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界定诈病。

Defining malingering.

作者信息

Gorman W F

出版信息

J Forensic Sci. 1982 Apr;27(2):401-7.

PMID:7047677
Abstract

Malingering, also called shamming illness or goldbricking, is the false and fraudulent simulation or exaggeration of physical or mental disease or defect, performed in order to obtain money or drugs or to evade duty or criminal responsibility, or for other reasons that may be readily understood by an objective observer from the individual's circumstances, rather than from learning the individual's psychology. Malingering is seen in apparently normal children, students, test subjects, spouses, and adults. It is not a mental disorder. Malingering may coexist with the antisocial personality disorder, with various factitious disorders, such as the Ganser Syndrome and the Munchausen Syndrome, with the hysterias and with traumatic neuroses and other mental disorders. A review of definitions and a medicolegal discussion are presented. Malingering is an act, which is distinguished from a legal or mental status. Failure to distinguish act from status accounts for the wide disparities in definitions of malingering.

摘要

诈病,也称为装病或偷懒,是对身体或精神疾病或缺陷的虚假和欺诈性伪装或夸大,目的是获取金钱或毒品、逃避职责或刑事责任,或出于客观观察者从个人情况中容易理解的其他原因,而非了解个人心理。诈病可见于看似正常的儿童、学生、测试对象、配偶和成年人。它不是一种精神障碍。诈病可能与反社会人格障碍、各种做作性障碍(如甘塞尔综合征和孟乔森综合征)、癔症、创伤性神经症及其他精神障碍同时存在。本文对诈病的定义进行了综述并展开了法医学讨论。诈病是一种行为,有别于法律或精神状态。未能区分行为与状态导致了诈病定义的广泛差异。

相似文献

1
Defining malingering.界定诈病。
J Forensic Sci. 1982 Apr;27(2):401-7.
2
Clinical and conceptual problems in the attribution of malingering in forensic evaluations.法医评估中伪装障碍归因的临床与概念问题。
J Am Acad Psychiatry Law. 2009;37(1):98-106.
3
Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations.创伤后应激障碍的诈病:法医和诊断考量、诈病者特征及临床表现
Gen Hosp Psychiatry. 2006 Nov-Dec;28(6):525-35. doi: 10.1016/j.genhosppsych.2006.08.011.
4
Malingering and associated syndromes.
Psychiatr Med. 1984 Sep;2(3):287-93.
5
When Munchausen becomes malingering: factitious disorders that penetrate the legal system.当孟乔森综合征转变为诈病时:渗透进法律体系的做作性障碍。
Bull Am Acad Psychiatry Law. 1996;24(4):471-81.
6
Defrocking the fraud: the detection of malingering.揭露欺诈行为:伪装病的检测
Isr J Psychiatry Relat Sci. 1993;30(2):93-101.
7
A brief test for measuring malingering in schizophrenic individuals.
Am J Psychiatry. 1985 Dec;142(12):1478-81. doi: 10.1176/ajp.142.12.1478.
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The detection of malingered post-traumatic stress disorder.伪装创伤后应激障碍的检测
Psychiatr Clin North Am. 2006 Sep;29(3):629-47. doi: 10.1016/j.psc.2006.04.001.
9
Diagnostic legitimacy of factitious disorder with psychological symptoms.伴有心理症状的做作性障碍的诊断合理性
Am J Psychiatry. 1989 Oct;146(10):1312-4. doi: 10.1176/ajp.146.10.1312.
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[Dissociation (conversion) - malingering - antisocial personality disorder: differential diagnostic reflection on the basis of a case study].[分离(转换)障碍 - 诈病 - 反社会人格障碍:基于一个案例研究的鉴别诊断思考]
Neuropsychiatr. 2011;25(3):163-70.

引用本文的文献

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Lie detection by functional magnetic resonance imaging.通过功能磁共振成像进行测谎。
Hum Brain Mapp. 2002 Mar;15(3):157-64. doi: 10.1002/hbm.10020.
2
Malingering and malingering-like behavior: some clinical and conceptual issues.
Psychiatr Q. 1984 Fall;56(3):189-97. doi: 10.1007/BF01065010.