Self-inflicted Damage as Part of the WiderDifferential Diagnosis in Rheumatology

Authors: R. Brousil 1;  K. Jarošová 2;  S. Macháček 2;  L. Šedová
Authors‘ workplace: Psychiatrická klinika VFN, přednosta prof. MUDr. J. Raboch, DrSc. 2 Revmatologický ústav Praha, ředitel doc. MUDr. K. Pavelka, CSc.
Published in: 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.

Key words:
pretended disorders, factitive disorders, Münchhausen’s syndrome

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Dermatology & STDs Paediatric rheumatology Rheumatology
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