Deception
in Clinical Settings
, Cl 15-09-23
Introduction
Deception in Animals :
fundamental
Deception is to survival in the animal
kingdom .
faking death to avoid predators is common with opossums . Adult birds Fake injuries to draw
predators from nest.
away
Assumption of
Honesty :
Clinicians are trained to believe patients . Consequently >Often not aware of the potential
for deception However produce False
the clinical
setting >Some
deliberately
in >
patients
to external
grossly exaggerate symptoms gain incentives
malingering .
-
or :
-
to assume the sick role factitious disorders .
Common disorders accompanied deceptive behavior
by :
Substance abuse and dependance >
Denial in order to minimize consequences of use and ensure
continued
supply of substance .
disorders
Eating >
Dishonesty hiding food
body weight manipulation
-
, ,
.
Paraphilia's > Sexual deviations or perversions with behaviors or sexual
urges focusing on unusual
activities situations .
objects ,
or
Personality disorders >Difficulties with impulse control ,
including lying or
exaggeration .
factitions &
Disorders
Malingering :
=
A psychiatric condition which The production of false
intentional
grossly
in 1 =
or
an individual presents with an illness
exaggerated physical or
psychological symptoms
that is
deliberately produced or motivated by external incentives ,
such as
falsified for the purpose of
assuming financial compensation .
the sick role .
, Differential
Diagnosis :
factitious disorder 'Real medical or
disorder .
or
malingering . mental
somatic and related disorders Prominence of Somatic associated with
significant
symptom symptoms
=
distress and impairment. Different forms
V
Illness
anxiety disorder =
Preoccupation with fears of
having a serious illness .
Big relieve with
negative
test results .
Conversion disorder =
Sensory or motor
symptoms without
any physiological cause .
> of hide
difficult. could
Determining existence incentive be
Malingerers try .
-
an external can to it
-
Voluntariness and of discrete
intentionality are dimensions instead entities .
What About the Clinicians ?
Gert Postel
Successfully practiced as a medical doctor several times without
medical
ever
having received education .
Physicians are prepared to lie in the interest of their patient e .
g . to secure
insurance
payment. Ethical question . ?
Placebo =
deception .
Clinicians exploit this in a positive way
.
?
Why do people malinger
models
Explanatory
:
Adaptational Cost-benefit
model analysis results in deliberate decision to
feign psychological
-
=
impairment
.
>
substance abuse
:Escaping or
avoiding responsibilities .
Pathogenic model
Underlying disorders
-
discloses in
malingering symptomatology i e
.
malingerers
=
.
can't control their behavior .
Eating Rigidity
-
disorder distorted
body image maintaining control
>
, , .
~
substance abuse
<Self-medicating .
> Paraphilia's Own abuse leads poor boundaries .
history to
in Clinical Settings
, Cl 15-09-23
Introduction
Deception in Animals :
fundamental
Deception is to survival in the animal
kingdom .
faking death to avoid predators is common with opossums . Adult birds Fake injuries to draw
predators from nest.
away
Assumption of
Honesty :
Clinicians are trained to believe patients . Consequently >Often not aware of the potential
for deception However produce False
the clinical
setting >Some
deliberately
in >
patients
to external
grossly exaggerate symptoms gain incentives
malingering .
-
or :
-
to assume the sick role factitious disorders .
Common disorders accompanied deceptive behavior
by :
Substance abuse and dependance >
Denial in order to minimize consequences of use and ensure
continued
supply of substance .
disorders
Eating >
Dishonesty hiding food
body weight manipulation
-
, ,
.
Paraphilia's > Sexual deviations or perversions with behaviors or sexual
urges focusing on unusual
activities situations .
objects ,
or
Personality disorders >Difficulties with impulse control ,
including lying or
exaggeration .
factitions &
Disorders
Malingering :
=
A psychiatric condition which The production of false
intentional
grossly
in 1 =
or
an individual presents with an illness
exaggerated physical or
psychological symptoms
that is
deliberately produced or motivated by external incentives ,
such as
falsified for the purpose of
assuming financial compensation .
the sick role .
, Differential
Diagnosis :
factitious disorder 'Real medical or
disorder .
or
malingering . mental
somatic and related disorders Prominence of Somatic associated with
significant
symptom symptoms
=
distress and impairment. Different forms
V
Illness
anxiety disorder =
Preoccupation with fears of
having a serious illness .
Big relieve with
negative
test results .
Conversion disorder =
Sensory or motor
symptoms without
any physiological cause .
> of hide
difficult. could
Determining existence incentive be
Malingerers try .
-
an external can to it
-
Voluntariness and of discrete
intentionality are dimensions instead entities .
What About the Clinicians ?
Gert Postel
Successfully practiced as a medical doctor several times without
medical
ever
having received education .
Physicians are prepared to lie in the interest of their patient e .
g . to secure
insurance
payment. Ethical question . ?
Placebo =
deception .
Clinicians exploit this in a positive way
.
?
Why do people malinger
models
Explanatory
:
Adaptational Cost-benefit
model analysis results in deliberate decision to
feign psychological
-
=
impairment
.
>
substance abuse
:Escaping or
avoiding responsibilities .
Pathogenic model
Underlying disorders
-
discloses in
malingering symptomatology i e
.
malingerers
=
.
can't control their behavior .
Eating Rigidity
-
disorder distorted
body image maintaining control
>
, , .
~
substance abuse
<Self-medicating .
> Paraphilia's Own abuse leads poor boundaries .
history to
