This term refers to the use of physical symptoms to express a conflict, emotion, or desire with-in allowing it to enter the patient's consciousness.> Patient's enjoyment other family's attention is a form of "Secondary gain." Secondary gains, being experienced as plea sur- able, reinforce the symptoms.> There is no such dying as "Tertiary gain."> Suppression is a mature defense mechanism and consists of a voluntary decision to put a disturbing thought temporarily o.it of the conscious mind.> "indifference reaction" is associated with right hemispheric lesions and consists of symptoms of indifference toward failures and physical difficulties and lack of interest in family and friends.">