Lynn E J, Belza M
Hosp Community Psychiatry. 1984 Jul;35(7):697-701. doi: 10.1176/ps.35.7.697.
The historical uniqueness of the Vietnam War produced an unusually high rate of psychiatric dysfunction among veterans, particularly in the form of posttraumatic stress disorder (PTSD). Now, in the wake of unprecedented media coverage of PTSD and the growth of veteran outreach centers documenting and publicizing the difficulties of some veterans, a heretofore unrecognized variant of PTSD-factitious PTSD--has arisen. The authors present seven cases of factitious PTSD, a classic example of clinical deception found among veterans who were never in combat and, in some cases, were never in Vietnam. The authors discuss the etiologies of the disorder and the underlying psychopathology, which suggests either factitious syndromes, such as Munchausen's, or malingering. They conclude with recommendations for diagnosis and treatment.
越南战争的历史独特性导致退伍军人中出现了异常高比例的精神功能障碍，尤其是创伤后应激障碍（PTSD）的形式。如今，在媒体对PTSD进行了前所未有的报道，以及退伍军人外展中心不断增加，记录并宣传一些退伍军人所面临的困难之后，一种此前未被认识到的PTSD变体——虚构性PTSD——出现了。作者呈现了7例虚构性PTSD病例，这是在从未参加过战斗、在某些情况下甚至从未去过越南的退伍军人中发现的临床欺骗的经典例子。作者讨论了该障碍的病因及潜在的精神病理学，这表明可能存在诸如孟乔森综合征等虚构性综合征或诈病。他们最后给出了诊断和治疗的建议。
