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Multiple Meanings of Secondary Gain

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Abstract

The historical development of the concept of “secondary gain” is described in this article. Freud introduced this concept as a complement to “primary gain.” Freud modified the scope of both concepts during his career, but they remained within the boundary of an intrapsychological mechanism. Outside psychoanalysis, the concept of secondary gain has acquired further meaning with higher emphasis on interpersonal and social aspects. Consequently, it is often unclear what a writer or speaker means when he uses the term secondary gain. The different meanings of secondary gain in and outside psychoanalysis are illustrated with reference to literature and case reports.

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REFERENCES

  • Barksy A. J., & Klerman, G. L. (1983). Overview: Hypochondriasis, bodily complaints, and somatic styles. The American Journal of Psychiatry, 140, 273–283.

    Google Scholar 

  • Bokan, J. A., Ries, R. K., & Katon, W. J. (1981). Tertiary gain and chronic pain. Pain, 10, 331–335.

    Google Scholar 

  • Connors, D. D. (1985), Women's 'sickness': A case of secondary gains of primary losses. Advances in Nursery Science, 7(3), 1–17.

    Google Scholar 

  • Craig, T. K. J., Drake, H., Mills, K., & Boardman, A. P. (1994). The South London Somatisation Study II. Influence of stressful life events and secondary gain. British Journal of Psychiatry, 165, 248–258.

    Google Scholar 

  • Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). (1980). Washington, DC: American Psychiatric Association.

  • Diagnostic and Statistical Manual of Mental Disorders (4th ed.). (1994). Washington, DC: American Psychiatric Association.

  • Finneson, B. E. (1978). Modulating effect of secondary gain on the low back pain syndrome. Advances of Pain Research and Therapy, 1, 949–952.

    Google Scholar 

  • Fishbain, D. A., Rosomoff, H. L., Cutler, R. B., & Rosomoff, R. S. (1995). Secondary gain concept: A review of the scientific evidence. The Clinical Journal of Pain, 2, 6–21.

    Google Scholar 

  • Freud, S. (1953). Fragment of an analysis of a case of hysteria. Standard Edition, 7, 1–122. London: Hogarth Press. (Original work published 1905)

    Google Scholar 

  • Freud S. (1959). Some general remarks on hysterical attacks. Standard Edition, 9, 229–234. London: Hogarth Press. (Original work published 1909)

    Google Scholar 

  • Freud S. (1963). Introductory lectures on psychoanalysis. Standard Edition, 16, 358–391. London: Hogarth Press. (Original work published 1963)

    Google Scholar 

  • Maldofsky, H., Wong, M. T., & Lue, F. A. (1993). Litigation, sleep symptoms and disabilities in post-accident pain (fibromyalgia). Journal of Rheumatology, 20, 1935–1940.

    Google Scholar 

  • Mayou, R., Tyndel, S., & Bryant, B. (1997). Long-term outcome of motor vehicle accident injury. Psychosomatic Medicine, 6, 578–584.

    Google Scholar 

  • Mechanic, D., & Volkert, E. H. (1960). Illness behavior and medical diagnoses. Journal of Health and Human Behavior, 1, 86–94.

    Google Scholar 

  • Mendelson, G. (1983). The effect of compensation and litigation on disability following compensable injuries. American Journal of Forensic Psychiatry, 4, 97–112.

    Google Scholar 

  • Nemiah, J. C. (1963), Psychological complications in industrial injuries. Archives of Environmental Health, 7, 482–486.

    Google Scholar 

  • Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.

    Google Scholar 

  • Radley, A., & Green, R. (1985). Styles of adjustment to coronary graft surgery. Society of Scientific Medicine, 20, 461–472.

    Google Scholar 

  • Raskin, M., Talbott, J. A. & Meyerson, A. T. (1966). Diagnosis of conversion reactions. Journal of the American Medical Association, 197, 102–106.

    Google Scholar 

  • Rünke, H. C. (1971). Psychiatrie. Volume 1 (pp. 291–292). Utrecht: Scheltema en Holkema.

    Google Scholar 

  • Schoen, M. (1993). Resistance to health: When the mind interferes with the desire to become well. American Journal of Clinical Hypnosis, 36, 47–54.

    Google Scholar 

  • Stout, M. A. (1984). A cognitive-behavioral study of self-reported factors in migraine. Psychopathology, 17, 290–296.

    Google Scholar 

  • Strauss, I., & Savitsky, M. (1934). The sequence of head injury, the psychogenic factor. American Journal of Psychiatry, 91, 189–201.

    Google Scholar 

  • Weighill, V. E., & Buglass, D. (1989). An updated review of compensation neurosis. Pain Management, 2, 100–105.

    Google Scholar 

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van Egmond, J.J. Multiple Meanings of Secondary Gain. Am J Psychoanal 63, 137–147 (2003). https://doi.org/10.1023/A:1024027131335

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  • DOI: https://doi.org/10.1023/A:1024027131335

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