The article by , in this issue, is designed to assist clinicians and researchers with the conceptualization and identification of exaggeration and malingering. This article, in my view, makes a clear practical and scholarly contribution to the literature. This article is particularly helpful for physicians who are unfamiliar with the very large malingering literature in psychology and in neuropsychology. The authors have effectively integrated extensive clinical experience with a review of the empirical literature, resulting in timely, practical, and appropriate recommendations for how to identify exaggeration and malingering. This article builds upon the specific guidelines and recommendations for identifying malingering in a neuropsychological evaluation that have been available for several years, 1 and have more recently been published for pain-related disability evaluations. 2 Readers interested in more information should consider other reviews of this topic (eg, [3][4][5][6][7][8][9][10][11][12][13][14]. For the forensic examiner, Aronoff and colleagues have provided suggestions and advice for improving the quality and thoroughness of one's evaluation.Some readers will be troubled by the possibility that this article, and a related article by Bianchini and colleagues, 2 will lead to misidentifying exaggeration that is associated with learned illness behavior patterns, personality characteristics, or both, as malingering. However, the careful, objective, and unbiased application of the recommendations and guidelines set out in these articles should not lead to an increase in misidentifying malingering. Nonetheless, it is useful to consider exaggeration, as behavior, in a broader context. Exaggeration and malingering are conceptually related, but they are not synonymous. Exaggeration is common in medicine, psychiatry, psychology, and in daily life. By comparison, malingering is uncommon. Exaggeration is more common in people with certain personality characteristics or disorders, and it is more likely to manifest in association with certain clinical conditions such as depression, chronic pain, fibromyalgia, the somatoform disorders, and factitious disorder.Exaggeration is a core feature of malingering, but exaggeration often does not reflect malingering. The pervasive negativism and cognitive distortions seen in some patients with major depressive disorder can result in self-reported symptoms and problems that appear to be, and frequently are, exaggerated. Some patients with chronic pain conditions and somatoform disorders behaviorally evolve into describing their symptoms and problems in an exaggerated manner. That is, their interpersonal style changes over time, through environmental factors and social reinforcement, to include verbal