Psychiatry & Psychotherapy Podcast Identifying Malingering with Dr. Phillip Resnick
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Dec 23, 2022 Join Dr. Phillip Resnick, a renowned forensic psychiatrist at Case Western Reserve University, and Alex Scott, a forensic psychiatry fellow, as they delve into the fascinating world of malingering. They discuss how to differentiate between genuine symptoms and deceit in psychiatric evaluations, particularly in high-stakes situations like legal cases. Explore the cultural factors that shape psychiatric symptoms and uncover the methodologies used to identify malingered conditions. This engaging conversation unpacks the challenges and nuances of forensic psychiatry.
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Malingering vs Factitious Disorder
- Malingering involves consciously faking symptoms for specific gain, while factitious disorder has unclear motives for symptom fabrication.
- Factitious disorder motives can be unconscious or unknown, unlike malingering's clear secondary gain.
Non-Psychotic vs Psychotic Hallucinations
- Non-psychotic hallucinations are common and often friendly, unlike psychotic hallucinations which are usually hostile.
- Understanding normal psychotic vs non-psychotic hallucinations is essential before detecting malingering.
Document Patient Inconsistencies Thoroughly
- Document clear inconsistencies and changes in patient statements over time to build a case for malingering.
- Accurately record when patients admit dishonesty to support valid clinical decisions.