Lleshi V, Le Goff-Cubilier V, Budry P, Bryois C
Service de psychogériatrie, Secteur psychiatrique Ouest vaudois, 1188 Gimel.
Rev Med Suisse. 2007 Apr 4;3(105):890-3.
In every day practice, it is difficult, sometimes impossible, and always ethically delicate to determine the differential diagnosis between: disorders of a somatic nature, simulation and factitious disorders, as much for the psychiatrist as for the general practitioner in the front line. Our aim is to lead a reflection on this controversial theme on the basis of a clinical illustration.
在日常实践中,无论是对精神科医生还是一线的全科医生来说,确定躯体性疾病、伪装和做作性障碍之间的鉴别诊断都很困难,有时甚至不可能,而且在伦理上总是很微妙。我们的目的是基于一个临床实例,对这个有争议的主题进行思考。