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A case of factitious colonic bleeding.
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Oral self-mutilation masquerading as malignancy.
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Dysmorphophobia by proxy.
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Factitious hypoglycemia: case report.
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CT scan failure to confirm Pick's disease: a case report of "pseudo-pseudodementia".
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Factitious systemic lupus erythematosus.
We report the case of a 15-year-old girl who simulated a complex clinical picture including cutaneous lesions, fever, arthralgia, asthenia and oliguria. A diagnosis of probable systemic lupus erythematosus (SLE) was assumed by numerous specialists and steroid therapy instituted. Factitious SLE should be considered for differential diagnosis of SLE, especially when laboratory evidence for autoimmunity is not demonstrated.
Feigned psychosis--a review of the simulation of mental illness.
The literature on the simulation of psychosis is reviewed and six patients who were thought to be feigning a schizophrenic psychosis were studied. On follow-up, all but one of the patients became overtly schizophrenic. It is argued that the simulation of schizophrenia is a prodromal phase of the psychosis occurring in extremely deviant premorbid personalities.
Dermatitis artefacta in mother and baby as child abuse.
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"Pseudodementia" a misleading and illogical concept.
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Ganser syndrome. A case report and discussion.
A case of Ganser syndrome occurring in an 11 year-old Indian boy is described, and the psychodynamics and nosological status of the syndrome discussed. Ganser syndrome should be regarded as a hysterical state, and should not be confused with the similar picture observed in organic brain syndromes and psychoses.
Amnesia: organic and psychogenic.
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Ganser syndrome and its management.
The literature on the Ganser syndrome is reviewed, and a case history is described. A brief hospital admission is worthwhile for patients with this syndrome, but planning and persuasion are needed.
Hysterical behaviour in patriarchal communities. Four cases, one with Ganser-like symptoms.
The aspirations, mores, and family structure in Cypriot immigrants, which are illustrated in four cases of hysterical behaviour, have many similarities to nineteenth century Viennese society. Such behaviour may mask more sinister diagnoses; one of the cases remains diagnostically uncertain and another passed through a transient hysterical psychosis with Ganser-like symptoms. The cultural, dynamic, and nosological issues are discussed.