Rimón R, Kampman R, Ikonen U, Reunanen M
Psychother Psychosom. 1980;33(4):185-92. doi: 10.1159/000287430.
In the light of the pertinent literature, 2 illustrative cases of the Münchausen syndrome are presented. In both patients there had been dynamically significant losses in the oedipal age leading to an intense feeling of being rejected. Both patients also exhibited problems of dependence, perfectionistic attitudes toward the self, and fear of social failure. In addition, characteristics typical of alexithymia could be noted. As a dynamical interpretation it is proposed that in these patients basic helplessness and inadequacy of expressing feelings have been channelled into multiform psychosomatic symptoms. The latter in turn have caused continuous seeking for acceptable somatic etiology and treatment of the symptoms. Thus, gradually, the clinical picture of the Münchausen syndrome has developed.
根据相关文献，本文介绍了2例孟乔森综合征的典型病例。两名患者在俄狄浦斯期均经历了具有动态意义的丧失，从而产生了强烈的被拒绝感。两名患者还表现出依赖问题、对自我的完美主义态度以及对社会失败的恐惧。此外，还可以注意到述情障碍的典型特征。作为一种动态解释，本文提出，在这些患者中，基本的无助感和情感表达不足已转化为多种身心症状。后者继而导致持续寻求可接受的躯体病因及症状治疗。因此，孟乔森综合征的临床症状逐渐形成。
