Munchausen's syndrome

Ireland, Patricia; Sapira, Joseph D.; Templeton, Bryce

doi:10.1016/0002-9343(67)90181-7

Cited by 116 publications

(23 citation statements)

References 50 publications

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“…The results in this way support other authors who have stated that Munchausen syndrome consti tutes a subtype of chronic factitious disorder with the main characteristics peregrination and pseudologia fantástica [9,10,12].…”

Section: Discussionsupporting

confidence: 91%

“…pupil differences in case No. 1) and build the symptoms around them [9,17], Patients with factitious illness are willing to undergo any diagnostic or ther apeutic procedure, no matter how strenuous this procedure might be, and they often have scars from numerous operations.…”

Section: Definition Of Termsmentioning

confidence: 99%

“…However, as pointed out by several au thors an important reason for the disagree ment and criticism of the syndrome which the inconstant and contradictory findings have resulted in may derive from the vari ability in the definition and the diagnostic criteria used by different authors [9,7,10].…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 91%

Section: Definition Of Termsmentioning

confidence: 99%

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Clinical Characteristics of the Munchausen Syndrome

Fink¹,

Jensen²

1989

Psychother Psychosom

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“…It is characterized by the intentional production or feigning of physical symptoms produced by a psychological need to assume the patient’s role. External incentives for the behavior, such as economic gain, better care or physical well-being, are absent [1, 2, 3, 4]. The syndrome, which is named after Baron von Münchausen [2], is also called pathologic malingering or chronic factitious illness.…”

Section: Introductionmentioning

confidence: 99%

Decreased Visual Acuity and Diplopia in a Patient with Münchausen Syndrome

Numata-Watanabe¹,

Hayasaka²,

Kadoi³

et al. 1998

Ophthalmologica

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A 20-year-old woman complained of decreased visual acuity in her left eye and diplopia. She had visited several hospitals previously. On examination, her left visual acuity varied, and her squint angle also changed. No organic disorders that could have caused the symptoms were noted. She complained of edema of her left arm. On admission to another hospital, her arm was found bound tightly with tape. She wanted surgery to correct her esotropia but did not expect to improve her quality of life by having it done. We believe that our patient may have Münchausen syndrome and that the decreased visual acuity and diplopia may be a rare association with the syndrome.

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“…The haemorrhagic patients simulated a bleeding from orifices of the body such as epistaxis [3,9], haemoptysis [3,8], otorrhag ia [3], haemorrhagia from the gum [3], eyes [3] and skin [3], metrorrhagia [4,9], haematuria [5,10] and haematemesis [9], In the literature, however, no cases of the bleeding Munchausen syndrome of the lip have been reported.…”

mentioning

confidence: 99%