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Overview of the Clinician–Patient Interaction

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Functional Ophthalmic Disorders

Abstract

The examiner should rehearse the tests he plans to use with functional patients so that he has sure and facile technique. His attitude should remain professional; the functional patient should be treated no differently than a patient with organic disease. The examiner who exhibits a caring and interested attitude will minimize any natural inclination of patients to exaggerate symptoms. If a patient is suspected of malingering, it is best to avoid confrontation. A better course is to advise that there is no evidence of serious disease and that there is every expectation for improvement. Make certain that all findings, positive or negative, are carefully documented.

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References

  • Anderson EW, Trethowan WH, Kenna JC (1959) An experimental investigation of simulation and pseudo-dementia. Acta Psychiatrica et Neurologica Scandinavica 132:5–42

    Article  Google Scholar 

  • Bailey P (1918) Malingering in U.S. troops, Home Forces, 1917 (Concluded). Military Surgeon 42(4):427–449

    Google Scholar 

  • Bengtzen R, Woodward M, Lynn MJ, Newman NJ, Biousse V (2008) The “sunglasses sign” predicts nonorganic visual loss in neuro-ophthalmologic practice. Neurology 70:218–221

    Article  CAS  PubMed  Google Scholar 

  • Bose S, Kupersmith MJ (1995) Neuro-ophthalmologic presentations of functional visual disorders. Neurologic Clinics 13(2):321–339

    CAS  PubMed  Google Scholar 

  • Chodoff P (1954) A re-examination of some aspects of conversion hysteria. Psychiatry 17(1):75–81

    CAS  PubMed  Google Scholar 

  • Collie J, Spicer AH (1913) Chapter XX. Conduct of the medical witness in court. In: Collie J, Spicer AH (eds) Malingering and feigned diseases. E Arnold, London, pp 239–241

    Google Scholar 

  • Drews RC (1967) Organic versus functional ocular problems. International Ophthalmology Clinics 7(4):665–696

    CAS  PubMed  Google Scholar 

  • Duke-Elder S, Abrams D (1970) Malingering (Chapter XI). In: Duke-Elder S (ed) Ophthalmic optics and refraction, vol V. The C.V. Mosby Co., St. Louis, MO, pp 487–501

    Google Scholar 

  • Eaves J (1928) The industrial physician – his relation to patient and carrier. California and Western Medicine 29(4):254–258

    CAS  PubMed Central  PubMed  Google Scholar 

  • Hinshaw HC (1967) Foreword. In: Lowry TP (ed) Hyperventilation and hysteria. The physiology and psychology of overbreathing and its relationship to the mind-body problem. Charles C Thomas, Springfield, IL, pp vii–viii

    Google Scholar 

  • Jones AB, Llewellyn LJ (1918) Chapter V. The diagnosis of malingering. In: Jones AB, Llewellyn LJ (eds) Malingering or the simulation of disease. Blakiston’s Son & Co., Philadelphia: PA, pp 69–92

    Google Scholar 

  • Karmel, M. (2003). Diagnosing unexplained visual loss. Eyenet Magazine, A Publication of the American Academy of Ophthalmology (San Francisco), pp. 29–32

    Google Scholar 

  • LoPiccolo CJ, Goodkin K, Baldewicz TT (1999) Current issues in the diagnosis and management of malingering. Annals of Medicine 31(3):166–174

    Article  CAS  PubMed  Google Scholar 

  • Mendelson D (1995) The expert deposes, but the court disposes: the concept of malingering and the function of a medical expert witness in the forensic process. International Journal of Law and Psychiatry 18(4):425–436

    Article  CAS  PubMed  Google Scholar 

  • Miller NR (2004) Neuro-ophthalmologic manifestations of nonorganic disease. In: Miller NR, Newman NJ (eds) Walsh & Hoyt’s clinical neuroophthalmology, 6th edn. Lippincott Williams and Wilkins, Baltimore, MD, pp 1315–1334

    Google Scholar 

  • Moore WO (1888) Hysterical blindness in the male, with the history of three cases. Transactions of the American Ophthalmological Society 5(80–86):120–123

    Google Scholar 

  • O’Hara M (1998) Cracking the crock: how to deal with factitious eye disease. Journal of Ophthalmic Nursing & Technology 17(5):188–192

    Google Scholar 

  • Reese JJ (1884) Chapter XXXII. Feigned disease. In: Reese JJ (ed) Text-book of medical jurisprudence and toxicology. P Blakiston Son & Co, Philadelphia, PA, pp 419–431

    Google Scholar 

  • Resnick PJ (1988) Chapter 3. Malingered psychosis. In: Rogers R (ed) Clinical assessment of malingering and deception. The Guilford Press, New York, NY

    Google Scholar 

  • Shindler KS, Galetta SL, Volpe NJ (2004) Functional vision loss. Current Treatment Options in Neurology 6:67–73

    Article  PubMed  Google Scholar 

  • Smith CH, Beck RW, Mills RP (1983) Functional disease in neuro-ophthalmology. Neurologic Clinics 1(4):955–971

    CAS  PubMed  Google Scholar 

  • Stephans JH, Kamp M (1962) On some aspects of hysteria: A clinical study. Journal of Nervous and Mental Disease 134:305–315

    Article  Google Scholar 

  • Thompson HS (1985) Functional visual loss. American Journal of Ophthalmology 100(1):209–213

    Article  CAS  PubMed  Google Scholar 

  • Williams, T. A. (1920). Malingering and simulation of disease in warfare. In American Medico-Psychological Association (Ed.), Proceedings of the American Medico-Psychological Association, 77, 567–582

    Google Scholar 

  • Yasuna ER (1946) Hysterical amblyopia – its differentiation from malingering. American Journal of Ophthalmology 29:570–578

    Article  CAS  PubMed  Google Scholar 

  • Ziegler FJ, Imboden JB, Meyer E (1960) Contemporary conversion reactions: A clinical study. The American Journal of Psychiatry 116:901–910

    CAS  PubMed  Google Scholar 

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Enzenauer, R., Morris, W., O’Donnell, T., Montrey, J. (2014). Overview of the Clinician–Patient Interaction. In: Functional Ophthalmic Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-08750-4_6

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  • DOI: https://doi.org/10.1007/978-3-319-08750-4_6

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