Reisner Andrew D
Appalachian Behavioral Healthcare, Cambridge, OH 43725, USA.
Int J Offender Ther Comp Criminol. 2006 Jun;50(3):245-54. doi: 10.1177/0306624X05281880.
A case of Munchausen syndrome by proxy (factitious disorder by proxy) wherein the patient presented with symptoms of severe borderline personality disorder and questionable psychotic symptoms is discussed. This patient was also adjudicated for harassing and stalking a child protective services worker assigned to her case. Issues pertaining to possible feigning of psychotic symptoms were addressed in her inpatient treatment. Despite doubts concerning the veracity of some of her psychotic symptoms, the patient responded well to clozapine, and she was subsequently able to stay out of the psychiatric hospital for longer periods and make a reasonably good adjustment to living in a group home. After refusing to continue with clozapine therapy because of weight gain concerns, her adjustment declined.
本文讨论了一例代理孟乔森综合征（代理人为因素障碍）病例，该患者表现出严重边缘性人格障碍症状以及可疑的精神病性症状。该患者还因骚扰和跟踪负责其案件的儿童保护服务工作者而受到裁决。在其住院治疗中探讨了可能伪装精神病性症状的相关问题。尽管对她一些精神病性症状的真实性存在疑虑，但该患者对氯氮平反应良好，随后能够在较长时间内不住进精神病院，并在集体之家生活中做出了合理良好的调整。在因担心体重增加而拒绝继续氯氮平治疗后，她的情况恶化。
