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<p>Currently there are no standardized diagnostic criteria for the complex clinical picture of a factitious disorder, which is characterized by the patient’s feigning of symptoms. The motive for the symptom presentation often remains unclear. As soon as a&#xa0;suspected diagnosis is made, “a&#xa0;sensitive confrontation” is recommended, especially in severe forms of factitious disorder. Even if it is only rarely possible to establish psychotherapeutic treatment, confrontation can lead to a&#xa0;reduction of symptoms. Two case studies illustrating the possible procedure for a sensitive confrontation with the suspected diagnosis are presented here. The examples intend to show that the offer of therapy should be upheld in the sense of bridge building even in difficult treatment situations in which consultation psychiatry or psychosomatics play an important role. The case studies are preceded by a&#xa0;brief introduction to the disorder.</p>

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Brücken bauen – die artifizielle Störung in der Konsiliarpsychiatrie und -psychosomatik

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  • 发表日期：

    2025年8月8日

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  • N. R. Shepherd,
  • S. Euler

摘要

Currently there are no standardized diagnostic criteria for the complex clinical picture of a factitious disorder, which is characterized by the patient’s feigning of symptoms. The motive for the symptom presentation often remains unclear. As soon as a suspected diagnosis is made, “a sensitive confrontation” is recommended, especially in severe forms of factitious disorder. Even if it is only rarely possible to establish psychotherapeutic treatment, confrontation can lead to a reduction of symptoms. Two case studies illustrating the possible procedure for a sensitive confrontation with the suspected diagnosis are presented here. The examples intend to show that the offer of therapy should be upheld in the sense of bridge building even in difficult treatment situations in which consultation psychiatry or psychosomatics play an important role. The case studies are preceded by a brief introduction to the disorder.