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.

Asian Journal of Psychiatry
|February 24, 2020
PubMed

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.

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