OVERVIEW
This page is designed to provide a baseline view of the set of SNOMED concepts related to what current nosologies classify as:
- Disorders of bodily distress or bodily experience (ICD11)
- Hypochondriasis (ICD11)
- Factitious disorders (ICD11, DSM5) (note: in DSM5, this is a subclass of somatic symptom and related disorders)
- Somatic symptom and related disorders (DSM5)
Clinicians and researchers working in the field of mental health make a distinction between:
- Somatic symptoms that are intentionally (consciously) simulated or feigned
- Somatic symptoms that are phenomenologically experienced as real
- Fears and beliefs about having or contracting an illness (regardless of phenomenological experience or feigning of symptoms)
Many of these concepts are conflated in SNOMED right now, so for the first iteration of review, we will use a single page to depict all concepts. In subsequent iterations of work, we will create separate pages to drill into concepts for factious (intentionally feigned) illness and illnesses in which a person phenomenologically experiences genuine symptoms of illness.
intentional simulation of symptoms
- factious disorder (disorder)
- malingering (finding)
- feigning of symptoms (finding)
- simulation of physical illness (finding)
phenomenological experience of genuine symptoms
hysterical simulation of disease (finding)
- term 'hysterical' implies symptoms are phenomenologically genuine (based on historic use of term)
- term 'simulation' implies symptoms are being faked
- the use of these two terms together makes this FSN ambiguous
compensation neurosis (finding)
- compensation neurosis implies secondary gain, but CRG consensus is that illness is not intentionally (consciously) motivated by secondary gain
- Are "simulation" and "feigning" different terms for the same idea
- Do "simulation" and "feigning" imply a person is physically acting out a symptom, or just that a person is intentionally misrepresenting the truth (e.g., verbal lies)
- Consider creating a concept that makes no claim about legitimacy of symptoms or the motivation for claiming to have a symptom
MAJOR CONCEPT HIERARCHIES (FINDINGS)
