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Malingering: Chronic Pain

  • Chapter
Causality of Psychological Injury

Abstract

Mendelson and Mendelson (2004) suggest that medical examiners most often suspect malingering in the context of assessing chronic pain. There has long been concern about whether pain may be “real” or feigned. Thomas (1923) thought headache was the most frequent clinical pain problem and the most difficult to detect if feigned. A number of techniques to identify malingerers were suggested, extended observation being considered to be the most reliable. Collie (1932), in an influential work entitled “Fraud in Medico-Legal Practice,” thought that back pain was the most common complaint in cases where compensation was being claimed. However, such pain was thought to be usually mental rather than physical, reflecting the problem of mind-body dualism (Nicholson, Martelli, & Zasler, 2002).

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Authors and Affiliations

  1. Comprehensive Pain Program, Toronto Western Hospital, Room 4F-811, 399 Bathurst St., Toronto, Ontario, M5T 2S8

    Keith Nicholson Ph.D.

  2. Concussion Care Centre of Virginia, 10120 West Broad Street, Suite H, Glen Allen, VA, 23060

    Michael F. Martelli Ph.D.

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Nicholson, K., Martelli, M.F. (2007). Malingering: Chronic Pain. In: Causality of Psychological Injury. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36445-2_17

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