Senior Resident, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh.
Indian J Psychiatry. 2005 Jul;47(3):169-72. doi: 10.4103/0019-5545.55944.
Factitious disorder is a challenging phenomenon in clinical practice. An inconsistent clinical picture and the presence of symptoms that do not respond to the seemingly appropriate treatment should alert the clinician about the possibility of such a diagnosis. A case of factitious psychological symptoms suggestive of schizophrenia is reported, and the issues of diagnosis and management are discussed in the light of the available literature.
人为障碍是临床实践中的一个具有挑战性的现象。临床表现不一致,以及症状对看似合适的治疗没有反应,这应该使临床医生警惕这种诊断的可能性。本文报告了一例提示精神分裂症的人为心理症状的病例,并根据现有文献讨论了诊断和管理问题。