Social Work Examination Services (SWES) Human Behavior Practice Test

What is the most likely diagnosis for a patient with back pain of unknown origin and a history of multiple hospitalizations, with no organic basis found?

1. Malingering

2. Psychosomatic Disorder

3. Hypochondriasis

4. Somatic Symptom Disorder

The correct answer is: Malingering

The scenario describes a patient experiencing back pain without an identifiable organic cause, along with a history of multiple hospitalizations. In this context, the most relevant diagnosis is Somatic Symptom Disorder. This disorder is characterized by the presence of physical symptoms that are distressing or disruptive to daily functioning and are often accompanied by excessive thoughts, feelings, or behaviors related to the symptoms. Individuals with Somatic Symptom Disorder genuinely experience and report their symptoms, which can include pain, but the physical aspects cannot be fully explained by a medical condition. Those diagnosed with Somatic Symptom Disorder may experience significant anxiety related to their health and may seek medical treatment multiple times without finding a definitive physical problem. Unlike malingering, where the individual intentionally fakes illness for tangible gain, a person with Somatic Symptom Disorder is not consciously producing or exaggerating their symptoms. Understanding the patient's mental state and emotional response to their physical pain is crucial in identifying this diagnosis. This condition reflects a complex interplay between psychological and physical symptoms, emphasizing the importance of recognizing the validity of the patient's experiences while also considering their psychological roots. Recognizing Somatic Symptom Disorder in this case is essential for developing a comprehensive treatment plan that addresses both the psychological and somatic elements of the patient's