title: [Ingestion of metals and factitious disorders. Impulse control disorder presenting on a background of situational conflicts].
abstract: We describe the case of a 27-year-old woman who in addition to the symptoms of factitious disorder showed deliberate ingestion of foreign objects. The relationship between secret and open self-destructive behavior is discussed. Analysis of situational factors highlights the importance of interactional background for the manifestation of impulsive self-harm. Parallels are pointed out to foreign body ingestion in institutionalized persons. Therapeutic issues are discussed.
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Martin-Luther-Universität Halle-Wittenberg.
authors.forename: F
authors.initials: F
authors.lastname: Pillmann
mesh_terms: D000328:Adult; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000523:psychology*; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D007813:Laparotomy / Q000523:psychology; D010817:Physician-Patient Relations; D010842:Pica / Q000523:psychology; D011573:Psychoanalytic Interpretation; D016728:Self-Injurious Behavior / Q000523:psychology*; D016896:Treatment Outcome