Abstract

DIAZ SALAZAR, César Eloy. Simulation and deception in assessing practice. Med. segur. trab. [online]. 2014, vol.60, n.235, pp.379-391. ISSN 1989-7790.  https://dx.doi.org/10.4321/S0465-546X2014000200010.

When a patient goes to the welfare doctor, its main interest is, in general, cured being of its disease; but in the evaluator medicine usually they are in game other very different interests (mainly economic, although also another type of social benefits, for example), reason why is not infrequent that the patient, or subject object of the valuation, tries to obtain the greater possible benefit of his situation, even using all type of ruses (exaggeration, simulation, dissimulation, etc.) to try to deceive the evaluator doctor on the gravity or functional affectation that produces the pathology to him that presents/displays or alleges. This is not something new, and we can find numerous antecedents throughout History, as much religious (Bible, for example), like civilian (Greek books of history, Literature, etc.) and medical (Hippocrates, Galen, etc.). The purpose of the simulation is always the same one, and some of the methods also used, but also they have been developed diverse techniques to obtain it and, therefore, also to detect it. Diverse medical authors have tried to describe the indicators that can orient towards the existence of some type of simulation, they have established technical to try to arrive at his diagnosis and differentiation from the real affectation, and have described to the different forms or modalities in which it is possible to be presented/displayed. With this article it is tried "to ignite" in the conscience of the evaluator doctor "the light bulb" that makes think him about its existence, and to indicate some tools to him that him can be useful in their daily task.

Keywords : simulation; exaggeration; criteria; modalities.

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