Malingering and Illness Deception

Paperback | October 14, 2003

EditorPeter Halligan, Christopher Bass, David Oakley

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Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt tosimulate or exaggerate illness in the pursuit of a consciously desired end - vary greatly, despite the fact that malingering is believed to contribute substantially to fraudulent health care and social welfare costs. There is little consensus about what would constitute a coherent assessment of malingering, and base rates have been difficult to establish. Malingering remains a difficult attribution to make not least since it falls outside the remit of the formal psychiatric classifications. Labelling a personas a malingerer however, has significant medico-legal, personal and economic ramifications for both subject and accuser. Viewed in this way, malingering is not so much illness behaviour in search of a disease, as the manifestation of a conflict between personal and social values. The aim of this book is to effect an integration of the different medical, forensic, neuropsychological, legal and social perspectives. The book provides an overview of progress in disparate fields relevant to the subject, including how recent social and neuroscience findings regarding volition,intentional states and theory of mind may have implications for informing detection, management and ultimately its explanation.

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Despite a rich and turbulent history spanning several centuries, malingering continues to be a controversial and neglected clinical condition that has significant implications for medical, social, legal and insurance interests. Estimates of malingering - the wilful, intentional attempt tosimulate or exaggerate illness in the pursuit o...

Peter Halligan is at the School of Psychology, University of Cardiff, UK. Christopher Bass is in the Department of Psychological Medicine, John Radcliffe Hospital, Oxford, UK. David Oakley is in the Department of Psychology, University College, London.

other books by Peter Halligan

Format:PaperbackDimensions:384 pages, 9.45 × 6.61 × 0.8 inPublished:October 14, 2003Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198515545

ISBN - 13:9780198515548

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Table of Contents

Section 1: Introduction1. Halligan, Bass and Oakley: Wilful deception as illness behaviourSection 2: Historical, Military and Evolutionary Origins2. Wessely: Malingering: historical perspectives3. Palmer: Malingering, shirking and self-inflicted injuries in the military4. Byrne and Stokes: Can monkeys malinger?Section 3: Conceptual, Methodological and Cultural Context5. Rogers and Neumann: Conceptual issues and explanatory models of malingering6. Malle: The social cognition of intentional action7. Raine: Malingering and criminal behaviour as psychopathology8. Faust: Alternatives to four clinical and research traditions in malingering detection9. Prior and Wood: Characteristics of the sick role10. Robinson: The contemporary cultural context for deception and malingering in BritainSection 4: Illness Deception and Clinical Practice11. Libow: Illness falsification in children: pathways to prevention?12. Sharpe: Distinguishing malingering from psychiatric disorders13. Main: The nature of chronic pain: a clinical and legal challenge14. Pankratz: The misadventures of wanderers and victims of traumas15. Wynia: When the quantity of mercy is strained: US physicians' deception of insurers for patientsSection 5: Medicolegal and Occupational Perspectives16. Jones: Law, lies and videotape: malingering as a legal phenomenon17. Mendelson: Outcome related compensation: in search of a new paradigm18. Sprince: Malingering and the law: a third way?19. Baron and Poole: How can organisations prevent illness deception among employees?Section 6: Contributions from Cognitive Neuroscience20. Spence: Lying as an executive function21. Oakley, Ward, Halligan and Frackowiak: Differential brain activations for malingered and subjectively 'real' paralysisSection 7: Disability Analysis and Insurance Medicine22. Aylward: Origins, practice and limitiations of Disability Assessment Medicine23. LoCascio: Malingering, insurance medicine and the medicalization of fraudSection 8: Deception Detection24. Kitchen: Investigating benefit fraud and illness deception in the United Kingdom25. Frederick: Neuropsychological tests and techniques that detect malingering26. Craig and Hill: Misrepresentation of pain and facial expression27. Vrij and Mann: Deceptive responses and detecting deceit