![]() ![]() ![]() People who have addictions such as substance abuse issues lie frequently. This process is life-changing, but it could be painful especially at first. You can help them get in touch with themselves. They want to stop lying, but they do not know how to do this. Even if they don’t realize it, they’ve come to you for help. A pathological liar has trust issues, ironically, and if you accuse them of being dishonest, they’re going to shut down. You can ask questions and gain insight into their character. If you want to help them, always believe your client, or act as if you do. It will embarrass them, and it won’t result in them getting the treatment that they need. Their lying serves a purpose, and it’s your job to solve the mystery what is your client gaining by lying to you and their loved ones?Įven if you realize that your client is lying, don’t call them out. They learned to lie to appease their abusers. Maybe as a child, the person was severely abused. They've seen evidence that telling the truth didn’t get them what they wanted, and they likely used lies as a survival mechanism. ![]() People that struggle with pathological lying have usually learned to do this from a young age. It certainly can be, and there are people who have personality disorders who compulsive lie so that they can manipulate others however, some people lie to survive, and not to hurt their loved ones. Pathological liars aren’t deliberately deceiving others What do you do as a therapist when you recognize that your client is lying? The problem is that when you realize that a client is not truthful, it’s difficult to help them because you don’t know what their actual problems are. They want to heal from whatever pain they’re going through, and that’s why they’re coming to therapy. The participants largely endorsed the proposition of including pathological lying in nosological systems such as the DSM and ICD, which could allow for accurate diagnosis and effective treatments.ĭeception Diagnosis Lying Pathological Lying Pseudologia Phantastica Therapists.When a client comes to you and wants help, you’re going to assume that they’re telling you the truth. By using a published definition of pathological lying, respondents (N=156) were able to reliably identify cases of pathological lying portrayed in clinical vignettes and were able to consistently discriminate between pathological lying and both related and unrelated disorders. Respondents reported usually offering a diagnosis other than pathological lying, such as a personality disorder. The behavior typically had begun during adolescence and had continued for ≥5 years. Clinicians described these patients as lying with great frequency and indicated that lying caused marked distress and impaired functioning in social, occupational, financial, and legal domains. Most practitioners reported clinical experience with patients exhibiting pathological lying, although such patients made up a small proportion of their caseloads. Participants were also presented with four clinical vignettes and a definition of pathological lying and were asked to determine whether the individuals portrayed in the vignettes met that definition. Psychotherapists (N=295) were recruited and asked to report about their experiences with patients who engaged in pathological lying. The current study aimed to survey practitioners about their experiences working with clients who engage in pathological lying and to examine practitioners' abilities to diagnose pathological lying. ![]() Recent research has supported pathological lying as a diagnostic entity, although it remains absent from nosological systems. Pathological lying has been discussed in the research literature for more than a century, mostly in case studies. ![]()
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