Nadelson T
Gen Hosp Psychiatry. 1979 Apr;1(1):11-7. doi: 10.1016/0163-8343(79)90073-2.
In this paper the author presents a continuum of disease simulation that ranges from hysteria to malingering, with a range of relative unawareness to awareness of producing such deception. Focus is on the particular group of patients who consciously and repeatedly simulate disease. The frequency and form of such disease mimicry vary within such a group. A continuum in terms of frequency ranges from occasional adventures to the simulation of disease as the center of a person's life. Two groups of patients designated as exhibiting Munchausen Syndrome are defined within this continuum: (a) those who work (mostly as nurses or in other medical professions) and (b) those called "hospital hobos" --the more prototypical Munchausen patient. The author takes a somewhat different approach to Munchausen Syndrome in that it is viewed as a subgroup of the borderline character. Further, the often found exhortation for psychiatric treatment of Munchausen patients is reexamined, and caution regarding such zeal and its potential negative effects is registered.
在本文中，作者提出了一个从癔症到诈病的疾病模拟连续体，其范围从相对无意识到意识到制造这种欺骗行为。重点关注的是有意识且反复模拟疾病的特定患者群体。这种疾病模仿的频率和形式在该群体中各不相同。就频率而言，连续体的范围从偶尔的行为到将疾病模拟作为生活中心。在这个连续体中定义了两组被指定为表现出孟乔森综合征的患者：（a）那些工作的人（大多是护士或从事其他医疗职业）和（b）那些被称为“医院流浪汉”的人——更典型的孟乔森患者。作者对孟乔森综合征采取了 somewhat different approach，即它被视为边缘人格的一个亚组。此外，重新审视了对孟乔森患者进行精神治疗的常见劝诫，并对这种热情及其潜在负面影响表示谨慎。 （注：“somewhat different approach”这里原文似乎表述不太完整准确，可根据实际情况进一步完善理解，但按要求保留原文翻译）
