Groen Wouter B, The Gerard K H, Pop-Purceleanu Monica, Lagro-Janssen Toine, Fortuyn Hal A Droogleever, Voshaar Richard C Oude
Universitair Medisch Centrum St. Radboud, Afd. Psychiatrie, Nijmegen, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A139.
Although a clear definition of pseudologia fantastica cannot be found in the literature, there is consensus that this condition differs quantitatively and qualitatively from 'normal lying'. We discuss recognition of pseudologia fantastica based on 2 patients who presented with suicidal ideations at the casualty department following a traumatic event. Early recognition is important in order to break the pattern of lying, to restrict the use of medical resources and, finally, to act in accordance with the general principle of 'primum-non-nocere'. Although a psychiatric diagnostic workup might be worthwhile, it remains difficult to engage these patients for psychiatric treatment.
虽然在文献中找不到关于虚构症的确切定义，但人们一致认为，这种情况在数量和质量上与“正常说谎”有所不同。我们基于2例在创伤事件后到急诊科就诊并伴有自杀观念的患者，讨论虚构症的识别。早期识别很重要，以便打破说谎模式，限制医疗资源的使用，并最终遵循“首要的是不伤害”这一基本原则行事。虽然进行精神病学诊断检查可能是有价值的，但让这些患者接受精神病学治疗仍然很困难。
