Rogers R
METFORS/Clarke Institute of Psychiatry, Toronto, Ont., Canada.
Bull Am Acad Psychiatry Law. 1990;18(3):323-33.
Inclusion criteria for the classification of malingering are shaped and largely predetermined by our explanatory theories. Current theories have postulated the motivation to malinger is either the product of underlying psychopathology (pathogenic model) or criminal backgrounds (DSM III-R model). I have proposed a third model that malingering is typically an adaptive response to adverse circumstances which may best be understood in the context of decision theory. Based on this approach I have argued that indices of malingering should be empirically derived and focused on clinical presentation. Finally, I have proposed a preliminary model for the classification of malingerers which combines clinical data with corroborative evidence.
诈病分类的纳入标准在很大程度上由我们的解释理论塑造并预先确定。当前理论假定诈病的动机要么是潜在精神病理学的产物(致病模型),要么是犯罪背景(《精神疾病诊断与统计手册》第三版修订本模型)。我提出了第三种模型,即诈病通常是对不利情况的一种适应性反应,这在决策理论的背景下可能最容易理解。基于这种方法,我认为诈病指标应该从经验中得出,并侧重于临床表现。最后,我提出了一个诈病者分类的初步模型,该模型将临床数据与确证证据相结合。