• Gen Hosp Psychiatry · Jul 1986

    Case Reports

    Dual factitious disorder.

    • E L Merrin, C Van Dyke, S Cohen, and D J Tusel.
    • Gen Hosp Psychiatry. 1986 Jul 1; 8 (4): 246-50.

    AbstractThe DSM-III classification of factitious disorders encourages artificial separation into disorders with physical and those with psychologic symptoms. Despite documented examples of similar patients who present with psychiatric complaints, Munchausen's syndrome is usually considered a form of chronic factitious physical disorder. Three patients with both factitious physical and psychologic symptoms are presented. These patients illustrate the importance of focusing on the fundamental behavior of assuming the patient role, rather than on the specific category of symptoms. We recommend that the category of symptoms be used as a modifying statement, rather than defining separate disorders.

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