Factitious Disorder and Self-Mutilation in Hand and Plastic Surgery

被引:5
作者
Sproedt, J. [1 ]
von Campe, A. [2 ]
Bonaccio, M. [3 ]
Gruenert, J. G. [4 ]
机构
[1] Kantonsspital Winterthur, Klin Hand & Plast Chirurg, CH-8401 Winterthur, Switzerland
[2] Kantonsspital Aarau, Klin Plast Wiederherstellungs & Handchirurg, Aarau, Switzerland
[3] Kantonsspital Frauenfeld, Abt Handchirurg, Chirurg Klin, Frauenfeld, Switzerland
[4] Kantonsspital St Gallen, Klin Hand Plast & Wiederherstellungschirurg, St Gallen, Switzerland
关键词
factitious disorder; selfmutilation; interdisciplinary therapy; confrontation; psychodynamics; MUNCHAUSENS-SYNDROME; BEHAVIOR; PROXY;
D O I
10.1055/s-0030-1247589
中图分类号
R61 [外科手术学];
学科分类号
摘要
Self-mutilation in the context of factitious disorder can lead to prolonged and complicated treatment in every medical field. Because of a prevalence of 1-5% in hospitalised patients, it is important to be aware of this disorder to protect patients from self-and foreign-induced harm. Often the patient history gives important hints. The different manifestations of this disorder, the specific doctor-patient relationship, several techniques of confrontation and current treatment are presented. Clinical cases from the fileds of hand and plastic surgery are presented.
引用
收藏
页码:49 / 54
页数:6
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