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Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

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Nội dung chi tiết: Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2ted by Paul Mullen/ have done that - says my memory. I could not have done that - says my pride: [the] end remains inexorable. Eventually memory fiive

s in. (Xielzche. 1886)DECEPTIVE MENTAL MECHANISMSDeception occupies a central and privileged place in forvn sic psycỉúalry. The founding lathers of th Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

e speciality, such as Haslam (1817a.b). Kay (1838) and Fast (1927). were all much concerned with the need to recognize fraudulent claims in the accuse

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

d, the claimant and the conscripted serviceman, to potentially mitigating, compensable or exempting disorders. The touchstone of the expert's skill us

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2 are issues surrounding those, all too human, tendencies to deny, to lie to others, and to lose oneself in self-deception.The tendency to modify our e

xperiences of current reality by how we think rather than by what we do. and to interpret and edit memories of the past in pursuit of present needs is Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

universal We try to escape the conlingen cies of reality by a variety of mechanisms, many wholly unconscious.SubstitutingAvailable alternatives arc s

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

ometimes substituted for those objects of our desire which appear beyond reach. Pets may be substituted for people, especially children. The displacem

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2Tile bereaved, deprived of their loved one. may displace their energy from the pursuit of the lost love on to the pursuit of compensation. At first gl

ance, their actions may appear venal and self-serving, but behind this appearance can liea tragic attempt to restore an unbearable loss through pursui Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

t of the substituted goal.DaydreamingDaydreaming is the way in which we turn away from the daunting task of wresting the desired from reality, or from

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

the conflicts inherent in current obligations, into a world of fantasy and make-believe. In children, the world of private make believe and public re

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2emains wavering and uncertain. The French concept of mythomania, often treated as synonymous with pathological lying, captures this quality of being c

aught up in one’s own fantasies and imaginery adventures.LyingI .ying or to use the minimally less pejorative and far broader term deception’, is univ Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

ersal. Advertisers ’pul a gloss’ on their products, companies fail to disclose the whole story; politicians distort, sportsmen break rules when they t

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

hink they will not be detected, and we all deceive on occasions to obtain advantage or avoid embarrassment. I ying may even be part of normal developm

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2e behaviour amongst youngsters. Most authors agree tlial lying involves the consciousness of falsity, the intent to deceive, and a preconceived goal o

r purpose. Normal prevarication is instrumental and. at least initially, the liar is aware of the deception. In practice, the intentional lie merges i Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

nto self-deception and we move, all too easily, from knowingly fabricating into believing our own stories.418In jxithological lying (pseudologiafantas

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

tical see below), there is created a tissue of fantastic lies in which the deception is not merely about matters of fact, but aims to create a whole n

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2here they arc disproportionate to any discernible end or personal gain. Commonplace lies deceive about matters of fact, the fabrications of the pathol

ogical liar deceive about who and what s/he is; they are about creating a new ident ity arid recreating the world. Pscudologia fanlastica is about lyi Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

ng, but it IS also about fantasy run riot which invokes self-deception as much as deceiving others.DenialDenial of current reality is one way of copin

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

g with the disturbing and the threatening. Denial differs from lying in dial it is not an attempt to convince others, or oneself of a different realit

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2nd liilse reality. In practice, denial often slips into fabrication. Denial involves the claim that something did not occur or. if it did. the subject

has no memory for the events.AmnesiaAmnesia is an inability to remember or a denial of memory. Selective memory which leaves convenient blanks is a c Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

om mon enough indulgence, and is to Ise expected in those where forgetting may bring considerable advantage. The distinctions and overlaps between so-

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

called psychogenic amnesia and organic memory disturbances are considered later in Ulis chapter and in chapter 12.Self-deceptionSelf-deception is a co

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2unconscious, dissociative, hysterical, or even abnormal illness behaviour can. from a different perspective, be spoken of as types of self-deception.I

he central paradox of self-deception was described by Fingarelle (1969):Fur US deceiver one is insincere, guilty: whereas if genu inelỵ deceived. one Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

is the innocent victim.Is then the self-deceiver both perpetrator and sufferer? Ihe psychiatrists view of self-deception is often influenced by the F

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

reudian vocabulary which articulates the phenomenon as one of helplessness in the grip of unconscious conflict, for the self-decciver is spoken of us

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2 but. more important, it is about self-presentation; it is about what we avow as our motivations and what we accept has been our behaviour. The simple

st model of self-deception IS of holding two incompatible beliefs, one of which is not noticed or acknowledged. Self-deception is not just persisting Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

in beliefs in the face of contrary evidence, nor merely holding incompatible beliefs, for it implies an active engagement which strives to maintain ig

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

norance. The characteristics of self deception as viewed from the vantage point of an observer include:1activities which appear incompatible with the

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2ivities;3a refusal to accept responsibility lor activities and their consequences which appears to stem not from disregard of those responsibilities,

hut from an inability to recognize the transgressions:'I. an adherence to the deception which persists even when it becomes personally disadvantageous Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

.The latter two characteristics which speak of loss of self control lend to solicit, or even remove, the moral con demnation of the self-deceiver, wha

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2

t, of the experience of self deception for the sefl’ deceiver? This is difficult to pin down. Totally successful seU’ deception would presum ably he e

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

Ebook Forensic psychiatry - Clinical, legal and ethical issues (2/E): Part 2ceptive engagements, which may be experienced as unease or a puzzlement al ones own apparently disproportionate vehemence.

17Deception, dissociation and malingeringEdited, written and revised by John GunnWritten byJohn GunnDavid MawsonPaul MullenPeter Noble1st edition edit

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