McDonald A, Kline S A, Billings R F
Can Psychiatr Assoc J. 1979 Jun;24(4):323-8. doi: 10.1177/070674377902400408.
The authors review the literature on Munchausen's syndrome and speculate about possible underlying psychological mechanisms. The proposed DSM III classification of factitious illnesses suggests a continuum from hysteria on one end of the spectrum to malingering on the other. Two case studies are presented which represent variants of this syndrome. Both patients were given a sodium amytal interview, a procedure not previously reported in the Munchausen's literature. The procedure was helpful in eliciting a more accurate history and a clearer sense of the underlying dynamics. Some suggestions for further research are made.
作者回顾了关于孟乔森综合征的文献，并推测了可能的潜在心理机制。拟议的《精神疾病诊断与统计手册第三版》对做作性障碍的分类表明，在该谱系的一端是癔症，另一端是诈病，形成了一个连续体。文中呈现了两个代表该综合征变体的案例研究。两位患者都接受了戊巴比妥钠访谈，这是一种此前在孟乔森综合征文献中未被报道过的程序。该程序有助于获取更准确的病史以及对潜在动态更清晰的认识。文中还提出了一些进一步研究的建议。
