Aggravation Active

Aggravation Active: Self-conscious Deterioration of Health

In the world of medicine, there is a phenomenon known as active aggravation, which describes the deliberate actions of a patient aimed at worsening his health or prolonging the disease. This strange and controversial phenomenon is of interest and challenge to medical professionals who encounter it in their practice. In this article we will consider the concept of active aggravation, its possible causes and consequences, as well as methods for diagnosing and treating this phenomenon.

Active aggravation is a difficult problem because it contradicts a person’s normal desire to recover and improve his health. While most people strive to overcome illness and achieve full recovery, some individuals, for reasons that are unclear, take deliberate steps in the opposite direction.

The causes of active aggravation can be varied and individual for each patient. Some studies point to psychological factors, such as seeking attention or sympathy from others, feelings of worthlessness, or a desire to avoid certain obligations or responsibilities. Patients suffering from chronic illnesses may use active aggravation as a way to control their lives or as a way to draw attention to their condition.

The consequences of active aggravation can be serious and even dangerous for the patient. Deterioration in health can lead to complications of the disease, longer treatment times and suffering, as well as additional financial and emotional costs. Moreover, active aggravation can have a negative impact on the patient's relationships with medical professionals and others, causing mistrust and frustration.

Diagnosing active aggravation can be challenging for medical professionals. It is important to conduct a thorough medical examination to rule out other possible causes of deterioration in health. It is also necessary to conduct a conversation with the patient to understand his motivation and emotional state. Consultation with a psychologist or psychiatrist may be useful to determine the psychological factors affecting the patient and causing active aggravation.

Treatment of active aggravation includes many aspects and can be individualized for each patient. It should be based on psychological support and therapy aimed at identifying and solving the main reasons that prompt the patient to active aggravation. Cognitive behavioral therapy may be helpful in changing the negative thoughts and behavior patterns that support this problem. It is important to create a supportive environment where the patient can discuss their emotions and concerns and receive help in developing alternative strategies for managing their health.

Prevention of active aggravation also plays an important role. This includes patient education about self-management strategies, support, and access to resources to help when needed. It is also important for the medical staff to interact with the patient to establish trust and effective communication.

In conclusion, active aggravation is a complex and controversial phenomenon faced by medical professionals. Understanding the patient's motivation and providing appropriate psychological support plays an important role in the diagnosis and treatment of this phenomenon. Further research and exchange of experience among professionals will help improve our knowledge of active aggravation and develop effective treatment strategies for patients suffering from this problem.



Aggravation, or active fantasy - deliberate exaggeration of signs of illness or an increase in complaints, needs, symptoms of illness; manifestation of psychopathological defense against unbearable psychotraumatic experiences caused by a feeling of inferiority or a feeling of social rejection. Active fantasizing (symptom) can be observed during pathological fantasizing (hallucinatory delusions) and within the framework of hysterical anesthesia (the patient loses sensitivity). In the 1980s, active fantasizing was often encountered in clinical practice due to the characteristics of the therapeutic environment, in particular, due to the therapeutic indifference of some doctors during the era of general privatization of health care. Attempts to detail and actively generalize a symptom and talk with patients in order to verify the existence of fables (which they can provide an indication of) were met with a negative attitude from professionals towards them. Over time, this practice was condemned as inhumane, and after this, many doctors, who had heard a lot about them, stopped following the example of the so-called “walking” trend.

In the first half of the twentieth century, the concept of “active fantasizing” was designated as one of the key terms for denoting obsessive-compulsive disorder, which avoided confusion with other pseudohallucination syndromes and formed a more formal approach to diagnosis. At the present stage, the term “active fantasy disorder” (in English literature) is associated with concepts associated with pedophilia as a disorder of attachment. At the same time, active fantasizing ceases to be a problem only for people with obsessions and compulsions (then it was considered part of the pathological compulsive syndrome); now actively fantasy behavior has begun to be considered as an independent disorder.