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.
If a medical condition justifying an inability is present, it may lead to decreased psychological stress.
For instance, an individual having household chores completed by someone else because they have stomach cramps would be a secondary gain.
[2] Tertiary gain, a less well-studied process, is the benefit that a third-party receives from the patient's symptoms.
[3] 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.