Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt to simulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs. There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a person as a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behaviour in search of a disease, as the manifestation of a conflict between personal and social values. The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition, intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt to simulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs.; There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a person as a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behaviour in search of a disease, as the manifestation of a conflict between personal and social values.; The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition, intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt to simulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs. There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a person as a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behavior in search of a disease, as the manifestation of a conflict between personal and social values. The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition, intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

Widely regarded as the standard reference in the field, this book provides essential tools for understanding and assessing malingering and other response styles in forensic and clinical contexts. An integrating theme is the systematic application of detection strategies as conceptually grounded, empirically validated methods that bridge different measures and populations. Special topics include considerations in working with children and youth. From leading practitioners and researchers, the volume reviews the scientific knowledge base and offers best-practice guidelines for maximizing the accuracy of psychological and psychiatric evaluations.

"Widely used by practitioners, researchers, and students--and now thoroughly revised with 70% new material--this is the most authoritative, comprehensive book on malingering and related response styles. Leading experts translate state-of-the-art research into clear, usable strategies for detecting deception in a wide range of psychological and psychiatric assessment contexts, including forensic settings. The book examines dissimulation across multiple domains: mental disorders, cognitive impairments, and medical complaints. It describes and critically evaluates evidence-based applications of multiscale inventories, other psychological measures, and specialized methods. Applications are discussed for specific populations, such as sex offenders, children and adolescents, and law enforcement personnel. Key Words/Subject Areas: malingering, deception, deceptive, feigning, dissimulation, feigned cognitive impairment, feigned conditions, defensiveness, response styles, response bias, impression management, false memories, forensic psychological assessments, forensic assessments, clinical assessments, forensic mental health, forensic psychological evaluations, forensic psychologists, forensic psychiatrists, psychological testing and assessment, detection strategies, expert testimony, expert witnesses, family law, child custody disputes, child protection, child welfare Audience: Forensic psychologists and psychiatrists; other mental health practitioners involved in interviewing and assessment, including clinical psychologists, social workers, psychiatrists, and counselors. Also of interest to legal professionals"--

In the classic edition of this outstanding book, originally published in 2004, Dr. Marc Feldman explores the bizarre cases of real patients who feign or even self-induce illness. Playing Sick? chronicles the devastating impact of illness hoaxes, including factitious disorders, Munchausen syndrome, Munchausen by proxy, and malingering. Based on years of research and clinical practice, Playing Sick? provides the clues that can help professionals, family members, friends, and patients themselves to recognize these diagnoses, avoid invasive procedures, and understand elusive motives. Dr. Feldman offers practical advice to get emotionally ill patients the help they need. This classic edition is essential reading for physicians, social workers, and anyone interested in why and how individuals fabricate illness.

Most of us can recall a time when we pretended to be sick to reap the benefits that go along with illness. By playing sick, we gained sympathy, care, and attention, and were excused from our responsibilities. Though doing so on occasion is considered normal, there are those who carry their deceptions to the extreme. In this book, Dr. Marc Feldman describes people’s strange motivations to fabricate or induce illness or injury to satisfy deep emotional needs. Doctors, family members, and friends are lured into a costly, frustrating, and potentially deadly web of deceit. From the mother who shaves her child’s head and tells her community he has cancer, to the co-worker who suffers from a string of incomprehensible "tragedies," to the false epilepsy victim who monopolizes her online support group, "disease forgery" is ever-present in the media and in many people’s lives. In Dying to be Ill: True Stories of Medical Deception, Dr. Feldman, with the assistance of Gregory Yates, has chronicled this fascinating world as well as the paths to healing. With insight developed from 25 years of hands-on experience, Dying to be Ill is sure to stand as a classic in the field.