Monday, June 9, 2014

Review of injury lawyers in chicago::What Is the Definition for Malpractice







Review of injury lawyers in chicago::What Is the Definition for Malpractice








It's               unfortunate               but               there               are               some               people               who               fake               physical               or               psychological               symptoms               just               to               get               attention,               money               or               some               other               sort               of               incentive.

This               type               of               behavior               is               labeled               as               malingering.

To               help               gain               an               understanding               of               malingering               I               have               interviewed               clinical               psychologist               Dr.

Tony               Fletcher.

Tell               me               a               little               bit               about               yourself.


               "I               am               a               licensed               clinical               psychologist,               clinical               Neuropsychologist,               and               forensic               psychologist               who               is               employed               by               the               Illinois               Department               of               Human               Services               at               Elgin               Mental               Health               Center               in               the               Forensic               Treatment               Program.

I               completed               my               Doctor               of               Psychology               degree               from               Nova               Southeastern               University               and               a               two-year               fellowship               in               clinical               Neuropsychology               at               the               University               of               Illinois               at               Chicago.

I               am               a               lecturer               at               various               medical               centers               and               universities               in               the               Chicago               area,               and               I               have               worked               with               the               Secret               Service,               FBI,               States               Attorney's               office,               civil               and               criminal               lawyers."
               What               is               malingering?


               "Malingering               is               not               considered               a               disorder,               but               an               area               of               clinical               interest.

In               the               DSM-IV-TR               it               is               defined               as               "the               intentional               production               of               false               or               grossly               exaggerated               physical               or               psychological               symptoms,               motivated               by               external               incentives".

In               contrast               with               a               true               mental               disorder,               when               malingering               is               present               it               is               assumed               that               the               individual               is               volitionally               making               up               symptoms,               exaggerating               true               symptoms               or               suppressing               true               abilities               in               order               to               obtain               some               desired               goal               (i.e.

avoiding               jail,               winning               money               in               a               civil               case,               avoiding               going               into               the               military).

Again,               malingering               is               not               considered               a               mental               illness,               but               is               an               area               of               interest               particularly               in               cases               when               the               patient               has               committed               a               crime.

There               are               other               psychiatric               disorders               that               need               to               be               ruled-out               before               considering               malingering.

Those               diagnoses               include               Conversion               Disorder,               Factitious               Disorder,               Hypochondriasis,               and               Somatization               Disorder."
               What               are               the               signs               and               symptoms               of               malingering?


               "The               signs               and               symptoms               include,               but               are               not               limited               to               a               person               who               presents               with               symptoms               that               are               much               greater               than               their               history               dictates.

For               example,               a               person               who               slips               on               a               wet               floor               and               sustains               a               very               minor               injury               begins               reporting               that               they               cannot               remember               their               own               name               or               birth               date.

Psychiatrically,               a               person               may               report               having               unusual               delusions               or               hallucinations               that               are               inconsistent               with               individuals               with               true               psychosis.

Other               indicators               include               a               non-psychotic               rational               motive               for               a               crime,               current               offense               fits               a               prior               pattern,               absence               of               active               symptoms               during               the               crime,               report               of               an               irresistible               impulse               to               commit               a               crime,               or               a               far-fetched               story               of               psychosis."
               What               type               of               impact               does               malingering               have               on               a               person's               life?


               "The               person               who               is               malingering               is               thought               to               be               reacting               to               a               situation               in               one               of               three               ways.

First,               a               person               may               have               an               underlying               personality               in               which               they               feel               the               need               to               fabricate               information               in               order               to               obtain               attention               or               a               need               to               be               seen               as               deficient,               but               for               a               reason               in               which               they               gain               something.

A               criminological               underpinning               may               be               that               the               individual               is               simply               trying               to               avoid               going               to               jail               or               having               to               pay               a               fine               if               determined               not               to               have               a               mental               illness.

The               individual               is               usually               seen               as               a               person               with               an               antisocial               personality               who               is               motivated               in               order               to               avoid               punishment               for               a               crime               they               committed."               "Lastly,               a               person               may               have               an               adaptational               underpinning               in               which               they               are               simply               trying               to               make               the               best               of               a               highly               adversarial               situation               in               which               the               person               sees               no               other               solution               but               to               feign               symptoms.

The               impact               can               be               detrimental               if               a               person               is               diagnosed               as               malingering.

In               the               case               of               US               v.

Greer               (1998)               the               court               found               that               malingering               constitutes               obstruction               of               justice.

In               this               case               the               defendant               received               a               two-level               sentence               enhancement;               indicating               he               received               more               of               a               sentence               for               attempting               to               fool               the               court.

In               civil               cases               a               person               attempts               to               malinger               in               order               to               win               a               settlement               and               receive               money."
               What               type               of               help               is               available               for               someone               who               has               a               malingering?


               "In               forensic               populations,               the               individual               is               not               always               made               aware               that               they               have               been               found               to               be               malingering.

Usually               the               treatment               team               decides               on               whether               or               not               to               inform               the               patient               depending               on               what               reaction               is               expected."
               What               advice               would               you               like               to               leave               for               someone               who               has               malingering?


               ""Stop               exaggerating               or               making               up               symptoms."               The               tests               used               to               determine               malingering               are               valid               and               reliable               enough               to               withstand               the               Daubert               standard               for               admissibility               in               court."
               Thank               you               Dr.

Tony               Fletcher               for               the               interview.

If               you               would               like               more               information               about               Dr.

Tony               Fletcher               check               out               his               website               at               www.drtonyfletcher.com.






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