Folks D G
Creighton-Nebraska Department of Psychiatry, Creighton University School of Medicine, USA.
Neurol Clin. 1995 May;13(2):267-81.
Factitious disorders including Munchausen's syndrome are likely encountered by all clinicians during their career. Neurologic presentations are common, especially with Munchausen's syndrome by proxy. An appropriate index of suspicion and nonjudgemental confrontation and psychiatric consultation facilitate a successful clinical approach. Redefining the factitious illness as psychiatric with continued involvement of a primary physician and family support are also keys to successful management. Underlying psychiatric syndromes need to be assiduously evaluated and steadfastly treated. Prognosis is best for patients who do not meet criteria for Munchausen's syndrome or who have psychosocial supports and less severe personality pathology.
包括孟乔森综合征在内的做作性障碍在所有临床医生的职业生涯中都可能遇到。神经系统表现很常见，尤其是代理孟乔森综合征。适当的怀疑指数、非评判性对抗和精神科会诊有助于成功的临床处理。将做作性疾病重新定义为精神疾病，并持续有初级医生参与及家庭支持，也是成功管理的关键。需要认真评估并坚定治疗潜在的精神综合征。对于不符合孟乔森综合征标准或有社会心理支持且人格病理较轻的患者，预后最佳。
