Wimberley T
Br J Med Psychol. 1981 Jun;54(Pt 2):121-9. doi: 10.1111/j.2044-8341.1981.tb01440.x.
The author presents a developmental case history of a Munchausen patient in an effort to understand the evolution of the behavioural patterns associated with the syndrome. The case history documents a pattern of behaviour characterized by: frequent hospitalizations for diffuse ailments, beginning in infancy and persisting into adulthood; inadequate acquisition of appropriate social values and behaviours within the context of the nuclear family; persistent difficulties in adjusting to the demands of school, as expressed in poor academic performance, delinquent behaviour, and poor peer relationships; conflicted social role behaviour regarding work performance, criminal behaviour, and increased abuse of health care services; eventual severance of family ties and the adoption of a 'hobo' life-style which utilizes hospitals for social support and personal definition. This case is compared with a similar study, recently published, and the affinities between the developmental histories and diagnostic criteria descriptive of 'antisocial personality disorder' are emphasized.
作者呈现了一名孟乔森综合征患者的成长病史，以试图理解与该综合征相关的行为模式的演变。该病史记录了一种行为模式，其特征为：从婴儿期开始就因各种疾病频繁住院，并持续到成年期；在核心家庭环境中未能充分习得适当的社会价值观和行为；在适应学校要求方面持续存在困难，表现为学业成绩差、行为不良以及同伴关系不佳；在工作表现、犯罪行为和过度使用医疗服务方面存在冲突的社会角色行为；最终断绝家庭关系并采用一种“流浪汉”的生活方式，将医院作为社会支持和自我定义的途径。本案例与最近发表的一项类似研究进行了比较，并强调了成长病史与描述“反社会人格障碍”的诊断标准之间的相似性。
