In every medical-legal case the first responsibility of every examiner is to determine the examinee’s credibility. Sometimes that credibility is simply not there and it is appropriate to diagnose Malingering (V65.2). Malingering is specified correctly when an individual has intentionally produced false or grossly exaggerated signs and/or symptoms of a physical and/or psychological nature, and that deliberate misrepresentation is motivated by external incentives such as obtaining financial compensation, avoiding work, or evading military duty. According to the DSM-IV-TR, Malingering should be strongly suspected if there is a combination of any of the following:
A. An attorney refers the individual for an evaluation and/or treatment.
B. There is a marked discrepancy between the individual’s claimed stress or disability and the objective findings.
C. There is a lack of cooperation with the evaluator’s procedures and/or the treatment prescribed.
D. The individual presents with an Antisocial Personality Disorder.
B. There is a marked discrepancy between the individual’s claimed stress or disability and the objective findings.
C. There is a lack of cooperation with the evaluator’s procedures and/or the treatment prescribed.
D. The individual presents with an Antisocial Personality Disorder.
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