The American Heritage Dictionary of the English Language defines malingering as “to feign illness or other incapacity in order to avoid duty or work.” The American Psychiatric Association (2000) provides a more specific definition: malingering is “the intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives” (p. 739). In the psychiatric setting, that external incentive can be much more diverse than avoidance of work. It can include the procurement of financial compensation (legal settlements or verdicts, worker’s compensation, disability benefits); the obtainment of prescription medications; or access to a hospital bed. The Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Text Revision (DSM-IV-TR) guidelines for when to suspect malingering include (1) medico-legal evaluations, (2) when there is a marked discrepancy between a person’s claimed stress or disability and objective findings, (3) when there is a lack of cooperation with diagnostic interview, and (4) the presence of Antisocial Personality Disorder (American Psychiatric Association 2000, p. 739).
|Original language||English (US)|
|Title of host publication||The Psychiatric Report: Principles and Practice of Forensic Writing|
|Publisher||Cambridge University Press|
|Number of pages||14|
|ISBN (Print)||9780511895074, 9780521131841|
|State||Published - Jan 1 2011|
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