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Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations.
Gen Hosp Psychiatry. 2006 Nov-Dec; 28(6):525-35.GH

Abstract

OBJECTIVE

This paper aims to study the detection of individuals malingering posttraumatic stress disorder (PTSD) in criminal and civil situations.

METHOD

A brief history of PTSD and its rise to prominence in legal circles are discussed. The characteristics of individuals who malinger and particularly those who fake PTSD are discussed. Diagnostic dilemmas inherent to the condition, such as the definition of a traumatic exposure, what constitutes a PTSD flashback and the potential for normal symptom exaggeration, are explored.

RESULTS

The typical presentation of malingered symptoms is presented to help clinicians detect commonly seen malingering patterns. Suggestions for interview techniques, Minnesota Multiphasic Personality Inventory test values and sources of collateral information to help detect malingering are reviewed.

CONCLUSION

The paper concludes with a review of the typical presentations of malingered PTSD symptoms and a reminder that physicians need to distinguish legitimate symptoms from faked or embellished presentations.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Sciences, Johns Hopkins Hospital, 600 N. Wolfe Street/Meyer 113, Baltimore, MD 21287-7113, USA. dr.rcwhall@att.netNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17088169

Citation

Hall, Ryan C W., and Richard C W. Hall. "Malingering of PTSD: Forensic and Diagnostic Considerations, Characteristics of Malingerers and Clinical Presentations." General Hospital Psychiatry, vol. 28, no. 6, 2006, pp. 525-35.
Hall RC, Hall RC. Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations. Gen Hosp Psychiatry. 2006;28(6):525-35.
Hall, R. C., & Hall, R. C. (2006). Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations. General Hospital Psychiatry, 28(6), 525-35.
Hall RC, Hall RC. Malingering of PTSD: Forensic and Diagnostic Considerations, Characteristics of Malingerers and Clinical Presentations. Gen Hosp Psychiatry. 2006 Nov-Dec;28(6):525-35. PubMed PMID: 17088169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations. AU - Hall,Ryan C W, AU - Hall,Richard C W, PY - 2006/08/08/received PY - 2006/08/25/revised PY - 2006/08/30/accepted PY - 2006/11/8/pubmed PY - 2007/2/9/medline PY - 2006/11/8/entrez SP - 525 EP - 35 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 28 IS - 6 N2 - OBJECTIVE: This paper aims to study the detection of individuals malingering posttraumatic stress disorder (PTSD) in criminal and civil situations. METHOD: A brief history of PTSD and its rise to prominence in legal circles are discussed. The characteristics of individuals who malinger and particularly those who fake PTSD are discussed. Diagnostic dilemmas inherent to the condition, such as the definition of a traumatic exposure, what constitutes a PTSD flashback and the potential for normal symptom exaggeration, are explored. RESULTS: The typical presentation of malingered symptoms is presented to help clinicians detect commonly seen malingering patterns. Suggestions for interview techniques, Minnesota Multiphasic Personality Inventory test values and sources of collateral information to help detect malingering are reviewed. CONCLUSION: The paper concludes with a review of the typical presentations of malingered PTSD symptoms and a reminder that physicians need to distinguish legitimate symptoms from faked or embellished presentations. SN - 0163-8343 UR - https://www.unboundmedicine.com/medline/citation/17088169/Malingering_of_PTSD:_forensic_and_diagnostic_considerations_characteristics_of_malingerers_and_clinical_presentations_ DB - PRIME DP - Unbound Medicine ER -