詐病 malingering disorder
2010年 05月 14日
ラベリングすることは避けなければならない。
”疾病利得”の存在は、詐病診断きっかけのヒントにすぎない
Malingering is defined by the American Phychiatric Association(2000) as "the intentional production of false or grossly exaggreted physical or psychological sympotoms, motivated by external incentives."
"This extrnal gain may take the form of financial rewards, relief of responsibilities at a job or at home, avoiding military service, or evading criminal responsibility(American Psychiatric Association, 2000)
The definition was carefully constructed to avoid labeling as malingteres those who are prone to mild exaggerations with no intent to deceive(Wiley, 1998)
Malingering can be further categorized into
(1)pure malingering
(2)partial malingering
(3)false imputation
When an individual feigns a dsiorder that does not exist at all,this. is refered to as pure malingering.
http://bit.ly/aZisch
Primary and secondary gain, secondary handicap, learning disability・・・
”learning disability”に関しては、通常の病態あり得ない状況が、病態解明の突破口となることがある
※特定の人物を意図しているわけではない・・・ということは追記しておく
by internalmedicine | 2010-05-14 10:45 | 医療一般