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July 1, 1983


Author Affiliations

Scottsdale, Ariz

JAMA. 1983;250(1):31. doi:10.1001/jama.1983.03340010017008

To the Editor.—  In an article entitled "Reliability and Validity of American Medical Association's Guide to Ratings of Permanent Impairment" by D. S. Gloss, PhD, and M. G. Wardle, PhD (1982;248:2292), the authors close with a cautionary note on malingering, stating that their rating "scale is not immune from malingering or, more likely, exaggeration of a claim."This contradicts or ignores the usual and accepted definition, which states that malingering is either the simulation or the exaggeration of physical or psychological symptoms.1A forensic physician proposed that malingering is a wrongful act, performed with the intent to commit civil or criminal fraud, and noted that the mental status of the malingerer may vary from that of a normal person to any form of diagnosable mental disorder.2