Malingered Psychosis

[psych_0]

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Anyone know of any other resources to read up on malingered psychosis outside of this older article by forensic legend Phil Resnick?

 

[PikminOC]

Anyone know of any other resources to read up on malingered psychosis outside of this older article by forensic legend Phil Resnick?

What's the secondary gain?

 

[calvnandhobbs68]

What's the secondary gain?

The same gain as malingering any other psychiatric illness…ever worked in a VA or done a court eval?

 

[PikminOC]

The same gain as malingering any other psychiatric illness…ever worked in a VA or done a court eval?

I have but never faking psychosis.

 

[docksan]

I have but never faking psychosis.

Plenty of people fake psychosis. I've had folks come in and try to tell me about their "psychotic symptoms" and I find the more specific I get in my questioning the more general their symptoms become.

 

[clozareal]

You should subscribe to JAAPL. Lots of great articles!

Assessing Malingered Auditory Verbal Hallucinations in Forensic and Clinical Settings

The gold standard for the detection of malingered psychosis involves expert clinical assessment augmented by standardized psychometric testing. The evaluation of malingered auditory verbal hallucinations is complicated, however, by increasing evidence that voice-hearing is a broadly...

jaapl.org

 

[PikminOC]

Plenty of people fake psychosis. I've had folks come in and try to tell me about their "psychotic symptoms" and I find the more specific I get in my questioning the more general their symptoms become.

Were they trying to fake it for a secondary gain?

 

[docksan]

Were they trying to fake it for a secondary gain?

Yes.

 

[erg923]

I have but never faking psychosis.

Don’t say his name.

Vincent Gigante - Wikipedia

en.m.wikipedia.org

Also, F(p) subscale of MMPI

 

[Taddy Mason]

The same gain as malingering any other psychiatric illness…ever worked in a VA or done a court eval?

Or psych consults in an ED…

 

[SeniorWrangler]

After "Sixth Sense" came out, I saw a flurry of patients who saw the spirits of the dead, but not any more. I kind of miss it, it was fun hearing the descriptions of the ghosts.

 

[clozareal]

After "Sixth Sense" came out, I saw a flurry of patients who saw the spirits of the dead, but not any more. I kind of miss it, it was fun hearing the descriptions of the ghosts.

This has been replaced by TikTok borderline personality disorder, bipolar, and DID (>1 billion views for each hashtag) not to mention Tourette's and Autism.

 

[splik]

Dick Rogers' text on malingering is considered the gold standard. there is a chapter on psychosis by resnick but the chapters on response styles and psychometric testing are very helpful for more formal ways in which psychological testing is helpful. Amazon product ASIN 1462533493

 

[docksan]

I've had people fake psychosis for Seroquel and other psychotropics with street value, or just admission to the hospital by combining "psychosis" with "suicidal".

 

[PikminOC]

Don’t say his name.

Vincent Gigante - Wikipedia

en.m.wikipedia.org

Also, F(p) subscale of MMPI

I never treated him

 

[erg923]

I never treated him

K...

 

[DJKitty]

I've had people fake psychosis for Seroquel and other psychotropics with street value, or just admission to the hospital by combining "psychosis" with "suicidal".

For me, the trifecta is SI, HI and AH. In my experience, roughly 80-90% of the time if they have all 3, they are malingering (or on substances).

*Just joking around, but there is some truth to the above.

 

[Celexa]

For me, the trifecta is SI, HI and AH. In my experience, roughly 80-90% of the time if they have all 3, they are malingering (or on substances).

*Just joking around, but there is some truth to the above.

Ha! My experience is the same. If someone is legitimately sick and psychotic enough to have all three, they ain't linear enough to say it up front to the triage nurse.

 

[Liquid8]

For me, the trifecta is SI, HI and AH. In my experience, roughly 80-90% of the time if they have all 3, they are malingering (or on substances).

*Just joking around, but there is some truth to the above.

Yup. In my experience I see more homocidal ideation in malingerers and drug seekers as opposed to those who have a legitimate psychosis.

Can remember as a trainee covering HDU on a weekend shift, and being asked by a patient for xanax, dexamphetamine and clonidine. The standard response to decline and direct him back to his home team on the following Monday was met with "I had to give it a shot."