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[Contribution to the study of Ganser's syndrome in subjects having presented, separated in time, 2 distinct ganserian episodes].
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[On the concepts of pseudodementia and pseudo-pseudodementia].
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FACTITIOUS PURPURA PRESENTING AS AUTOERYTHROCYTE SENSITIZATION.
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Autoerythrocyte sensitization; a form of purpura producing painful bruising following autosensitization to red blood cells in certain women.
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"Ganser syndrome" in a native African criminal.
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[Religious syncretism as the initiating and/or determining cause of neurotic and pseudopsychotic syndromes in Cuban children].
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Autoerythrocyte sensitization: psychiatric patterns in patients with a peculiar protracted purpura.
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Terminology in an incorrect and imprecise manner.
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The construct validity of the Lees-Haley Fake Bad Scale. Does this scale measure somatic malingering and feigned emotional distress?
The Fake Bad Scale (FBS [Psychol. Rep. 68 (1991) 203]) was created from MMPI-2 items to assess faking of physical complaints among personal injury claimants. Little psychometric information is available on the measure. This study was conducted to investigate the psychometric characteristics of the FBS using MMPI-2 profiles from six settings: Psychiatric Inpatient (N=6731); Correctional Facility (N=2897); Chronic Pain Program (N=4408); General Medical (N=5080); Veteran's Administration Hospital Inpatient (N=901); and Personal Injury Litigation (N=157). Most correlations of the FBS and raw scores on the MMPI-2 were positive with correlations among the validity scales being lower than correlations among the clinical and content scales. The FBS was most strongly correlated with raw scores on Hs, D, Hy, HEA, and DEP. When the more conservative cutoff of 26 was used, the FBS classified 2.4-30.6% of individuals as malingerers. The highest malingering classification was for the women's personal injury sample (37.9%) while the lowest was among male prison inmates (2.3%). Compared to men, in most samples, almost twice as many women were classified as malingerers. The results indicate that the FBS is more likely to measure general maladjustment and somatic complaints rather than malingering. The rate of false positives produced by the scale is unacceptably high, especially in psychiatric settings. The scale is likely to classify an unacceptably large number of individuals who are experiencing genuine psychological distress as malingerers. It is recommended that the FBS not be used in clinical settings nor should it be used during disability evaluations to determine malingering.
[Theatre present in the physician's work].
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[Ganser's syndrome following delusions due to an ethyl psychosis].
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[Simulation and dissimulation in ophthalmology].
Simulation is defined when a patient desires a given condition to such an extent that he either initiates the symptoms through physical means of direct harm to his eyes (positive simulation) or imitates the symptoms even though he is healthy and otherwise free of pathology (dissimulation or negative simulation). We show that diagnosing simulation may be done during the ophthalmologic consultation when in doubt of the patient's condition. These simple tests are accessible to all and do not require sophisticated material.
[Dermatitis artefacta. Report of seven cases].
BACKGROUND: Dermatitis artefacta is a self-induced chronic disease in which the responsibility for the lesions is uniformly denied by the patient. The latter is not aware of the reason for self-destruction. The diagnosis of such a condition is difficult because of multiple clinical aspects and the fear of missing an organic disease. CASE REPORTS: We report on seven cases of dermatitis artefacta with a chronic recurrent course. The cutaneous findings, the means involved in provoking lesions, the treatment modalities as well as the patients' psychological profile may vary from one case to another. DISCUSSION: Criteria for diagnosis and management are discussed and compared with literature data. An inappropriate approach may cause the loss of the patient and the recurrence of the lesions. Psychotherapy is indicated even though prognosis is poor.
Pseudopsychotic and psychotic states arising in combat.
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Self-stigmatization: artefact dermatitis.
Deceit by patients is fortunately relatively uncommon. Artefact dermatitis, especially in females, may form only part of a large spectrum of a simulated disease, while in males the patient may have financial compensation in mind.