The Dissimulation


Dissimulation is the desire of patients to hide their disease or its individual symptoms. Most often, dissimulation is observed in mentally ill patients with delusional disorders or in a state of depression. So, patients with delirium of jealousy, persecution tend to deny all the facts that indicate their wrong behavior. On the other hand, when they are placed in a hospital, in order to obtain an extract, they can say that they understood that they were sick before, but they have now "gone through".

If the doctor does not notice the dissimulation, the patients do not receive sufficient treatment, and after obtaining an extract from the hospital, they can commit dangerous actions for delusional reasons (revenge for hospitalization, which is considered delusional). In case of depression with ideas of self-incrimination, patients can dissimilate the condition, believing that they are not worthy of doctors' attention, "illegally eat state bread ", etc. Especially dangerous are cases when patients in a state of depression and desperation seek to commit suicide and, since it is difficult to implement in the hospital, begin to hide the severity of their condition and seek an extract with the intention to realize their aspirations for suicide.


Dissimulation (from Latin dissimulatio - concealment, concealment) - deliberate concealment of symptoms of his illness. The most often dissimulated mentally ill delusional ideas, hallucinations and depression with thoughts of suicide. Dissimulation can be observed in those patients who do not have a significant decrease in intelligence, and the patient understands that his painful symptom is perceived by others, contrary to the opinion of the patient himself, as a manifestation of mental illness. Not wanting to be placed in a psychiatric hospital, trying to get out of it, or for the purpose of carrying out some action connected with a painful symptom and resulting from it, the patients begin to assert that they have this painful manifestation and there is not. In other cases, patients claim that if they have had these painful manifestations in the past, they are no longer there.

Dissimulation of delusional ideas is often observed in mental illnesses, the main symptom of which is systematized delirium. Patients soon after the onset of the disease are convinced that their delusions and hallucinations are regarded by others as manifestations of a mental disorder and begin to dissimulate them.

Dissimulation can have a "positive" character: it helps to adapt to the environment, perform professional work and responsibilities in the family and everyday life. However, it also carries a great danger, since a patient with delusions, such as persecution, can commit murder or another kind of severe aggression against his supposed enemy. Hiding from his doctors and others his painful experiences, the patient can be prepared to commit a socially dangerous action and systematically implement it. Patients suffering from depression, realizing that the desire for suicide can be resisted, can also dissimulate, arguing that they have no thoughts of suicide. Having thus misled his relatives and doctors, the patients carry out their intention to commit suicide.

Dissimulation also occurs in somatic diseases, for example, in cases when the patient seeks to speed up discharge from the hospital or to be employed, which places particularly stringent requirements on the state of health.