Malingering Flashcards

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1
Q

Define malingering

A

intentionally faking physical or psychological symptoms for some type of external gain

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2
Q

What are the three explanatory models of malingering?

A
  1. Pathogenic model
  2. Criminological model
  3. Adaptational model
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3
Q

Define the pathogenic model

A
  1. Underlying mental disorder
  2. They may suffer from anxiety or depression
  3. They lie about physical symptoms when in fact suffering from mental disorder
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4
Q

Define the criminological model

A
  1. These are bad people
  2. Antisocial disorder, where person is facing legal difficulties and lies to get out of them
  3. They don’t mind that they are lying
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5
Q

Define the adaption model

A
  1. Most common!
  2. Perceived adversarial context: personal stakes are very high, no alternative is perceived
  3. They try to fake symptoms to get out of the crisis
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6
Q

Define malingering psychosis

A

i. People who will act as bizarre as possible, claiming mental illness to get out of the crime

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7
Q

What are eight signs of someone who is lying about psychosis?

A
  1. Understandable motive for crime
  2. Presence of partner to take the fall
  3. Current crime fits pattern of previous behaviour
  4. Suspicious hallucinations
  5. Suspicious delusions
  6. Difference in behaviour between interview and real life
  7. Sudden emergence of symptoms to explain crime
  8. Absence of subtle signs of psychosis
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8
Q

Define malingering amnesia

A
  • claiming to have lost memory in order to get out of a crime
  • however, this often backfires, as people with amnesia are often still considered fit to stand trial
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9
Q

Define retrograde amnesia

A

inability to remember old memories

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10
Q

Define anterograde amnesia

A

Inability to form new memories

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11
Q

Briefly describe the symptoms validity test for aterograde amnesia

A
  1. A bunch of images are shown to you
  2. Later, you are presented with two pictures, one you have and haven’t seen before
  3. You are asked which one you’ve seen before
  4. if 50%, you have it. If 10%, you lying!
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