Critically evaluate the difficulties of assessing malingering in Essay

Critically evaluate the difficulties of assessing malingering in anxiety disorders - Essay Example In view of the basic assumptions that are made about the honesty of self reporting by the patient, the detection of mild forms of malingering becomes difficult. Forensic and other tests have been developed to detect malingering, especially in the case of those individuals whose competency to stand trial for criminal convictions is being tested. Malingering has been defined by the American Psychiatric Association as the â€Å"intentional production of false or grossly exaggerated physical or psychological symptoms† in the pursuit for â€Å"external incentives† (APA, 1994, p 63). Some of these incentives may be escaping criminal conviction, receiving financial compensation or in order to gain access to drugs or medication. In some cases, individuals may exhibit symptoms of malingering solely for the purpose of receiving sympathy and care through being cast in a patient’s role, and in particular may be a component of psychiatric conditions such as anxiety or personality disorders. (APA, 1994:648). Malingering is generally encountered in the case of those individuals for conditions that may be easily faked such as pain or anxiety and is most prevalent in male dominated environments such as the military or in correctional facilities and veteran hospitals. Malingering poses a challenge in health care because it affects the delivery of health care to patients who may genuinely need it by diverting treatment and medical resources to those who are not really ill and by wasting the time and energy of staff members thereby resulting in burnout among nurses and medical personnel.(Resnick, 1998). Malingering on the pretext of anxiety disorder is particularly prevalent among school children. It shows up in the form of refusal to attend school. Evans (2000) conducted a study on malingering in school refusals due to purported anxiety disorders and found that

Company Problem Essay Example | Topics and Well Written Essays - 1750 words

Company Problem - Essay Example sales targets for the current year (2008) owing to the continuous fall in the sales of its trucks and SUVs which form a significant part of its revenues. The fall in its automobile segment is also largely due to the growing environmental concerns, likely impact of global warming, and the resultant shift in customer preferences towards environmental friendly and fuel efficient cars. All these factors together have led to formation of several alternatives that could help the company address these critical issues and retain its competitive positioning in the industry as well as continue its rapid progress towards attaining its future targets that of a 15% share in the global automobile industry. The alternatives discussed above are developed keeping in mind the company’s strengths and weakness and its ability to tackle the present situation through its range of products and strategic planning abilities. The Toyota Motor Corporation is one of the largest automobile manufacturers in the world. Founded in 1926, by Sakichi Toyoda as a modest automatic looms manufacturing company, Toyota has grown to be a multi million dollar organization and a world leader in automobile manufacturing. The company through its substantial diversification, expansion and R&D efforts has managed to capture significant market shares, and aims to capture 15 %1 of the global market by the year 2015. However, the company currently has been facing certain setbacks due to several factors such as the rising fuel prices, environmental concerns such as global warming, weakening of the yen, as well as threats from low cost car manufacturers from developing nations such as India and China. These factors could pose serious threats to the company’s advancement towards growth and prosperity. To combat such external forces, the company has initiated efforts at creating environmental awareness through encouraging an d driving the sales of its hybrid car – The Prius, as well as by initiating and