Forensic Psychology Section, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Clin Neuropsychol. 2012;26(7):1217-29. doi: 10.1080/13854046.2012.710252. Epub 2012 Aug 28.
This paper proposes that malingered symptoms may become internalized due to the self-deceptive power of cognitive dissonance. Studies demonstrating how other-deception may turn into self-deception are briefly discussed, as are clinical notions about the overlap between malingering and medically unexplained symptoms. In our view this literature showcases the relevance of cognitive dissonance for research on malingering. A cognitive dissonance perspective may help to clarify how ambiguous sensations may escalate into subjectively compelling symptoms. This perspective suggests that malingered symptom reports are more than just a complication during psychological evaluation. It may generate new research avenues and may clarify practically relevant issues.
本文提出，由于认知失调的自我欺骗能力，装病症状可能会内化。简要讨论了表明其他欺骗如何转变为自我欺骗的研究，以及关于装病和无法用医学解释的症状之间重叠的临床概念。在我们看来，这些文献展示了认知失调对装病研究的相关性。认知失调的观点可能有助于阐明模糊的感觉如何升级为主观上引人注目的症状。这种观点表明，装病的症状报告不仅仅是心理评估中的一个并发症。它可能会产生新的研究途径，并澄清实际相关的问题。
