terça-feira, 11 de dezembro de 2012
Münchhausen Syndrome
Münchausen syndrome or factitious disorder is a psychiatric disorder in which those affected feign illness or psychological trauma to draw attention or sympathy to them. Sometimes the symptoms can be induced or feigned.
Munchausen syndrome is a psychiatric disorder wherein the patient so compulsive disorder, deliberate and persistent, cause, or causes simulates symptoms of disease, without an obvious advantage to such an attitude other than that of obtaining medical and nursing .
In Münchausen syndrome, the affected person exaggerates or creates symptoms in herself to get attention, treatment and sympathy. In extreme cases, people with this syndrome have a high knowledge of medicine and can produce symptoms for unnecessary operations. For example, one can inject in the vein infected material, causing infection and prolonging their stay in hospital. It's different from hypochondriasis, patients with Münchausen know you're exaggerating, as the hypochondriac believes is sick indeed.
Types
Münchausen Syndrome "by proxy" (by proxy) occurs when a parent, almost always the mother (85 to 95%) so persistently or intermittently produces (manufactures, simulates, invents), intentionally, symptoms in your child , causing it to be considered sick or actively causing the disease, putting it at risk and in a situation that requires investigation and treatment.
Sometimes there by the mother in order to gain some advantage for her, for example, to get attention from her husband and child or move away from a house troubled by violence. In classical forms, however, the attitude of simulating / produce disease has no logical purpose seeming to be an intrinsic need or forced to assume the sick role (by the self) or caregiver of a patient (by proxy) . The compulsive behavior is considered, in the sense that the person is unable to refrain from such behavior even when knowing or warned of its risks. Although compulsive acts are voluntary, conscious, intentional and premeditated. The behavior that is voluntary would be used to achieve a goal that is involuntary and compulsive. The disease is considered a serious personality disorder, treatment and prognosis difficult. These actions are described in the treaties of psychiatry as factitious disorders.
Munchausen syndrome by proxy is a form of child abuse. Besides the classical form in which one or more diseases are simulated, there are two other forms of Munchausen: toxicological and forms of asphyxia in which the child is repeatedly intoxicated with any substance (drugs, plants etc) and almost choked to death. Often, when the case is diagnosed or suspected, it turns out that there was a story with years of developments and events, though coarse, were not considered as the possibility of child abuse. When there are other children, in 42% of cases also has another son suffered abuse (McClure et al, 1996). It is important not to confuse simulation (as simulated disease to get away from work, retire on disability, receiving insurance or not to engage in military service). Some teenagers present framework of Munchausen by self very similar to those reported by adults. The disease can be considered a form of child abuse and might overlap with other forms of child abuse. As the child gets bigger there is a tendency that it will participate in fraud and teens from becoming carriers of the classical Munchausen Syndrome typical symptoms are invented, produced simulated or herself. Unlike classical abuse and violence against children of mothers with the syndrome by proxy Münchausen are not violent or neglectful with their children. The problem, first described by Meadow in 1977, is little known by physicians and their approach is complex and must involve the physician and nursing experts in simulated disease psychiatrists / psychologists, social workers and, later, a lawyer and clinical director Hospital and child protection professionals assaulted (Guardianship Councils and judges of childhood).
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