Factitious physical disorders: treatment without confrontation.

Abstract:

:Much of the psychiatric literature advocates vigorous confrontation of patients with factitious physical disorder. Believing that such a strategy often drives the patient to a new physician, the author developed alternatives to confrontation. These strategies include use of inexact interpretations of psychological defenses, therapeutic use of a double bind, and use of techniques that allow the patient to give up the factitious symptoms without losing face.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Eisendrath SJ

doi

10.1016/S0033-3182(89)72243-X

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

383-7

issue

4

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(89)72243-X

journal_volume

30

pub_type

杂志文章
  • Comparing symptoms of delirium in adults and children.

    abstract::Delirium is presumed to be the same syndrome in all ages. Comparing pediatric and adult studies, the authors found many of the same symptoms reported, but often at significantly different rates. Sleep-wake disturbance, fluctuating symptoms, impaired attention, irritability, agitation, affective lability, and confusion...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.4.320

    authors: Turkel SB,Trzepacz PT,Tavaré CJ

    更新日期:2006-07-01 00:00:00

  • Facial dyskinesias.

    abstract::The face is prominently or exclusively involved in several involuntary movement disorders, called "facial dyskinesias," in addition to the common buccolingual form of tardive dyskinesia. This review describes the appearance of the most frequently occurring facial dyskinesias: chorea, dystonia, tremor, and tics. Some n...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(89)72270-2

    authors: Kaufman DM

    更新日期:1989-07-01 00:00:00

  • The future of organ transplant psychiatry.

    abstract::The future of organ transplant psychiatry depends less on immunologic and surgical advances than on 1) an increased supply of donor organs, 2) more sophisticated multicenter outcome studies, and 3) understanding of the subjective as well as objective aspects of compliance and quality of life for transplant recipients....

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(95)71623-1

    authors: Freeman AM 3rd,Westphal JR,Davis LL,Libb JW

    更新日期:1995-09-01 00:00:00

  • Conditions comorbid with chronic fatigue in a population-based sample.

    abstract:BACKGROUND:Chronic fatigue syndrome (CFS) has been found to be comorbid with various medical conditions in clinical samples, but little research has investigated CFS comorbidity in population-based samples. OBJECTIVE:This study investigated conditions concurrent with a CFS-like illness among twins in the population-ba...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2011.04.001

    authors: Dansie EJ,Furberg H,Afari N,Buchwald D,Edwards K,Goldberg J,Schur E,Sullivan PF

    更新日期:2012-01-01 00:00:00

  • Outcomes of Renal Transplantation in Patients With Bipolar Affective Disorder and Schizophrenia: A National Retrospective Cohort Study.

    abstract:BACKGROUND:Patients with severe psychiatric disorders such as schizophrenia and bipolar affective disorder (BPAD) have in the past been excluded from organ transplantation programs based on their psychiatric illness. However, there is little data on the outcomes of renal transplantation in these patients and little evi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2016.08.010

    authors: Butler MI,McCartan D,Cooney A,Kelly PO,Ahmed I,Little D,MacHale S,Conlon P

    更新日期:2017-01-01 00:00:00

  • Teaching Collaborative Care in Primary Care Settings for Psychiatry Residents.

    abstract:BACKGROUND:Job descriptions for psychiatrists will change significantly over the next decade, as psychiatrists will be called on to work as caseload consultants to the primary care team. OBJECTIVE:The purpose of this pilot study was to examine the effects of an American Association of Directors of Psychiatric Residenc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2015.03.006

    authors: Huang H,Barkil-Oteo A

    更新日期:2015-11-01 00:00:00

  • A curriculum in clinical sexuality for arthritis health care professionals.

    abstract::The results of an experimental training program in sexologic interviewing for a multidisciplinary arthritis patient care team are reported. The program included didactic instruction, observation and practice of interviewing skills, a seminar, and a case presentation. Trainees had gained more knowledge than control sub...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(90)72193-7

    authors: Blake DJ,Weaver W,Maisiak R,Alarcon GS,Brown S

    更新日期:1990-04-01 00:00:00

  • An open clinical trial of venlafaxine treatment of fibromyalgia.

    abstract::Of 15 patients with fibromyalgia who were first evaluated for the presence of Axis I psychiatric diagnoses by use of the Structured Clinical Interview for DSM-IV, 11 completed an open 8-week trial with the novel antidepressant venlafaxine. Six (55%) of 11 completers experienced a > or = 50% reduction of fibromyalgia s...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71375-1

    authors: Dwight MM,Arnold LM,O'Brien H,Metzger R,Morris-Park E,Keck PE Jr

    更新日期:1998-01-01 00:00:00

  • Factitious disorders in neurology: an analysis of reported cases.

    abstract:BACKGROUND:Factitious disorder (FD) is the deliberate production or simulation of symptoms in order to adopt the sick role. OBJECTIVE:The authors look at FD in the neurology setting. METHOD:The authors examined documented, published cases. RESULTS:FD cases in neurology are strikingly different from those in other sp...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.51.1.47

    authors: Kanaan RA,Wessely SC

    更新日期:2010-01-01 00:00:00

  • Somatization or psychosomatic symptoms?

    abstract::The author describes some problems emerging from the approach to and comprehension of somatization symptoms, discussing ambiguities regarding somatization seen in the current classification manuals (ICD-10 and DSM-IV). Then the author presents a case report of a man who presented with a bizarre symptom of feminization...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.2.163

    authors: Avila LA

    更新日期:2006-03-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.03.002

    authors: Sykes R

    更新日期:2012-07-01 00:00:00

  • A Randomized Double-Blind Controlled Trial Comparing Davanloo Intensive Short-Term Dynamic Psychotherapy as Internet-Delivered Vs Treatment as Usual for Medically Unexplained Pain: A 6-Month Pilot Study.

    abstract:BACKGROUND:Research has shown that Intensive Short-Term Dynamic Psychotherapy (ISTDP) can effectively decrease pain intensity and improve quality of life in patients with medically unexplained pain. OBJECTIVE:Understanding that not all patients with medically unexplained pain have access to in-person ISTDP, this study...

    journal_title:Psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.psym.2016.01.001

    authors: Chavooshi B,Mohammadkhani P,Dolatshahi B

    更新日期:2016-05-01 00:00:00

  • Fluoxetine in pathologic skin-picking: open-label and double-blind results.

    abstract::Various studies suggest that selective serotonin reuptake inhibitors (SSRIs) may be useful in treating pathologic skin-picking. The authors investigated the effectiveness of fluoxetine in treating this behavior. Fifteen subjects with clinically significant skin-picking were recruited by newspaper advertisement. They r...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1176/appi.psy.42.4.314

    authors: Bloch MR,Elliott M,Thompson H,Koran LM

    更新日期:2001-07-01 00:00:00

  • Psychosocial Risk Predicts New Episode Depression After Heart Transplant.

    abstract:BACKGROUND:Psychosocial assessment is an essential component of the pretransplant evaluation. Many individuals have significant psychosocial problems, and they are either denied for transplantation or deferred from listing and transplant until the psychosocial issues are addressed. OBJECTIVE:The primary aim of this st...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2018.06.003

    authors: Schneekloth TD,Hitschfeld MJ,Jowsey-Gregoire SG,Petterson TM,Dunlay SM,Niazi SK,Vasquez AR,Rummans TA

    更新日期:2019-01-01 00:00:00

  • Psychoneuroendocrine aspects of temporolimbic epilepsy. Part I. Brain, reproductive steroids, and emotions.

    abstract::The temporolimbic structures of the brain that subserve emotional representation are highly epileptogenic and play an important role in the modulation of hormonal secretion and mediation of hormonal feedback. Estrogen is highly epileptogenic and exerts energizing and antidepressant effects. Excessive estrogen influenc...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(99)71254-5

    authors: Herzog AG

    更新日期:1999-03-01 00:00:00

  • Proactive psychiatric consultation services reduce length of stay for admissions to an inpatient medical team.

    abstract:BACKGROUND:Some studies suggest intensive psychiatric consultation services facilitate medical care and reduce length of stay (LOS) in general hospitals. OBJECTIVE:To compare LOS between a consultation-as-usual model and a proactive consultation model involving review of all admissions, rapid consultation, and close f...

    journal_title:Psychosomatics

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.psym.2011.06.002

    authors: Desan PH,Zimbrean PC,Weinstein AJ,Bozzo JE,Sledge WH

    更新日期:2011-11-01 00:00:00

  • Psychological factors affecting self-excoriative behavior in women with mild-to-moderate facial acne vulgaris.

    abstract::The authors examined the psychological factors associated with self-excoriative behavior among 56 women (mean +/- SE age: 24.0 +/- 1.0 years) with mild-to-moderate facial acne vulgaris. Ratings associated with poor self-concept, such as perfectionistic and compulsive personality traits, correlated more strongly with s...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(96)71578-5

    authors: Gupta MA,Gupta AK,Schork NJ

    更新日期:1996-03-01 00:00:00

  • Olfactory and Neuropsychological Functioning in Olfactory Reference Syndrome.

    abstract:BACKGROUND:Olfactory reference syndrome (ORS) is an underrecognized, understudied, and often severe psychiatric disorder characterized by a prominent and distressing or impairing preoccupation with a false belief of emitting an offensive body odor. As this condition has only recently been recognized in the Internationa...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.12.009

    authors: Sofko C,Tremont G,Tan JE,Westervelt H,Ahern DC,Menard W,Phillips KA

    更新日期:2020-01-01 00:00:00

  • Adverse cutaneous reactions to psychotropic drugs.

    abstract::Psychotropic drugs are frequently used in both psychiatric and general medical practice. Familiarity with common side effects and their management may assist psychiatrists in the selection of agents to suit individual patient needs. The authors describe the morphologic features and pathologic basis of cutaneous reacti...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(97)71418-X

    authors: MacMorran WS,Krahn LE

    更新日期:1997-09-01 00:00:00

  • Medical-Surgical Hospitalization Among Veterans With Psychiatric and Substance Use Disorders.

    abstract:BACKGROUND:Mental illness is associated with an increased risk for medical hospitalizations. OBJECTIVE:This study investigates the degree to which nonpsychiatric factors account for these hospitalizations. METHODS:Using National Veterans Health Administration (VHA) fiscal year 2012 data for 2 million veterans under t...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.04.005

    authors: Moore DT,Rosenheck RA

    更新日期:2019-01-01 00:00:00

  • High-Risk Phenotypes of Early Psychiatric Readmission in Bipolar Disorder With Comorbid Medical Illness.

    abstract:BACKGROUND:Individuals with co-existing serious mental illness and non-psychiatric medical illness are at high risk of acute care utilization. Mining of electronic health record data can help identify and categorize predictors of psychiatric hospital readmission in this population. OBJECTIVE:This study aimed to identi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2019.05.002

    authors: Edgcomb J,Shaddox T,Hellemann G,Brooks JO 3rd

    更新日期:2019-01-01 00:00:00

  • Antihistamines.

    abstract::Antihistamines and their drug-drug interactions are reviewed in depth. The metabolism of "classic" or sedating antihistamines is coming to light through in vivo and in vitro studies. The polymorphic CYP 2D6 metabolic enzyme appears to be potently inhibited by many of these over-the-counter medications. The history of ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.44.5.430

    authors: Armstrong SC,Cozza KL

    更新日期:2003-09-01 00:00:00

  • Clinical predictors of mental disorders among medical outpatients. Validation of the "S4" model.

    abstract::The authors previously reported four clinical cues that predicted a subgroup of ambulatory patients likely to have depressive and anxiety disorders. The authors' purpose in this study was to validate this model in another cohort of 185 consecutive adult referrals to a rheumatology clinic. The authors found 4 variables...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71302-7

    authors: Jackson JL,O'Malley PG,Kroenke K

    更新日期:1998-09-01 00:00:00

  • Congestive heart failure and depression in older adults: clinical course and health services use 6 months after hospitalization.

    abstract::The course of depression and the economic consequences in the 6-month period after hospitalization for congestive heart failure were examined in a prospective observational cohort study involving 203 older adults (mean age=76.8 years, SD=7.8). At discharge, 73 of 203 subjects (36%) were depressed according to the scre...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.5.367

    authors: Fulop G,Strain JJ,Stettin G

    更新日期:2003-09-01 00:00:00

  • Relationships among pain and depressive and anxiety symptoms in clinical trials of pregabalin in fibromyalgia.

    abstract:BACKGROUND:Fibromyalgia, as defined by the American College of Rheumatology, is characterized by widespread pain lasting for at least 3 months, with pain in at least 11 out of 18 tender points when palpated with digital pressure. OBJECTIVE:The authors investigated the relationship between changes in pain and symptoms ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.51.6.489

    authors: Arnold LM,Leon T,Whalen E,Barrett J

    更新日期:2010-11-01 00:00:00

  • Psychological status and quality of life in elderly patients with asthma.

    abstract::The psychological status and quality of life of 70 stable patients with asthma age > or =60 years and 40 age-matched comparison subjects were examined. The patients with long-standing asthma (duration > or = 8 years) had lower quality-of-life scores than those with recent-onset asthma (duration < 8 years). In multivar...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.1.41

    authors: Oğuztürk O,Ekici A,Kara M,Ekici M,Arslan M,Iteginli A,Kara T,Kurtipek E

    更新日期:2005-01-01 00:00:00

  • Timing of referral to a consultation-liaison psychiatry unit.

    abstract::This study examined ways of determining a useful measure of the timing of referral to a consultation-liaison psychiatry unit. Seven hundred and twelve consecutive inpatient referrals between February 1990 and January 1995 were studied prospectively. Usage of a simple mathematical ratio of the time elapsed between admi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71319-2

    authors: Handrinos D,McKenzie D,Smith GC

    更新日期:1998-07-01 00:00:00

  • Ready, set, relax: biofeedback-assisted relaxation training (BART) in a pediatric psychiatry consultation service.

    abstract:BACKGROUND:Biofeedback-assisted relaxation training (BART) can treat several common pediatric presentations, including chronic pain and anxiety. Its effectiveness, applicability to a variety of conditions, and equipment portability make it an ideal treatment approach for use in an inpatient pediatric consultation-liais...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.06.003

    authors: McKenna K,Gallagher KA,Forbes PW,Ibeziako P

    更新日期:2015-07-01 00:00:00

  • Personality disorder as a contraindication for liver transplantation in alcoholic cirrhosis.

    abstract::Severe personality disorder has been proposed as a contraindication for liver transplantation. Seventy-three subjects with alcoholic-related liver disease were evaluated for personality disorder and followed for 6 months. The subjects with severe personality disorder had higher rates of divorce, higher rates of comorb...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(98)71282-4

    authors: Yates WR,LaBrecque DR,Pfab D

    更新日期:1998-11-01 00:00:00

  • Adolescent cancer survivors. Psychosocial and familial adaptation.

    abstract::Adolescent cancer survivors were compared with nondiseased control subjects on measures of adaptation, coping, body image, sexual adjustment, psychopathology, and family functioning. Cancer survivors reported no major difficulties in social competence, overall coping, and family communication. Although their school te...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(94)71739-4

    authors: Madan-Swain A,Brown RT,Sexson SB,Baldwin K,Pais R,Ragab A

    更新日期:1994-09-01 00:00:00