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Lecture 8

PSYC 2400E - Lecture 8 - Jan. 31, 2013.docx

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Carleton University
PSYC 2400
Julie Dempsey

Thursday, January 31, 2013 PSYC 2400 - Winter 2013 Lecture 8 Disorders of Deception: Malingering Outline - Disorders - Malingering - Why malinger? - Research methods Disorders of Deception - Munchausen syndrome o Symptoms (e.g., abdominal pain) are INTENTIONALLY produced o Internal motivation to seek the role of patient (no external motivation) o Feign illness (eg. Faking a seizure) o Falsify lab results (eg. Adding blood or protein to urine sample) o Exaggerate a medical problem (eg. Back pain) o Aggravate an existing ailment (eg. Wound that won’t heal) o Induce an actual illness (eg. Bacteria, ingest poison) - Munchausen syndrome by proxy o Make others ill so that they can take care of them o Common in mothers, to poison or make their child sick just to get attention or freebies o Children can sometimes die - Very difficult to treat - People are commonly depressed as well - Somatoform disorder o Symptoms are NOT INTENTIONAL o No underlying organic cause to the symptoms - Two types o Somatization disorder: 8 or more symptoms o Conversion disorder: numbness  Doesn’t make sense where they are numb  Glove anesthesia : numbness in the hands  Doctors know it’s a mental disorder since it’s impossible to only have numbness in your hand What is Malingering? - Malingering: o “intentional production of false or grossly exaggerated physical or psychological symptoms” o Motivation is an external goal Fun Facts - Someone with factitious or somatoform disorder will insist on medical tests whereas malingerers will avoid medical tests - The opposite of malingering is “defensiveness” o Extreme minimization of physical and/or psychological symptoms When and Why Malinger? - Competency to stand trial o Someone may malinger to avoid trial - Mental state at time of the offence o Malinger a disorder to explain why they committed the crime - Not guilty by reason of mental defect o Malinger to get out of prison - Mitigating factor (avoid lengthy prison sentence) o Judge can take mental illness into consideration to shorten sentence - Personal injury case o Malinger your injuries to get more money if you sue Kenneth Bianchi - Hillside Strangler - Moved to LA, spent time with his cousin, bad combination, had prostitutes, starting murdering women - Worked together - Drove around pretending to be undercover cops, pulled over women, brought them home - Cousin kicked him out when he became a suspect for the hillside strangler case - Got arrested for killing women on his own - Was put under hypnosis and made up a multiple personality disorder - Was eventually caught, and confessed to the lie Theories - Pathogenic model o Mental illness o Not a lot of empirical evidence - Criminological model o Feign psychosis in order to avoid legal consequences (DSM-IV model) - Adaptational Model o Negative consequences o Cost-benefit analysis o Looking for a way out o Much more support for this theory Assessment: DSM-IV - Adversarial Context: Suspect malingering if: o Forensic assessment o Evaluatee is uncooperative with evaluation/treatment o Diagnosis of APD
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