The author discusses the difficulties associated with the evaluation of a "genuine" Workman's Compensation claim as it relates to sorting through the issues of factitious disorders, malingering, and the multiple contributions associated with secondary gain phenomenon. A case example is utilized to assist the reader in gaining an understanding of the subtle issues that arise in the context of the Workman's Compensation setting.
Get full access to this article
View all access options for this article.
References
1.
American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd Ed. Revised, 315-320). Washington, D.C.
2.
Asher, R. (1951). Munchausen syndrome. Lancet, 1, 339-341.
3.
Binder, L. , & Pankratz, L. (1987). Neuropsychological evidence of factitious memory complaint. Journal of Clinical and Experimental Neuropsychology, a167-171.
4.
Cavenar, J. , Maltbie, & Hillard, J. (1980). Cardiac presentation of Munchausen's syndrome. Psychosomatics, 21(11), 946-948.
5.
Colbach, E. (1982). The mental-mental muddle and work comp. in Oregon. AAPL Bulletin, 10(3).
6.
Colbach, E. (1987). Hysteria again and again and again. Lit. Journal of Off. Therapy and Comp. Criminology, 31(1), 41-48.
7.
Cunnien, A. (1988). Psychiatric and medical syndromes associated with deception. In R. Rogers (Ed.), Clinical assessment of malingering and deception. New York: Guilford Press.
8.
Eisendrath, S. (1984). Factitious illness: A clarification. Psychosomatics, 25(2), 110-117.
9.
Favazza, A. (1989). On human nature. The Sciences, pp. 5-7.
10.
Fenichel, O. (1945). The psychoanalytic theory of neurosis (pp. 291-291, 355-355). New York: W.W. Norton & Co.
11.
Freud, S. (1961). The economic problem of masochism. In J. Strachey (Ed. and Trans.), The standard edition of the complete psychological works of Sigmund Freud. (Vol. XIX, pp. 159-170). London, England: Hogarth Press and the Institute of Psychoanalysis. (Original work published in 1924)
12.
Gawn, R. , & Kauffman, E. (1955). Munchausen syndrome. British Medical Journal, 21330-1330.
13.
Guze, S. B. , & Perley, M. J. (1963). Observations on the natural history of hysteria. Am. J. Psychiatry, 119, 960-965.
14.
Kohut, M. (1971). The analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders. New York: International Universities Press, Inc.
15.
Nadelson, T. (1979). The Munchausen spectrum: Borderline character response features. Gen. Hosp. Psychiatry, 2, 11-17.
16.
Lees-Haley, P. (1988, March). Coping with exaggerated claims for stress disorders. CPCU Journal, 12-20.
17.
Pankratz, L. (1980). A review of the Munchausen syndrome. Unpublished.
18.
Pankratz, L. (1981). A review of the Munchausen syndrome. Clinical Psychology Review, 1, 65-78.
19.
Pankratz, L. , & McCarthy, G. (1986). The ten least wanted patients. Southern Medical Journal, 79(5), 613-617.
20.
Pope, H. , Jonas, J., & Jones, B. (1982). Factitious psychosis: Phenomenology family history, and long-term outcome on nine patients. Am. J. Psychiatry, 139, 1480-1483.
21.
Rogers R. , Bagby, M., & Rector, N. (1982). Diagnostic legitimacy of factitions disorder with psychological symptoms. Am. J. Psychiatry, 146(10), 1312-1314.
22.
Rumans, L. , & Vosti, K. (1978). Factitious and fraudulent fever. American Journal of Medicine, 65, 745-755.
23.
Spiro, H. (1968). Chronic Factitious Illness. Archives of General Psychiatry, 18, 569-580.
24.
Sturges, S. (1989). Workers Compensation. Unpublished.
25.
Vale, D. (1962). Munchausen returns. Psychiatry Quarterly, 36, 317-317.