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Gibson might have initially enjoyed playing the sick role.
I wondered whether there was something about the sick role that she found rewarding.
A "professional patient" can convincingly inhabit the sick role within hours.
Rather than solely seeking to inhabit the sick role (an internal incentive), malingerers are driven by external incentives: money, drugs, evading criminal responsibility or work.
People with Munchausen syndrome, for example, deliberately produce physical or psychological symptoms for the express purpose of assuming the sick role.
Various psychological theories have been proposed including unconscious motivation (childhood deprivation or trauma) creating a positive experience of the sick role: emotional upset was kissed better, emotional wounds were bandaged.
Similar(7)
This 'acceptance' of asymmetric knowledge and expertise is reminiscent of Parsons' ideas about the sick-role [ 43, 78].
The central dilemma is about an unwilling patient who is persuaded against her own will and despite her gain from a sick-role.
The professional method gives rise to backlash and the unwilling patient manages to stay in her sick-role through another doctor.
Clinicians emphasizing the functional somatic syndrome model will try to avoid chronic whiplash by discouraging the patient from assuming the sick-role [ 26, 27], and by undercutting alarming expectations about clinical course [ 26, 73].
They're on your patch and they have to play the role, sick role…but they're very vulnerable but also passive.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com