Lecture notes of Deception in Clinical Settings. All lectures included. Lots of use of color and pictures to facilitate easy learning! Perfect for visual learners.
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
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