Malingering Psychosis: Guidelines for Assessment and Management

Mason, Anne M.; Cardell, Rebecca; Armstrong, Merry

doi:10.1111/ppc.12025

Cited by 13 publications

(15 citation statements)

References 26 publications

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“…We also administered the computerized binary scale of auditory speech hallucinations (cbSASH) 32 as a semistructured, in-person interview with a focus on malingering about voices, [33][34][35] a concern in the psychics. A subset of participants (P−H+ n = 16; P+H+ n = 13) also described their earliest experiences with hearing voices and sharing those experiences with others.…”

Section: Peters Et Al Delusions Inventory (Pdi)mentioning

confidence: 99%

“…Voice characteristics, derived from the cbSASH 32 and other phenomenological surveys, [33][34][35] were grouped into themes: items assessing low-level voice characteristics, 34,35 No participants in either group endorsed these characteristics. Similarly, the content and frequency of voices did not differ between voice-hearing groups.…”

Section: Analysis Of Acoustic Characteristics Content Frequency Afmentioning

confidence: 99%

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Varieties of Voice-Hearing: Psychics and the Psychosis Continuum

Powers

Kelley

Corlett

2016

Schizophrenia Bulletin

109

136

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Hearing voices that are not present is a prominent symptom of serious mental illness. However, these experiences may be common in the non-help-seeking population, leading some to propose the existence of a continuum of psychosis from health to disease. Thus far, research on this continuum has focused on what is impaired in help-seeking groups. Here we focus on protective factors in non-help-seeking voice-hearers. We introduce a new study population: clairaudient psychics who receive daily auditory messages. We conducted phenomenological interviews with these subjects, as well as with patients diagnosed with a psychotic disorder who hear voices, people with a diagnosis of a psychotic disorder who do not hear voices, and matched control subjects (without voices or a diagnosis). We found the hallucinatory experiences of psychic voice-hearers to be very similar to those of patients who were diagnosed. We employed techniques from forensic psychiatry to conclude that the psychics were not malingering. Critically, we found that this sample of nonhelp-seeking voice hearers were able to control the onset and offset of their voices, that they were less distressed by their voice-hearing experiences and that, the first time they admitted to voice-hearing, the reception by others was much more likely to be positive. Patients had much more negative voice-hearing experiences, were more likely to receive a negative reaction when sharing their voices with others for the first time, and this was subsequently more disruptive to their social relationships. We predict that this sub-population of healthy voice-hearers may have much to teach us about the neurobiology, cognitive psychology and ultimately the treatment of voices that are distressing.

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Section: Peters Et Al Delusions Inventory (Pdi)mentioning

confidence: 99%

Section: Analysis Of Acoustic Characteristics Content Frequency Afmentioning

confidence: 99%

Varieties of Voice-Hearing: Psychics and the Psychosis Continuum

Powers

Kelley

Corlett

2016

Schizophrenia Bulletin

109

136

View full text Add to dashboard Cite

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“…The nature of the secondary gain that is being sought must be unveiled. The client should not be accused directly of feigning illness or lying as this may jeopardize the doctor–client relationship 1011…”

Section: Discussionmentioning

confidence: 99%

A case report of 5 yr old boy with malingering in Wesley Guild Hospital, Ilesa, Nigeria

2018

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There are few reported cases of malingering in children in developed countries, but none has been reported among Nigerian children. This could be because of missed diagnosis, thus creating the impression that malingering is rare in children. Ability to clearly establish that a client has a primary motive behind feigning the illness is a major to look for in malingering. We present a case of a 5-year-old boy with a history of recurrent abnormal body movement and shaking of his body which on detailed evaluation revealed the intention behind his presentation.

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“…With regard to delusions, following a literature review of the topic, Mason et al (2014) propose the ‘IDEA’ acronym for what they label ‘probable symptoms of malingering delusions’: I nconsistent behaviour relative to descriptions of the delusion D ramatic or bizarre content without disorganised presentation E agerness to talk about the delusion and being specific in the details A brupt onset or termination of the delusion. …”

Section: Malingering By Diagnostic Categorymentioning

confidence: 99%

Malingering mental disorders: Clinical assessment

Tracy¹,

Rix²

2017

BJPsych advances

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SummaryMalingering is the dishonest and intentional production of symptoms. It can cause considerable difficulty as assessment runs counter to normal practice, and it may expose clinicians to testing medicolegal situations. In this first part of a two-article review, we explore types of psychiatric malingering and their occurrence across a range of common and challenging scenarios, discussing presentations that may help delineate true from feigned illness. A framework is provided for undertaking an assessment where malingering is suspected, including recommendations on clinician approach, the use of collateral information, and self-evaluation of biases. The uses, and limitations, of psychometric tests are discussed, including ‘general’, malingering-specific and ‘symptom validity’ scales.Learning Objectives• Understand the challenges of determining ‘real’ from ‘malingered’ symptomatology across a range of psychiatric conditions• Have a rational strategy for approaching a clinical assessment where malingering is suspected• Appreciate the role and limitations of various psychometric tests that can be used in such assessments

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Malingering Psychosis: Guidelines for Assessment and Management

Abstract: A thorough understanding of potential signs of malingering vs. genuine psychosis is needed as well as knowledge of legal ramifications.

Cited by 13 publications

References 26 publications

Varieties of Voice-Hearing: Psychics and the Psychosis Continuum

Varieties of Voice-Hearing: Psychics and the Psychosis Continuum

A case report of 5 yr old boy with malingering in Wesley Guild Hospital, Ilesa, Nigeria

Malingering mental disorders: Clinical assessment

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