What is the main difference between factitious disorder and malingering?

The primary distinction between factitious disorder and malingering lies in the motivation behind the behavior. Malingering is characterized by the intentional production or exaggeration of symptoms for external incentives, such as financial gain, avoidance of work, or obtaining drugs. In this case, the individual engages in deceptive behavior with a clear goal in mind, which is classified as "obvious secondary gain."

On the other hand, factitious disorder entails an individual engaging in similar deceptive behaviors, but the motivation is primarily internal, often stemming from a psychological need to assume the sick role rather than for any tangible external rewards. Individuals with factitious disorder may seek medical attention or undergo procedures not for external benefits, but to gain attention and sympathy associated with being ill.

The option that states that malingering has obvious secondary gain accurately captures the essence of this disorder, emphasizing the external motives that distinguish it from factitious disorder. This understanding is crucial in clinical settings to differentiate between the two and provide appropriate care and management.