Diagnosing Deliberate Disability in DSM-5: A Case Report and Critique

We assessed someone with conversion disorder who had an unusual characteristic - they explicitly wished to remain disabled. There are many analogues to this in different parts of medicine, but none of them are perfect. Indeed, although we conclude that this is pathological, we do not think it is captured anywhere in DSM-5. In particular, though it would seem most obviously to be considered Factitious Disorder, the revised criteria for DSM-5 would now exclude it.