Definition

Malingering is not coded as a mental disorder in either ICD-10 or DSM-IV, although in the latter it is denoted as an 'additional condition that may be the focus of clinical attention'.

DSM-IV suggests that malingering should be 'strongly suspected' when two or more of the following factors apply: medicolegal context, antisocial personality disorder, discrepancy between complaints and objective findings, and lack of co-operation with the assessment (although this may be considered too broad for clinical utility).

The ICD-10 definition ('the intentional production or feigning of either physical or psychological symptoms or disabilities, motivated by external stresses or incentives') seems closer to clinical reality.

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