A treatment program for functional paraplegia/Munchausen syndrome.
Two patients, referred following lengthy, extensive and frequent medical evaluations, were diagnosed as suffering from chronic factitious disorder with physical symptoms (DSM III). A treatment plan to eliminate the positive reinforcements apparently operating in the hospital and home environment, while preventing "loss of face" of the patient, was formulated and successfully carried out. Two detailed case histories to provide evidence for the diagnosis, the "faradic massage" treatment, patient response, and follow-up are documented.
Solyom
C
C
University Hospital.
Solyom
L
L
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods; D003131:Combined Modality Therapy; D003291:Conversion Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D009110:Munchausen Syndrome / Q000523:psychology / Q000628:therapy*; D010264:Paraplegia / Q000523:psychology / Q000628:therapy*; D011782:Quadriplegia / Q000523:psychology / Q000628:therapy*; D012803:Sick Role; D014910:Wheelchairs