Wednesday, 19 June 2019 | 07:55 WIB

Malingering: When Someone Pretends to be Sick

Malingering: When Someone Pretends to be Sick (Iltalehti)

JAKARTA, NNC – Malingering or pretending to be sick is often used by those who are dealing with authorities or avoiding military duty or a job, obtaining financial compensation, avoiding criminal charges, or obtaining drugs.

Malingering is a deliberate behavior for known external purposes. It is not considered a form of psychiatric or psychopathological disorder, although it can occur in the context of other mental disorders.

Psychiatrist dr.Andri, SpKJ, FAPM from the Psychosomatic Clinic of OMNI Hospital Alam Sutera, explains that malingering should be suspected in the presence of combinations such as, medicolegal problems (eg, a lawyer referring a patient, a patient seeking compensation for injury), a marked difference between claimed pressure and objective findings, lack of cooperation during evaluation and in complying with prescribed treatment and antisocial personality disorder

Malingering is often associated with antisocial personality disorder and histrionic personality traits. Prolonged live surveillance may reveal evidence of dodging because it is difficult for a conspirator associated with malingering to maintain consistency with false or excessive claims for a long time.

"People who are pretending usually do not have the knowledge of how to behave in keeping the mock disorder to look really sick," wrote dr. Andri.

According to Andri, interviews and prolonged examination of a person suspected of malingering abnormalities can lead to fatigue and reduce the ability of people who are malingering to maintain the trick. A quick question sequence will increase the likelihood of contradictory or inconsistent responses.

For example, in people who perform psychotic disorders, he often exaggerates hallucinations and delusions but can not mimic the interruption of formal thought processes. They usually can not pretend to mimic the typical dull affects of psychotic patients and concrete thinking disorder. They often assume that amnesia and disorientation are the hallmarks of psychosis.