Factitious Disorder and Malingering: The Skinny


The link above takes you to a special format multimedia presentation I recently made about factitious disorders and malingering. I hope that it will be available soon for Category 1 CME. It was made through materials from the University of Iowa Carver College of Medicine and with the help of information technology. I had originally asked that my Dirty Dozen YouTube presentations posted on my blog site be offered for CME, but there were too many ads on the YouTube videos. This is a nice format because you click on the Powerpoint slide and lose the Geezer video. You can also click on different time points in the show that are linked to the slides to review or skip forward. It’s nice to have options.

ADDENDUM: The DSM-5 and the book “Essentials of Psychiatric Diagnosis: Responding to the Challenge of DSM-5 by Dr. Allen Frances, MD have a lot to say about the somatoform disorders. The DSM-5 now has a new category called Somatic Symptom and Related Disorders into which Factitious Disorder has been subsumed. While the name Conversion Disorder is still in the DSM-5, in parentheses it’s also called Functional Neurological Symptom Disorder. Dr. Frances says “This new category is ridiculously overinclusive…” recommending it be used only when clearly necessary. My opinion is that the new DSM-5 category will not change the management recommendations from psychiatric consultants. The suggestions will still be to avoid invasive procedures, medications with the potential for toxicity and addiction, and specialist referrals unless the risk to benefit ratio is safe, favorable to the patient, and address an objectively demonstrable disease process.


Author: Jim Amos

Dr. James J. Amos is Clinical Professor of Psychiatry in the UI Carver College of Medicine at The University of Iowa in Iowa City, Iowa. Dr. Amos received a B. S. degree in Distributed Studies (Zoology, Chemistry, and Microbiology) in 1985 from Iowa State University and an M.D. from The University of Iowa in Iowa City, Iowa in 1992. He completed his psychiatry residency, including a year as Chief Resident, in 1996 at the Department of Psychiatry at The University of Iowa. He has co-edited a practical book about consultation psychiatry with Dr. Robert G. Robinson entitled Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry. As a clinician educator, among Dr. Amos’s most treasured achievements is the Leonard Tow Humanism in Medicine Award.