Resnick P J
Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Psychiatr Clin North Am. 1999 Mar;22(1):159-72. doi: 10.1016/s0193-953x(05)70066-6.
The detection of malingered psychosis is sometimes quite difficult. The decision that an individual is malingering is made by assembling all of the clues from a thorough evaluation of a person's past and current functioning with corroboration from clinical records and other people. Identifying malingered psychosis will prevent unnecessary hospital admissions and is critical in forensic assessments. Indeed, clinicians bear considerable responsibility to assist society in differentiating true psychosis from malingered madness.
伪装精神病的检测有时相当困难。判断一个人是否在伪装是通过全面评估其过去和当前的功能,并结合临床记录及其他人的佐证来综合所有线索做出的。识别伪装的精神病可避免不必要的住院治疗,在法医评估中至关重要。事实上,临床医生肩负着相当大的责任,要协助社会区分真正的精神病和伪装的疯狂。