Munchausen??s Syndrome. Review and Report of an Additional Case

Ireland, P. S.; Sapira, Joseph D.; Templeton, Bryce

doi:10.1097/00043764-196809000-00040

“…The more severe Munchausen's syndrome is thought even less common but with a greater propensity for affecting men (Ireland et al, 1967), although Bhugra (1988) suggests there is nothing to confirm a difference in the gender ratio. People with Munchausen's syndrome have been described as typically being 'wandering sociopathic males' (Ireland et al, 1967;Carney, 1980), less stable and more aggressive individuals; most factitious disorders are seen in females, the 'non-wanderers' with less psychopathic traits (Carney, 1980).…”

Section: Epidemiologymentioning

confidence: 99%

“…The more severe Munchausen's syndrome is thought even less common but with a greater propensity for affecting men (Ireland et al, 1967), although Bhugra (1988) suggests there is nothing to confirm a difference in the gender ratio. People with Munchausen's syndrome have been described as typically being 'wandering sociopathic males' (Ireland et al, 1967;Carney, 1980), less stable and more aggressive individuals; most factitious disorders are seen in females, the 'non-wanderers' with less psychopathic traits (Carney, 1980). It has been noted that Munchausen's syndrome is likely to appear to be more common than other factitious disorders because of relative overreporting in the literature, which may be an artefact of the attitudes it induces in doctors and psychiatrists (Bursten, 1965), reducing the referral and reporting rate (Blackwell, 1968).…”

Section: Epidemiologymentioning

confidence: 99%

Neuropathica diabolica

Bourke¹,

Turner²

2008

Adv. psychiatr. treat

1

0

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In 1951 Asher described chronic factitious disorder characterised by dramatic presentations, histories and recurrent admissions. Asher initially described three types of presentation – acute abdominal (laparotamophilia migrans), haemorrhagic (haemorrhagia histrionica) and neurological (neuropathica diabolica). Factitious disorder is now included in both DSM–IV and ICD–10. Numerous case reports exist but the evidence base for effective management strategies remains relatively sparse. It is an uncommon disorder most often encountered in liaison psychiatry that remains difficult to manage and characteristically stimulates strong countertransference reactions in the teams involved. Psychiatric involvement remains vital in such cases although poor engagement is often a significant obstruction. As an illustration, we present a vignette based on case of a previously unreported variant of the neurological category involving Guillain-Barré syndrome.

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“…These stories of miraculous adventures and feats made Baron Munchausen famous and were perpetuated by a succession of authors into the present century. Although, according to Asher [2], Munchausen syndrome is a common condition, it probably appears common because a single patient is seen so frequently by so many doctors [4].…”

Section: Munchausen Syndromementioning

confidence: 99%

Do inherited prothrombotic factors have a role in myocardial infarction with normal coronary arteriogram?

Lande

¹

,

Dantec

²

,

Trossaërt

³

et al. 1999

Journal of Internal Medicine

7

0

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“…Munchausen Syndrome is a psychiatric disorder in which a patient feigns physical or psychiatric symptoms to play the sick role [1][2][3]. The patient is aware of the method used to fake symptoms, but the motivation is unconscious [2].…”

Section: Introductionmentioning

confidence: 99%

“…The patient is aware of the method used to fake symptoms, but the motivation is unconscious [2]. Unlike malingering, a secondary gain does not exist [1][2][3]. This illness can be life-threatening due to the inherent risks of the diagnostic and therapeutic procedures used to rule out pathology in these patients.…”

Section: Introductionmentioning

confidence: 99%