Malingering should be distinguished from factitious disorder, and fromother syndromes such as hypochondriasis, other somatoform disorders, andconversion/dissociation disorder. These distinctions involve difficultjudgements such as how 'intentional' is the production of a symptom, or how 'genuine' it is. As an alternative, it has been suggested that such patients lie on a continuum between those in whom the production of symptoms is wholly unconscious (conversion/dissociation disorder) and those in whom it is wholly conscious (malingering, factitious disorder).

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