When I teach workshops, I make the point that the clinician should never ask himself if the patient is ill or faking. That is the wrong question. Instead, the clinician should ask if the patient is malingering, whether he has genuine symptoms or not. For example, a person with genuine schizophrenia who kills his mother over a dispute about being given money from a social security check to buy drugs may then allege falsely that he heard God’s voice instructing him to kill his mother. The person is genuinely schizophrenic, but he is malingering a specific symptom in order to be excused from the crime by reason of insanity. Thus, the question is not, “Is the patient ill or faking?” but rather, “Whether ill or not, is the patient faking a particular symptom?”