Sometimes, the patient might have significant psychological motivators for reporting of symptoms. These motivators have been divided into secondary and primary gain.
A primary gaproduces positive internal motivations.
If a patient feels guilty about being unable to perform some task and if could justify it by some medical condition, he might not feel so bad.
Primary gain is most dramatically demonstrated in conversion disorder. The gain may not be particularly evident to an outside observer.« Back to Glossary Index