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Explanatory Models Differentiating Servicemember Malingering from Delayed Symptom Report.

Karl V Umbrasas¹

¹Dr. Umbrasis is Clinical and Forensic Psychologist, Kimbrough Ambulatory Care Center, Fort Meade, MD. karl.v.umbrasas.mil@mail.mil.

The Journal of the American Academy of Psychiatry and the Law

|April 26, 2022

Summary

Military clinicians face challenges distinguishing genuine delayed symptom reporting from malingering. Three proposed models help differentiate between genuine delayed symptoms, acute distress malingering, and disability malingering for improved objectivity.

Keywords:

disability malingering military

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Area of Science:

Psychiatry
Forensic Psychology
Military Health

Background:

Military mental health clinics serve as medico-legal settings.
Clinicians must differentiate genuine symptoms from malingering.
Delayed symptom reporting complicates accurate diagnosis.

Purpose of the Study:

To propose explanatory models for distinguishing delayed symptom reporting from malingering in servicemembers.
To enhance clinician objectivity in assessing mental health presentations.
To provide a systematic framework for understanding different symptom reporting patterns.

Main Methods:

Development of three distinct explanatory models.
Focus on differentiating genuine delayed reporting, acute distress malingering, and disability malingering.
Application within a military mental health clinic context.

Main Results:

Proposed models offer a framework to distinguish between genuine delayed symptoms and malingering.
The models address specific presentations: genuine delayed report, acute distress malingering, and disability malingering.
Enhanced clinician objectivity is a key outcome.

Conclusions:

The proposed models provide a systematic approach to understanding delayed symptom reporting in military mental health settings.
These models aid in differentiating genuine conditions from malingering.
Improved diagnostic accuracy and treatment planning are anticipated.