Chronic Factitious Illness

Spiro, Herzl R.

doi:10.1001/archpsyc.1968.01740050057010

Cited by 138 publications

(38 citation statements)

References 38 publications

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“…Many of the associated characteristics of the syndrome such as criminality during fraud, social isolation etc may be easier to under stand in this light. The patients' self-mutilat ing behavior and willingness to undergo painful procedures can thus be seen as the price which has to be paid for playing a role, instead of as a masochistic tendency, which has also been suggested [8,16], To conclude, the cases published under the eponym Munchausen syndrome do not constitute a homogeneous group, but can be differentiated into two separate groups when using the original characteristics of Asher (factitious illness -self-inflicted illness -, pseudologia fantastica, peregrination and dramatic admission circumstances). Most of the criticism of the syndrome may be based on the lack of diagnostic criteria.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of the Munchausen Syndrome

Fink¹,

Jensen²

1989

Psychother Psychosom

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The term Munchausen syndrome was introduced by Asher in 1951 for the description of patients who tell fantastic stories and deliberately seek repeated hospitalizations at different hospitals for simulated or self-induced acute illnesses. The syndrome has been repeatedly criticized and several other eponyms have been suggested. In DSM-III-R the designation chronic factitious disorder is used synonymously with Munchausen syndrome. On the basis of 3 new case reports and a statistic processing of literature case histories, this paper suggests that when using the original criteria by Asher, the syndrome constitutes a subtype of chronic factitious disorders, specially characterized by factitious illness, peregrination, pseudologia fantastica and dramatic admission circumstances. Further, most of the criticism of the syndrome may be a result of the great variability in definitions and diagnostic criteria used by different authors. Other clinical characteristics of the patients as well as psychopathologic and psychodynamic considerations are briefly discussed.

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Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of the Munchausen Syndrome

Fink¹,

Jensen²

1989

Psychother Psychosom

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“…Although this disorder may in fact be preceded by a nat ural organic disease, it is later virtually impos sible to distinguish the original disease from the complications of self-injurious behavior or from iatrogenic complications occurring during the treatment of such behavior [6,13,14], The primary surgical procedure is often performed in the abdominal region (e.g., ap pendectomy, cholecystectomy, adnexectomy), however, it can also take place as treat ment for a superficial wound or following trauma. Although patients with self-injurious behavior are encountered in all of the surgical disciplines, they gravitate toward the areas of abdominal surgery and traumatology.…”

Section: Factitious Disorders In the Field Of Surgery Definitionsmentioning

confidence: 99%

Factitious Disorders in the Field of Surgery

Paar¹

1994

Psychother Psychosom

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“…Homens e mulheres com síndrome de Munchausen têm sido diagnosticados como histéricos, com personalidades psicopáticas, neuróticos ou até esquizofrênicos 20 . Os critérios diagnósticos para a Síndrome de Munchausen segundo o DSM-IV são: produção consciente dos sintomas e sinais, interesse primário de assumir a condição de doente, o paciente não tem outro ganho que o de ser doente e predomínio dos sintomas e sinais físicos 4 .…”

Section: Discussionunclassified

Síndrome de Munchausen e pseudoparaplegia: relato de caso

Fustes

Silva

et al. 1999

Arq. Neuro-Psiquiatr.

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RESUMO -Apresentamos uma paciente com "paraplegia" de oito anos de evolução, que se internou para retirada de agulhas em região lombar e apresentava história de insuficiência renal, câncer de esôfago, ovários e mama, suspeita de tuberculose pulmonar e várias internações em hospitais clínicos e psiquiátricos. No exame psiquiátrico encontramos indiferença à sua doença, prolixidade e descrição detalhada de seus problemas, falando mal dos atendimentos anteriores. Não encontramos evidências de processos neoplásicos. Tinha movimento em bloco de membros inferiores, com preservação dos reflexos e sensibilidade. A eletromiografia, a tomografia de crânio, a ultra-sonografia abdominal e o RX de tórax foram normais. No RX e na tomografia de coluna lombo-sacra observamos 16 agulhas, semelhantes às de costura, em partes moles. Diagnosticada como síndrome de Munchausen, depois de 15 dias de internação com tratamento antidepressivo, psicoterapia e fisioterapia, melhorou. Três meses depois, a paciente encontrava-se assintomática, não voltando mais ao ambulatório.PALAVRAS CHAVES: síndrome de Munchausen, pseudoparaplegia. Syndrome of Munchausen and pseudoparaplegia: case reportABSTRACT: We present a 36 years old female, with a 8 years history of "paraplegia", who was admitted to our department to have "some needles withdrown" from her back. She refered previous admittances to general and psychiatric hospitals in order to treat several episodes of renal failure, combined with other clinical conditions like pulmonary tuberculosis and esophagus, ovary and breast cancer. On the psychiatric evaluation, we found a patient who seemed to be indifferent to her disease, giving accurate and very elaborated description of her symptoms. She was always complaining about previous medical therapies She moved her both legs simultaneously, without any impairment on reflexes and sensibility. We did not find evidence of tumor processes. The electromyography, cranial CT scan, abdominal ultrasound scan and chest X-ray were normal. Lumbosacral Xray and CT scan showed 16 sewing needles widespread in the lumbosacral soft tissues. A diagnosis of Munchausen syndrome was firmed. After a 15-day trial of anti depressive drug, physiotherapy and psychotherapy, her clinical status significantly improved, reverting its neurological picture after treatment.KEY WORDS: Munchausen syndrome, pseudoparaplegia.Karl Friedrich Hieronymus von Munchausen (1720-1797) serviu nas forças armadas russas na guerra contra os turcos (1672-1763). Após brilhante carreira militar aposentou-se e foi morar perto de Hannover, onde divertia seus amigos e convidados com recordações de suas aventuras na maioria das vezes de forma exagerada, porém não existem evidências que levasse suas histórias à sério. Em 1785, Rudolf Eric Raspe publica o livro "Baron von Munchausen`s narrative of his

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Chronic Factitious Illness

Cited by 138 publications

References 38 publications

Clinical Characteristics of the Munchausen Syndrome

Clinical Characteristics of the Munchausen Syndrome

Factitious Disorders in the Field of Surgery

Síndrome de Munchausen e pseudoparaplegia: relato de caso

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