A patient who is intentionally faking symptoms with a specific goal in mind is said to be?

The correct answer is found in the definition of malingering, which refers to the act of intentionally faking or exaggerating symptoms of a physical or mental condition for a specific external benefit. This can include goals such as avoiding work, obtaining financial compensation, or evading legal consequences. The intentional aspect of the behavior is crucial, as it distinguishes malingering from other conditions where symptoms may be faked but without a clear, identifiable external incentive.

In contrast, factitious disorder involves the fabrication of symptoms without an external incentive, as the motivation is typically to assume the role of a patient. Hypochondriasis (now classified as illness anxiety disorder) involves an excessive preoccupation with having a serious illness despite a lack of medical evidence, with no intention to deceive for personal gain. Somatization refers to the manifestation of psychological distress through physical symptoms, but again, without the intention of deception for external gain. Understanding these distinctions provides clarity on the intentional nature of malingering and its purpose.