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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]
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.
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 ...
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.
Factitious disorder is distinct from malingering in that people with factitious disorder do not fabricate symptoms for material gain such as financial compensation, absence from work, or access to drugs. [41] Somatiform disorders include a range of illnesses where physical symptoms result from psychological stressors. [42]
Practitioners are currently working in almost every U.S. state.
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.
One of Iowa's largest cities repealed its ban on “conversion therapy” — the discredited practice of trying to change a person’s sexual orientation or gender identity through counseling ...