Kreger-Wexhler L M, Foreman S M
J Manipulative Physiol Ther. 1988 Oct;11(5):416-21.
This article details how to identify and treat the malingering patient, which we feel is seen more often than was originally thought in chiropractic practice. A historical perspective of a malingering vs. a factitious personality is examined. The factitious patient is reviewed in detail with special attention to the classic case of Munchausen syndrome. An extensive treatment plan is discussed, including short- and long-term care. The common characteristics, objective tests and studies are reviewed. We theorize that due to our increasing involvement in Workers' Compensation and personal injury cases our attention should be focused more closely on the possibility of these types of patients entering our office.
本文详细介绍了如何识别和治疗诈病患者，我们认为在整脊疗法实践中，这种情况比最初想象的更为常见。文中审视了诈病与做作性人格的历史观点。对做作性患者进行了详细回顾，特别关注了孟乔森综合征的典型病例。讨论了一个广泛的治疗计划，包括短期和长期护理。回顾了常见特征、客观测试和研究。我们推测，由于我们越来越多地参与工伤赔偿和人身伤害案件，我们应更加密切地关注这类患者进入我们诊所的可能性。
