Primary and secondary gain - Revision history

Toadspike: Adding local short description: "Psychoanalytic reason for disease", overriding Wikidata description "aspect of a disease"

2024-06-11T10:20:30Z

Adding local short description: "Psychoanalytic reason for disease", overriding Wikidata description "aspect of a disease"

← Previous revision		Revision as of 10:20, 11 June 2024
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			{{Short description\|Psychoanalytic reason for disease}}
	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}
	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

OAbot: Open access bot: doi added to citation with #oabot.

2023-08-13T02:22:15Z

Open access bot: doi added to citation with #oabot.

← Previous revision		Revision as of 02:22, 13 August 2023
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	==Secondary gain==		==Secondary gain==
	Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|last1=Jones\|first1=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|doi=10.5920/mhldrp.2008.52300 \|via=MHLDRP]}}</ref>		Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|last1=Jones\|first1=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|doi=10.5920/mhldrp.2008.52300 \|via=MHLDRP]\|doi-access=free}}</ref>

	==Tertiary gain==		==Tertiary gain==

Dgpop: Fixed citation error.

2023-04-17T14:04:51Z

Fixed citation error.

← Previous revision		Revision as of 14:04, 17 April 2023
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	==Secondary gain==		==Secondary gain==
	Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|last1=Jones\|first1=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|doi=10.5920/mhldrp.2008.52300 \|via=~~[https://www.mhldrp.org.uk~~ MHLDRP]}}</ref>		Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|last1=Jones\|first1=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|doi=10.5920/mhldrp.2008.52300 \|via=MHLDRP]}}</ref>

	==Tertiary gain==		==Tertiary gain==
	Tertiary gain, a less well-studied process, is the benefit that a third-party receives from the patient's symptoms.<ref>{{Cite journal\|last=Dansak\|first=Daniel\|date=November–December 1973\|title=On the tertiary gain of illness\|url=https://www.sciencedirect.com/science/article/abs/pii/0010440X73900382\|journal=Comprehensive Psychiatry\|volume=14\|issue=6\|pages=523–534\|doi=10.1016/0010-440X(73)90038-2 \|pmid=4764353 \|via=[[ScienceDirect]]}}</ref> It includes [[gaslighting]] wherein a person, such as a family member or [[healthcare]] worker for financial or other reasons, manipulates a patient into believing that they are ill. Tertiary gain can also be received when, for example, a [[pharmaceutical]] company runs [[advertisements]] to convince viewers they have symptoms which require treatment with the company's drug{{Citation needed\|date=July 2021}}.		Tertiary gain, a less well-studied process, is the benefit that a third-party receives from the patient's symptoms.<ref>{{Cite journal\|last=Dansak\|first=Daniel\|date=November–December 1973\|title=On the tertiary gain of illness\|url=https://www.sciencedirect.com/science/article/abs/pii/0010440X73900382\|journal=Comprehensive Psychiatry\|volume=14\|issue=6\|pages=523–534\|doi=10.1016/0010-440X(73)90038-2 \|pmid=4764353 \|via=ScienceDirect}}</ref> It includes [[gaslighting]] wherein a person, such as a family member or [[healthcare]] worker for financial or other reasons, manipulates a patient into believing that they are ill. Tertiary gain can also be received when, for example, a [[pharmaceutical]] company runs [[advertisements]] to convince viewers they have symptoms which require treatment with the company's drug{{Citation needed\|date=July 2021}}.

	==References==		==References==

Dgpop: /* top */ MOS:NOTED

2023-04-17T14:03:01Z

top: MOS:NOTED

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	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}
	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. ~~It is important to note that if~~ these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

	==Primary gain==		==Primary gain==

Citation bot: Add: pmid, doi, authors 1-1. Removed parameters. Some additions/deletions were parameter name changes. | Use this bot. Report bugs. | Suggested by Corvus florensis | #UCB_webform 237/3499

2023-02-13T03:44:25Z

Add: pmid, doi, authors 1-1. Removed parameters. Some additions/deletions were parameter name changes. | Use this bot. Report bugs. | Suggested by Corvus florensis | #UCB_webform 237/3499

← Previous revision		Revision as of 03:44, 13 February 2023
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	==Secondary gain==		==Secondary gain==
	Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|~~last~~=Jones\|~~first~~=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|via=[https://www.mhldrp.org.uk MHLDRP]}}</ref>		Secondary gain can also be a component of any disease, but is an external motivator. If a patient's disease allows them to miss work, avoid [[military]] duty, obtain [[financial]] compensation, obtain [[drugs]], avoid a [[jail]] sentence, etc., these would be examples of a secondary gain. For instance, an individual having household chores completed by someone else because they have [[stomach cramp]]s would be a secondary gain. In the context of a person with a significant psychiatric disability, this effect is sometimes called "secondary handicap".<ref>{{Cite journal\|last1=Jones\|first1=Robert\|last2=Harrison\|first2=Carmel\|last3=Bell\|first3=Melany\|date=18 October 2008\|title=Secondary Handicap & Learning Disability: A Component Analysis\|url=https://www.mhldrp.org.uk/article/id/326/\|journal=Mental Health and Learning Disabilities Research and Practice\|volume=5\|issue=2\|pages=300–311\|doi=10.5920/mhldrp.2008.52300 \|via=[https://www.mhldrp.org.uk MHLDRP]}}</ref>

	==Tertiary gain==		==Tertiary gain==
	Tertiary gain, a less well-studied process, is the benefit that a third-party receives from the patient's symptoms.<ref>{{Cite journal\|last=Dansak\|first=Daniel\|date=November–December 1973\|title=On the tertiary gain of illness\|url=https://www.sciencedirect.com/science/article/abs/pii/0010440X73900382\|journal=Comprehensive Psychiatry\|volume=14\|issue=6\|pages=523–534\|via=[[ScienceDirect]]}}</ref> It includes [[gaslighting]] wherein a person, such as a family member or [[healthcare]] worker for financial or other reasons, manipulates a patient into believing that they are ill. Tertiary gain can also be received when, for example, a [[pharmaceutical]] company runs [[advertisements]] to convince viewers they have symptoms which require treatment with the company's drug{{Citation needed\|date=July 2021}}.		Tertiary gain, a less well-studied process, is the benefit that a third-party receives from the patient's symptoms.<ref>{{Cite journal\|last=Dansak\|first=Daniel\|date=November–December 1973\|title=On the tertiary gain of illness\|url=https://www.sciencedirect.com/science/article/abs/pii/0010440X73900382\|journal=Comprehensive Psychiatry\|volume=14\|issue=6\|pages=523–534\|doi=10.1016/0010-440X(73)90038-2 \|pmid=4764353 \|via=[[ScienceDirect]]}}</ref> It includes [[gaslighting]] wherein a person, such as a family member or [[healthcare]] worker for financial or other reasons, manipulates a patient into believing that they are ill. Tertiary gain can also be received when, for example, a [[pharmaceutical]] company runs [[advertisements]] to convince viewers they have symptoms which require treatment with the company's drug{{Citation needed\|date=July 2021}}.

	==References==		==References==

Rlink2: theres templates and admin noticeboard for that

2021-10-24T13:23:09Z

theres templates and admin noticeboard for that

← Previous revision		Revision as of 13:23, 24 October 2021
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	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}

	'''NOTE''': This article is disputed. The discriptions of "primary and secondary (morbid) gain" seem to be incorrect. The general term is "morbid gain"; the Wikipedia entry's name should be changed to that. Correct descriptions of "primary and secondary morbid gain" can be found for example in the corresponding German article; readers are adviced to refer to that article and use an online translation service until the English language article has been re-written. ''Note to Wikipedia administrators: Please add a warning to this article.''

	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

77.189.110.31 at 13:22, 24 October 2021

2021-10-24T13:22:37Z

← Previous revision		Revision as of 13:22, 24 October 2021
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	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}

	'''NOTE''': This article is disputed. The discriptions of "primary and secondary (morbid) gain" seem to be incorrect. The general term is "morbid gain"; the Wikipedia entry's name should be changed to that. Correct descriptions can be found for example in the corresponding German article; readers are adviced to refer to that article and use an online translation service until the English language article has been re-written. ''Note to Wikipedia administrators: Please add a warning to this article.''		'''NOTE''': This article is disputed. The discriptions of "primary and secondary (morbid) gain" seem to be incorrect. The general term is "morbid gain"; the Wikipedia entry's name should be changed to that. Correct descriptions of "primary and secondary morbid gain" can be found for example in the corresponding German article; readers are adviced to refer to that article and use an online translation service until the English language article has been re-written. ''Note to Wikipedia administrators: Please add a warning to this article.''

	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

77.189.110.31 at 13:22, 24 October 2021

2021-10-24T13:22:07Z

← Previous revision		Revision as of 13:22, 24 October 2021
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	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}

			'''NOTE''': This article is disputed. The discriptions of "primary and secondary (morbid) gain" seem to be incorrect. The general term is "morbid gain"; the Wikipedia entry's name should be changed to that. Correct descriptions can be found for example in the corresponding German article; readers are adviced to refer to that article and use an online translation service until the English language article has been re-written. ''Note to Wikipedia administrators: Please add a warning to this article.''

	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

Marcocapelle: /* References */broader category

2021-09-30T19:40:44Z

References: broader category

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	==References==		==References==
	<references />		<references />
	[[Category:~~Mental~~ ~~and behavioural disorders~~]]		[[Category:Psychiatric diagnosis]]

Sundayclose: Too narrow. Most physicians have never heard of this concept.

2021-08-31T15:11:15Z

Too narrow. Most physicians have never heard of this concept.

← Previous revision		Revision as of 15:11, 31 August 2021
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	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}
	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. It is important to note that if these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>

	==Primary gain==		==Primary gain==

← Previous revision		Revision as of 10:20, 11 June 2024
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			{{Short description\|Psychoanalytic reason for disease}}
	{{other uses\|Gain (disambiguation)}}		{{other uses\|Gain (disambiguation)}}
	'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>		'''Primary gain''' and '''secondary gain''', and more rarely '''tertiary gain''', are [[Terminology\|terms]] used in [[medicine]] and [[psychology]] to describe the significant subconscious [[psychological]] [[motivation\|motivators]] patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered [[malingering]]. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work.<ref>{{Cite book\|title=Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR)\|publisher=[[American Psychiatric Association]]\|year=2000\|isbn=9780890420256\|location=[[Washington, D.C.]]}}</ref>