Korenis Panagiota, Gonzalez Luisa, Kadriu Bashkim, Tyagi Anu, Udolisa Azuka
Residency Training, Department of Psychiatry, Bronx Lebanon Hospital Center, Bronx, NY 10456; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY 10461.
Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY 10461; Inpatient Psychiatry, Bronx Lebanon Hospital Center, Bronx, NY 10456.
Compr Psychiatry. 2015 Jan;56:17-20. doi: 10.1016/j.comppsych.2014.09.009. Epub 2014 Sep 16.
Pseudologia fantastica, also known as mythomania, or pathological lying, is a psychiatric phenomenon that is a mixture of fact and fiction involving fantasized events and self aggrandizing personal roles. It has been recognized in the field for over a century. In this case report we discuss three different cases, two of them presented in the acute inpatient setting and one outpatient setting. All three presented with the common theme of extensive and 'pathological lying' in a manner that was notably very destructive to them and posing significant challenges to the treatment team. In an attempt to shed light into some of the clinical and legal/forensic challenges it creates when faced in the clinical settings, we also raise the need for a better definition and classification of this symptom in the DSM.
虚构症，也被称为谎症或病理性说谎，是一种精神现象，它是事实与虚构的混合，涉及幻想的事件和自我夸大的个人角色。该现象在该领域已被认可一个多世纪。在本病例报告中，我们讨论三个不同的病例，其中两个是在急性住院环境中出现的，一个是在门诊环境中出现的。所有三个病例都呈现出广泛且“病理性说谎”的共同主题，其方式对他们具有显著的破坏性，并给治疗团队带来重大挑战。为了试图阐明在临床环境中面对这种现象时所产生的一些临床和法律/法医方面的挑战，我们还提出需要在《精神疾病诊断与统计手册》（DSM）中对这种症状进行更好的定义和分类。
