This letter attempts to correct perceived flaws in a recently published book for the lay public that was reviewed in the Journal. However, the comments largely reflect the reader's misinterpretation of the book. The book did not vilify Freud (rather, it pointed out his limitations), and it accurately portrayed the initial reluctance of American psychiatry to embrace the introduction of antipsychotic drugs as reflected in the tireless efforts of Heinz Lehmann (then at the Douglas Hospital in Montreal) in facilitating their eventual acceptance. Lawrence Kolb was an exceptional leader of our field in many ways, and I am proud to hold the Chair named in his honor.

Malingering is the intentional fabrication of symptoms for material gain. Malingering among frequent utilizers and patients with psychiatric symptoms is suspected to be common in emergency settings but difficult to detect and manage. We present a case report of a 50-year-old man feigning psychosis and suicidality in order to obtain shelter. Strategies to identify malingered psychiatric symptoms are presented. Understanding how malingering is adaptational can help clinicians begin to manage these patients and symptoms in a compassionate manner that preserves healthcare resources, improves patient care, and reduces the risk of burnout for clinicians.