Self-inflicted Damage as Part of the WiderDifferential Diagnosis in Rheumatology
R. Brousil 1; K. Jarošová 2; S. Macháček 2; L. Šedová
Psychiatrická klinika VFN, přednosta prof. MUDr. J. Raboch, DrSc. 2 Revmatologický ústav Praha, ředitel doc. MUDr. K. Pavelka, CSc.
Čes. Revmatol., , 1999, No. 1, p. 43-49.
The paper deals with the problem of pretended somatic or mental disorders and possible mecha-nisms of development of this nosological unit. The authors emphasize obscure points in theetiopathogenesis and deal with the role of counter-transfer of the therapist and the necessity ofa positive approach to these patiens. Case-reports from the Institute of Rheumatology in Pragueprovide evidence of diagnostic and therapeutic difficulties, which may be associated with pretendeddisorders for doctors of different specialities.
pretended disorders, factitive disorders, Münchhausen’s syndrome
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Dermatology & STDs