Show Summary Details
Page of

Malingering and Factitious Disorder 

Malingering and Factitious Disorder
Malingering and Factitious Disorder

Scott R. Beach

and Matthew Lahaie

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 07 July 2022

Malingering is the intentional feigning, induction, or exacerbation of symptoms to achieve a conscious, tangible goal; factitious disorder is the intentional manipulation of symptoms to achieve the subconscious goal of assuming the sick role. These disorders impose great costs in terms of dollars spent, inappropriate diversion of resources to unnecessary clinical care, and negative effects on clinicians faced with patient deception. They challenge the assumption that patients provide accurate histories and accounts of their symptoms and are motivated to address the symptoms and concerns that they report. Malingering and factitious disorder are typically diagnoses of exclusion. Signs of a deception syndrome include numerous prior hospital admissions and emergency department visits and a history of suspected deception. Evaluations require careful history taking and physical examination; prudent use of studies, tests, and consultation; gathering of collateral information; thorough review of available records; and monitoring of the patient’s behavior in the medical setting.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.