Iarsen F
Klinikk for psykiatri, Ullevål sykehus, Oslo.
Nord Med. 1991;106(12):330-2.
This syndrome is an infrequent, but dramatic disorder. The patients do intentionally produce or feign physical symptoms in order to assume a patient role without any other obvious gain. It also characterized by multiple admissions to different wards and hospitals over years. The disorder differs from the somatoform disorders by the voluntary produced symptomatology. From a psychiatric angle of view the possible comorbidity with personality disorders is highlighted. Medicolegal aspects of the disorder is also discussed, particularly the legitimacy of accepting these persons' status as patients. References are made to the man who has given the name to the syndrome; an eighteen century German baron whose tall tales from his military service were used as illustrations to the syndrome nearly one and a half century later.
这种综合征并不常见，但症状明显。患者故意制造或伪装身体症状，以扮演患者角色，并无其他明显企图。其特点还包括多年来多次入住不同病房和医院。该病症与躯体形式障碍的不同之处在于症状是自愿产生的。从精神病学角度来看，强调了与人格障碍可能存在的共病情况。文中还讨论了该病症的法医学方面，特别是接受这些人作为患者身份的合法性。文中提到了为该综合征命名的人；一位18世纪的德国男爵，近一个半世纪后，他在服役期间编造的荒诞故事被用作该综合征的例证。
