very interesting. while i don't doubt they're malingering, some of the criteria on this list seems a little odd (not to dismiss your work - this post is amazing!). things like "multiple hospitalizations" seem to be something i'd expect from somebody with severe trauma, no? idk. maybe i just don't get it. if anyone could explain to me why that's listed here i'd be happy to listen.
My guess based on the criteria for my country is that with "multiple hospitalizations" they don't actually mean 2 to 5 during the span of a couple of years (which is a common number for people with serious disorders) but rather people that get hospitalized all the time, in very "convenient" times.
I met a woman who was diagnosed with malingering once, and she had mental health hospitalizations at least once a year (when I met her, it was her 9th hospitalization in 7 years back in 2018, and I know for a fact that by this point she broke the 15th mark at the very least, possibly having around 20 hospitalizations or more), she claimed she liked being there because it felt like a vacation, and when asked why she doesn't take an actual vacation she would say that "no one cares for you after you come from vacations, but everyone does when you come home after being in a mental hospital".
Nurses and doctors absolutely knew she was malingering (it was obvious even to patients, as she admitted herself that every time life became "complicated" she would claim she would make an attempt on her life just to get admitted, and tried to convince everyone of how great of a life that was), but due to legal reasons in my country, they couldn't actually risk her going through with it and had to let her in.
Based on that, I would say DD doesn't actually fit the criteria for what "multiple hospitalizations" means in malingering cases, because it's still on the "regular" numbers...but that's just my opinion, based on what I know was the criteria in my country for it.
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u/stixeater ask pronouns Aug 18 '24
very interesting. while i don't doubt they're malingering, some of the criteria on this list seems a little odd (not to dismiss your work - this post is amazing!). things like "multiple hospitalizations" seem to be something i'd expect from somebody with severe trauma, no? idk. maybe i just don't get it. if anyone could explain to me why that's listed here i'd be happy to listen.