning. Its primary purpose is to alert pediatricians at an early point about which children would benefit from further assessment. [ 1 ]