Related Experiment Video
Updated: Dec 27, 2025

The Deese-Roediger-McDermott DRM Task: A Simple Cognitive Paradigm to Investigate False Memories in the Laboratory
Published on: January 31, 2017
Concepts and controversies of malingering: A re-look
Swapnajeet Sahoo1, Rajeet Kumar1, Fareed Oomer1
1Department of Psychiatry, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012, India.
Abstract:
Since time immemorial, humans have tried to feign physical and mental illnesses for various reasons. This led to the development of the concept of illness deception or malingering when one tries to assume a sick role and feigns signs and symptoms to gain external incentives. The conceptual framework of malingering has undergone several changes and there is sufficient evidence to demonstrate that malingering exists. However, the diagnosis of malingering has not yet been established in the mainstream psychiatric nosological systems and still it is present in the appendices as an additional area requiring attention. This is due to the poor construct validity of the diagnosis, problems in defining malingering, problems in assessment by psychological tests and clinical assessment methodology, no well-established guidelines to detect malingering and issues related to labelling/reporting malingering. Because of several controversies in multiple domains of assessment and ethical-social issues, malingering as a distinct entity is grossly neglected. In the upcoming arena of law suits and consumer benefits suits, it is extremely important to have a better understanding of the conceptual issues related to malingering and the controversies related to it. In this review, a brief overview of evolution of concepts and controversies related to malingering is described.
Insights
Malingering, or illness deception for external gain, is a recognized phenomenon. However, its diagnostic challenges and controversies mean it remains neglected in psychiatric systems.
Area of Science:
- Psychiatry
- Forensic Psychology
- Medical Ethics
Background:
- Humans have historically feigned illness for various reasons, leading to the concept of malingering.
- Malingering involves assuming a sick role and feigning symptoms to obtain external incentives.
- Despite evidence of its existence, malingering lacks established diagnostic criteria in mainstream psychiatric systems.
Purpose of the Study:
- To review the evolution of concepts surrounding malingering.
- To explore the ongoing controversies and challenges in diagnosing malingering.
- To highlight the importance of understanding malingering in legal and consumer benefit contexts.
Main Methods:
- Literature review examining the historical development of malingering concepts.
- Analysis of diagnostic challenges, including construct validity and assessment methodologies.
- Discussion of ethical and social issues impacting the recognition of malingering.
Main Results:
- Malingering is a complex phenomenon with a long history.
- Significant challenges exist in defining, assessing, and diagnosing malingering.
- Controversies and ethical considerations contribute to its neglect in psychiatric nosology.
Conclusions:
- Malingering remains an area requiring further research and clearer diagnostic guidelines.
- Addressing conceptual and assessment issues is crucial for its proper recognition.
- Understanding malingering is increasingly important in legal and societal contexts.
More Related Videos
Related Concept Videos
False Memories
One primary source of false memories is misattribution, where individuals incorrectly associate external information...
Understanding Deception
Concepts of Health and Illness
Cognitive Dissonance
Self-Presentation: Self-Monitoring and Self-Handicapping
Self-Discrepancy and Its Effects

