Rendleman N
Old Town Clinic, Good Samaritan Hospital Primary Care Internal Medicine Program, Portland, Oregon, USA.
West J Med. 1998 Nov;169(5):318-21.
A patient's unique, personal name is fundamental in medical relationships. Sometimes, patients may use false names, which obscure family, ethnic, sexual, or billing identities. The means and motivations involved--fraud, concealment, gaining financial or personal advantage, gratifying a psychic need, or changing group assignment--produce a variety of distinct clinical manifestations of false name use. These may be classified as alias, pseudonym, manipulator, fraud, psychotic, amnestic, medical factitioner, and renamed. The identification of falsely named patients enables clinicians to improve care for these types of patients. Individual cases are briefly described and a discussion of naming in society and medicine follows. This preliminary discussion may serve to fuel further refinement.
患者独特的个人姓名在医疗关系中至关重要。有时,患者可能会使用假名,这会掩盖其家庭、种族、性别或账单身份。其中涉及的手段和动机——欺诈、隐瞒、获取经济或个人利益、满足心理需求或改变群体归属——会产生各种不同的使用假名的临床表现。这些可分为别名、笔名、操纵者、欺诈、精神病性、遗忘性、医疗从业者和重新命名。识别使用假名的患者能使临床医生改善对这类患者的护理。文中简要描述了个别案例,并随后讨论了社会和医学中的命名问题。这一初步讨论可能有助于推动进一步的完善。