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做作性障碍治疗中的挑战:一项病例研究。

Challenges in the treatment of factitious disorder: a case study.

作者信息

Hagglund Leigh A

机构信息

Human Services, Inc. of Washington County, Oakdale, MN 55128, USA.

出版信息

Arch Psychiatr Nurs. 2009 Feb;23(1):58-64. doi: 10.1016/j.apnu.2008.03.002. Epub 2008 Oct 15.

DOI:10.1016/j.apnu.2008.03.002
PMID:19216989
Abstract

Factitious disorder is difficult to diagnose and effectively treat. It is often met with intense emotion by both the care provider(s) and the client when suspected. However, if missed or untreated, it can become a chronic syndrome that is expensive and potentially dangerous. This article examines barriers to successful treatment of factitious disorder as manifested by a woman who received services from an urban community mental health center over a 7-year period for the management of multiple mental health issues. The unique role of the advanced practice psychiatric nurse is discussed through application of the nursing theory modeling and role modeling.

摘要

做作性障碍难以诊断和有效治疗。当被怀疑时,医护人员和患者通常都会对此产生强烈情绪反应。然而,如果漏诊或未得到治疗,它可能会成为一种慢性综合征,代价高昂且有潜在危险。本文探讨了一名女性在7年时间里从城市社区心理健康中心接受多种心理健康问题治疗服务时,做作性障碍成功治疗所面临的障碍。通过应用护理理论的塑造模式和榜样模式,讨论了高级执业精神科护士的独特作用。

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