The authors declares that there is no conflict of interest.
SIMULAÇÃO E DISSIMULAÇÃO NA PERÍCIA MÉDICA
Fabio Tadeu Panza (1)
http://lattes.cnpq.br/5528930004210470 – ORCID: 0000-0001-7841-7461
Viviam Paula Lucianelli Spina (1)
http://lattes.cnpq.br/8042791240784011 – ORCID: 0000-0001-9196-3061
Lucas Pedroso Fernandes Ferreira Leal (1)
http://lattes.cnpq.br/4910203611295452 – ORCID: 0000-0001-6489-2931
(1) Instituto de Medicina Social e de Criminologia do Estado de São Paulo (IMESC), Brasil (main author).
The expert must stay alert to the possibility of malingering, a well recognized difficulty, as there’s often secondary gains, whether they are social security, tax exemptions or even monetary benefits. Legal examination differs from the general practice, in which the patient shares a trusting relationship with his physician, reliably informing his symptoms and collaborating with the clinical examination. In medical expertise, there is no such relationship of trust or broad collaboration. Malingering has distinct characteristics, such as expressing or hiding a certain disease. The expert must then make use of all the technical knowledge of the pathophysiology and apply specific tools of the expert testimony in order to identify the real health condition of the individual, and thus better inform the requesting authority.
Key-words: simulation, concealment, medical expertise
 McCarney R, Warner J, Iliffe S, van Haselen R, Griffin M, Fisher p. The Hawthorne Effect: a randomized, controlled trial. BMC Medical Research Methodology. 2007; 7:p30
 Reich SG. Psychogenic movement disorders. Semin Neurol. 2006; 26(3): p289-96
 Stone J, Carson A, Sharpe M. Functional symptoms and signs in neurology: assessment and diagnosis. J Neurol Neurosurg Psychiatry. 2005 Mar; 76 Suppl 1:pi2-12
 Neto MRL, Elkis H. Psiquiatria Básica. São Paulo: Editora Artmed, 2007.
 Schiele BC, Baker AB, Hathaway SR. The Minnesota multiphasic personality inventory. Journal-Lancet. 1943; 63: p292–297
 BRASIL. Lei 11.690, de 9 de junho de 2008. Código de Processo Penal
 Aamodt M, Custer H. Who Can Best Catch a Liar?: A Meta-Analysis of Individual Differences in Detecting Deception. Forensic Examiner. 2006; 15 (1): p 6-11
 Pimenta CAM, Teixeira MJ. Questionário de dor McGill: proposta de adaptação para a língua portuguesa. Rev Esc Enf USP. 1996; 30 (3): p. 473-83.
 BRASIL. Código Penal, Artigo 297.
 BRASIL. Código Penal, Artigo 340.
Código dos Homens Honestos, Balzac H. – 1825
O Pequeno Tratado das Grandes Virtudes, Comte-Sponville A. – 1995
Le Tragique de la Décision Médicale, Devictor D. – 2008