A physical therapist recently convicted of multiple counts of Medicare fraud is brought to the emergency department after taking an overdose of sedatives. He tells the nurse, "Sure I overbilled. Why not? Everybody takes advantage of the government
They have too many rules. No one can abide by all of them.". These statements can be assessed as showing: a. glibness and charm.
b. superficial remorse.
c. lack of guilt feelings.
d. excessive suspiciousness.
C
Rationalization is being used to explain behavior and deny wrongdoing. The patient is not exhibiting regret or remorse, even superficially. A person who does not believe he or she has done anything wrong will not manifest anxiety, remorse, or guilt about the act. The patient's remarks do not seem designed to use charm to deflect negative consequences, and he is not glib about his situation.
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