Porter Theresa M, Feldman Marc D
Connecticut Valley Hospital, Middletown, CT 06457, USA.
J Forensic Sci. 2011 Sep;56(5):1380-2. doi: 10.1111/j.1556-4029.2011.01804.x. Epub 2011 May 6.
Factitious disorder involves feigning, exaggerating, or self-inducing physical and/or psychological ailments with the goal of assuming the "sick" or "patient" role. In turn, the sick role entitles the factitious disorder patient to care, nurturance, and protection; it also exempts one from usual responsibilities. In this paper, we present the first reported case of factitious pedophilia. Although it seems counterintuitive, this middle-aged man has falsely claimed or exaggerated sexual desire for minors ostensibly to remain in a state hospital; indeed, he has remained in the same inpatient facility for more than 20 years as a result of his deceptions. At times, his reports have included disconfirmed claims of bizarre accidents and other physical travails. This case enlarges the literature on factitious psychological disorders and shows that some individuals may falsify paraphilic behaviors, although clearly minimization of these behaviors remains more common.
做作性障碍是指通过伪装、夸大或自我诱发身体和/或心理疾病，以扮演“病人”角色为目的。相应地，病人角色使做作性障碍患者有权获得照料、关爱和保护，同时也免除了其通常的责任。在本文中，我们报告了首例做作性恋童癖病例。尽管这似乎有违常理，但这名中年男子谎称或夸大了对未成年人的性欲，表面上是为了留在一家州立医院；事实上，由于他的欺骗行为，他已经在同一家住院机构住了20多年。有时，他的报告中还包括一些未经证实的离奇事故和其他身体磨难的说法。该病例丰富了有关做作性心理障碍的文献，并表明有些人可能会伪造性偏好行为，尽管显然淡化这些行为更为常见。
