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Full Description
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.
Contents
SECTION 1: INTRODUCTION ; 1. Wilful deception as illness behaviour ; SECTION 2: HISTORICAL, MILITARY AND EVOLUTIONARY ORIGINS ; 2. Malingering: historical perspectives ; 3. Malingering, shirking and self-inflicted injuries in the military ; 4. Can monkeys malinger? ; SECTION 3: CONCEPTUAL, METHODOLOGICAL AND CULTURAL CONTEXT ; 5. Conceptual issues and explanatory models of malingering ; 6. The social cognition of intentional action ; 7. Malingering and criminal behaviour as psychopathology ; 8. Alternatives to four clinical and research traditions in malingering detection ; 9. Characteristics of the sick role ; 10. The contemporary cultural context for deception and malingering in Britain ; SECTION 4: ILLNESS DECEPTION AND CLINICAL PRACTICE ; 11. Illness falsification in children: pathways to prevention? ; 12. Distinguishing malingering from psychiatric disorders ; 13. The nature of chronic pain: a clinical and legal challenge ; 14. The misadventures of wanderers and victims of traumas ; 15. When the quantity of mercy is strained: US physicians' deception of insurers for patients ; SECTION 5: MEDICOLEGAL AND OCCUPATIONAL PERSPECTIVES ; 16. Law, lies and videotape: malingering as a legal phenomenon ; 17. Outcome related compensation: in search of a new paradigm ; 18. Malingering and the law: a third way? ; 19. How can organisations prevent illness deception among employees? ; SECTION 6: CONTRIBUTIONS FROM COGNITIVE NEUROSCIENCE ; 20. Lying as an executive function ; 21. Differential brain activations for malingered and subjectively 'real' paralysis ; SECTION 7: DISABILITY ANALYSIS AND INSURANCE MEDICINE ; 22. Origins, practice and limitiations of Disability Assessment Medicine ; 23. Malingering, insurance medicine and the medicalization of fraud ; SECTION 8: DECEPTION DETECTION ; 24. Investigating benefit fraud and illness deception in the United Kingdom ; 25. Neuropsychological tests and techniques that detect malingering ; 26. Misrepresentation of pain and facial expression ; 27. Deceptive responses and detecting deceit
