Kk&s Ch.33 Additional Conditions

Front 1

The essential feature of ? is the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding military duty, avoiding work, obtaining financial compensation, evading criminal prosecution, or obtaining drugs

Back 1

Malingering

Front 2

Malingering should be strongly suspected if any combination of the following is noted:

Back 2

(1) medicolegal context of presentation (e.g., the person is referred by an attorney to the clinician for examination or is incarcerated), (2) evident discrepancy between the individual's claimed stress or disability and the objective findings, (3) lack of cooperation during the diagnostic evaluation and in complying with the prescribed treatment regimen, and (4) the presence of antisocial personality disorder

Front 3

Approximately ? percent of children presenting with conduct disorders are described as having serious lying-related issues.

Back 3

50

Front 4

Factitious disorder is distinguished from malingering by

Back 4

motivation (sick role versus tangible pain

Front 5

Factors Aiding in the Differentiation between Malingering and Conversion Disorder

Back 5

1. Malingerers are more likely to be suspicious, uncooperative, aloof, and unfriendly; patients with conversion disorder are likely friendly, cooperative, appealing, dependent, and clinging.
2. Malingerers may try to avoid diagnostic evaluations and refuse recommended treatment; patients with conversion disorder likely welcome evaluation and treatment, “searching for an answer.”
3. Malingerers likely refuse employment opportunities designed to circumvent their disability; patients with conversion disorder likely accept such opportunities.
4. Malingerers are more likely to provide extremely detailed and exacting descriptions of events precipitating their “illness;” patients with conversion disorder are more likely to report historical gaps, inaccuracies, and vagaries.

Front 6

Abnormal EEG findings are prevalent among violent offenders: An estimated ? percent of aggressive criminals have abnormal EEG findings.

Back 6

50

Front 7

risoners must constantly cope with ongoing anxiety, fear, isolation from known lives, and complete loss of all control over their lives. Those who appear to cope best believe

Back 7

they must survive for a reason (e.g., to tell others what they experienced or to find and return to loved ones)

Front 8

Prisoners who cope best describe

Back 8

living simultaneously on two levels
coping in the here and now to survive the situation while maintaining constant mental connections to their past values and experiences and those important to them