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KMID : 0607520040120020103
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Korean Journal of Psychosomatic Medicine
2004 Volume.12 No. 2 p.103 ~ p.121
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Current Issues in the Diagnosis of Malingering : Sensory and Motor Symptoms
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Song Ji-Young
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Abstract
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Conversion disorder and factitious disorder should be ruled out before making diagnosis of malingering. For this work, inspection of patient’s behavior along with complete neurological examinations, psychological tests, and meticulous psychiatric interview are necessary. Facial expression test, thermography, dynamometry were failed differentiating conversion disorders to the malingered pain and motor symptoms, however, controlled diagnostic block showed positive result partly in patients with regional or cervical pain syndrome. Chronic pain patients who are related to the process of litigation encounter stressful life situations which lead them into various neurobehavioral and psychosocial complications. Most of suspected malingered patients would not revealed pure form rather mixed with factitious and/or conversion features. At the time of increasing number of chronic patients associated with traffic accidents or industrial injuries who are involved in litigation, psychiatrist are needed sharp eyes and tenacity for evaluating malingering or medically unexplained symptoms.
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KEYWORD
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Malingering, Conversion disorder, Factitious disorder, Differential diagnosis
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