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正常说谎与病理性说谎的精神科问题

Psychiatric aspects of normal and pathological lying.

作者信息

Muzinic Lana, Kozaric-Kovacic Dragica, Marinic Igor

机构信息

University Hospital Dubrava, Department of Psychiatry, Referral Centre for Stress-Related Disorders of the Ministry of Health, Avenija Gojka Šuška 6, 10 000 Zagreb, Croatia.

出版信息

Int J Law Psychiatry. 2016 May-Jun;46:88-93. doi: 10.1016/j.ijlp.2016.02.036. Epub 2016 Apr 2.

Abstract

The paper outlines the difference between the so-called normal (common) lying and pathological lying. Pathological lying is an intriguing topic, still lacking any strong professional consensus, clear etiology, treatment options and prognoses. The paper explores some possible psychological mechanisms of pathological lying, reviews biological factors in pathological lying, and considers forensic significance of normal and pathological lying. The relationship between pathological lying and mental disorders is also discussed. The authors suggest that lying should be considered as a heterogenic and multidimensional behavioral pattern. The paper highlights how important it is to assess the patient's control over lying, the function of lying, insight into and awareness of lying, as well as the effect of lying on everyday functioning.

摘要

本文概述了所谓的正常(普通)说谎与病理性说谎之间的区别。病理性说谎是一个引人入胜的话题,目前仍缺乏任何强有力的专业共识、明确的病因、治疗方案和预后。本文探讨了病理性说谎的一些可能心理机制,回顾了病理性说谎中的生物学因素,并考虑了正常说谎和病理性说谎的法医意义。还讨论了病理性说谎与精神障碍之间的关系。作者建议,说谎应被视为一种异质性和多维度的行为模式。本文强调了评估患者对说谎的控制、说谎的功能、对说谎的洞察和意识,以及说谎对日常功能的影响的重要性。

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