hello suzanne,
looking up this disorder - it says in Merck that patients harm themselves 
and then go for help with this 'self-inflicted' symptom.
Malingering is defined in the oxford medical dic. as pretending to be ill to 
get out of work or get attention.
If the patient is harming themselves there are rubrics like:
mind - striking himself: then subrubrics as to the part of the body hit
mind - tearing himself
mind - biting himself
but these do not take into account the fact as to WHY they are doing this.  
do they want attention, care, sympathy, love, etc.  are they afraid of 
death, of being alone, of disease etc.
maybe trying to get to the root cause of this condition - as we do not treat 
conditions - we treat individuals.  we do not treat the disease pathology - 
but the fuction (cause) of disease - the disturbance of the vital force.
also, if they are not 'hurting' themselves but feel the symptoms and the 
doctors say it is malingering - they we must take the patients words of the 
sensations that is felt.  maybe there is no manifestation of the a 
pathological symptom but it is felt in the vital energy.  thus you can treat 
a 'disease' before it manifests on the physical level.
i hope this helps and i am very interested in this type of case.  i am 
meeting with a group tomarrow of very experienced homeopaths and can ask 
their opinion if you'd like.  you can email me personally at: 
holly_earley@hotmail.com  any more information you can give would be 
helpful.
good luck and hope to hear from you soon.
holly
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