Cocores J A, Santa W G, Patel M D
Int J Psychiatry Med. 1984;14(1):47-56. doi: 10.2190/09hu-75x4-m48g-m25g.
The past and present nosology of Ganser's syndrome is discussed. The anomaly is defined as the presence of approximate answers with hallucinations, clouded sensorium, somatic conversion, and amnesia. The characteristic symptom of the syndrome, paralogia, is appreciated as an associated feature of Factitious Disorder with Psychological Symptoms. It is suggested that Ganser syndrome may be linked inappropriately with the concept of factitious illness. Two new cases of the Ganser syndrome are presented, and an additional forty-one case reports are reviewed. A high correlation between the presence of paralogia and amnesia is revealed, which suggests that paralogia and related psychological symptoms are better classified as associated features of Atypical Dissociative Disorder.
本文讨论了甘塞尔综合征过去和现在的疾病分类学。该病症被定义为存在近似回答、幻觉、意识模糊、躯体转换和失忆。该综合征的特征性症状——诡辩症，被视为伴有心理症状的做作性障碍的相关特征。有人认为，甘塞尔综合征可能与做作性疾病的概念存在不恰当的关联。本文介绍了两例甘塞尔综合征的新病例，并回顾了另外41例病例报告。结果显示，诡辩症和失忆之间存在高度相关性，这表明诡辩症及相关心理症状更适合归类为非典型解离障碍的相关特征。
