title: [The patient with factitious disorder as active sufferer and passive power: a linguistic analysis of self presentation by a patient in therapeutic interaction].
abstract: The self-presentations of a patient suffering from factitious disease are investigated. The data are transcriptions of audiotaped therapeutic interactions. By use of linguistic methods it is shown that the patient presents herself as a suffering victim and at the time as a powerful agent. The empirical result relates very well to a psychoanalytic explanation of the disease. Based also on empirical indications from the data we are thus assuming that our result can be generalized. This would mean the patients suffering from factitious disease can be typically characterized by the tensions resulting from self-images which normally are mutually exclusive. Psychogenetic explanations of the disease therefore should not only concentrate on the patient's role of a suffering victim (e.g.: the desire of hospitalization).
authors.affiliation: Universität Bielefeld, Fakultät für Linguistik und Literaturwissenschaft.
authors.forename: H
authors.initials: H
authors.lastname: Hausendorf
authors.forename: J
authors.initials: J
authors.lastname: Nordmeyer
authors.forename: U M
authors.initials: UM
authors.lastname: Quasthoff
mesh_terms: D000328:Adult; D000740:Anemia / Q000523:psychology; D005162:Factitious Disorders / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D010817:Physician-Patient Relations; D011209:Power, Psychological; D011578:Psycholinguistics; D011613:Psychotherapy; D012803:Sick Role; D014705:Verbal Behavior