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Factitious post-traumatic stress disorder revisited

Published online by Cambridge University Press:  13 June 2014

Christopher F Fear
Christopher F Fear*
Affiliation:
Severn NHS Trust, Wotton Lawn Hospital, Horton Road, Gloucester GL1 3PX, United Kingdom
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Abstract

Factitious post-traumatic stress disorder, a variant of the psychological Munchausen syndrome, was first recognised in Vietnam war veterans but has not been described since. The case is described of a young man who claimed to have been involved in a fishingdisaster, feigning the symptoms to post-traumatic stress disorder to gain admission to hospital This appears to be a novel presentation of a Munchausen variant which has not been describedin connection with peace time disasters. It would appear that the psychopathology of factitious disorder, like that of other phenomena, such as delusions, is keeping pace with the views ofsocietyand current media concerns. This issue is discussed in the context of a review of recently reported variants of this interesting clinical syndrome.

Keywords

Factitious disorderPost-traumatic stress disorderMunchausen syndrome
Type
Case Reports
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 3 , September 1996 , pp. 116 - 118
Copyright
Copyright © Cambridge University Press 1996

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References

1.Asher, R. Munchausen's syndrome. Lancet 1951; 1: 339–41.CrossRefGoogle ScholarPubMed
2.World Health Organisation. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organisation 1992.Google Scholar
3.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edition. Washington DC: American Psychiatric Association 1994.Google Scholar
4.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd edition. Washington DC: American Psychiatric Association 1980.Google Scholar
5.Pary, R, Lippman, SB, Turns, DM, Tobias, CR. Post-traumatic stress disorder in Vietnam veterans. Am Fam Phys 1988; 37: 145–50.Google ScholarPubMed
6.Lynn, E, Belza, M. Post-traumatic stress disorder. The veteran who never got to Vietnam. Hosp Comm Psychiatry 1984; 35: 697–701.Google Scholar
7.Enoch, MD, Trethowan, WH, Barker, JC. Some uncommon psychiatric syndromes. Bristol: Wright 1967.Google Scholar
8.Cheng, L, Hummel, L. The Münchausen syndrome as a psychiatric condition. Br J Psychiat 1978; 133: 20.CrossRefGoogle ScholarPubMed
9.Black, D. The extended Münchausen syndrome. A family case. Br J Psychiat 1981; 138: 466–9.CrossRefGoogle ScholarPubMed
10.Sinanan, K, Haughton, H. Evolution of variants of the Munchausen syndrome. Br J Psychiat 1986; 148: 465–7.CrossRefGoogle ScholarPubMed
11.Martantonakis, A, Lee, AS. Psychiatric Munchausen's syndrome: a college register? Br J Psychiat 1988; 152: 867.CrossRefGoogle Scholar
12.Abed, RT. Voluntary false confessions in a Munchausen case: a newvariant of the syndrome? Ir J Psych Med 1995; 12: 24–6.CrossRefGoogle Scholar
13.Ritson, EB, Chick, JD. Dependence on alcohol and other drugs, in Kendell, RE, Zealley, AK, editors. Companion to psychiatric studies. 3rd edition. Edinburgh: Churchill Livingstone 1988.Google Scholar
14.Mullen, P. Deception, self-deception and dissociation, in Gunn, J, Taylor, PJ, editors. Forensic psychiatry, clinical legal and ethical. Oxford: Butterworth Heineman 1993.Google Scholar
15.Hamilton, M. Fish's clinical psychopathology. 2nd edition. Bristol: Wright 1985.Google Scholar
16.Klaf, FS, Hamilton, JG. Schizophrenia – a hundred years ago and today. J Med Sci 1961; 107: 819–27.Google ScholarPubMed
17.Robinson, ADT. A century of delusions in south west Scotland. Br J Psychiat 1988; 153: 163–7.CrossRefGoogle ScholarPubMed
18.McDonald, J, Wafer, K. Munchausen syndrome masquerading as AIDS-induced depression. Br J Psychiat 1989; 154: 421–2.CrossRefGoogle ScholarPubMed