Gelenberg A J
Dis Nerv Syst. 1977 May;38(5):378-80.
An unusual case of Munchausen's Syndrome is presented, in which the patient feigned a psychiatric history, complained of emotional symptoms and sought admission to a psychiatric unit. This variant of the usual somatic presentation is discussed in terms of the problem of motivation in Munchausen's Syndrome. Munchausen's Syndrome is a behavioral complex in which patients feign history and symptoms of illness and seek hospital admissions. Such an unusual pattern of behavior is clearly within the province of psychiatry, yet these patients, presenting most commonly with somatic symptoms, are often reluctant to see a psychiatrist and flee before being interviewed. Of 38 cases in one series, only 16 had a psychiatric consultation. The purpose of this paper is to describe an unusual case of Munchausen's Syndrome, a patient who, rather than fleeing from psychiatrists, sought admission to psychiatric units. While the genetic material available in this case is sparse, the phenomenon itself of psychiatric complaints and history in such a patient may further our understanding of, and spur futher interest in, a perplexing disorder.
本文介绍了一例罕见的孟乔森综合征病例，该患者伪造精神病史，主诉情绪症状并寻求入住精神科病房。本文从孟乔森综合征的动机问题角度，对这种有别于常见躯体表现形式的情况进行了讨论。孟乔森综合征是一种行为综合征，患者会伪造病史和病症症状并寻求住院治疗。这种异常的行为模式显然属于精神病学范畴，然而这些最常表现出躯体症状的患者往往不愿看精神科医生，在接受询问之前就溜走了。在一个系列研究的38例病例中，只有16例接受了精神科会诊。本文的目的是描述一例罕见的孟乔森综合征病例，该患者非但没有躲避精神科医生，反而寻求入住精神科病房。尽管该病例中可用的遗传物质很少，但这类患者出现精神科主诉和病史这一现象本身，可能会增进我们对这一令人困惑的病症的理解，并激发进一步的研究兴趣。
