Lande R G
US Military Forensic Psychiatry Program, Washington, DC, USA.
J Am Osteopath Assoc. 1996 Aug;96(8):468-72.
Factitious disorders are fabricated illnesses. Conceptually, these disorders lie in the gray zone between malingering and real diseases. Clinical awareness will prevent unnecessary diagnostic and therapeutic interventions. The author profiles those patients and symptoms that accompany factitious disorders as well as factitious disorders by proxy. In the case of the latter, child abuse may be uncovered as well. Although rare, factitious disorders will be present in a busy primary care practice. Clinical detection based on patient profiles can aide discovery. Early recognition and management may prevent a chronic and debilitating course from culminating into one in which the person becomes a "professional patient."
诈病是伪造的疾病。从概念上讲，这些疾病处于装病和真正疾病之间的灰色地带。临床意识可避免不必要的诊断和治疗干预。作者描述了那些伴有诈病以及代理型诈病的患者和症状。在后一种情况下，还可能发现虐待儿童的行为。尽管罕见，但在繁忙的初级保健机构中也会出现诈病。基于患者特征的临床检测有助于发现。早期识别和管理可防止病情发展成慢性且使人衰弱的状况，最终导致患者成为“职业患者”。
