By Claude T. H. Friedmann, Robert A. Faguet
Clinicians have lengthy been interested by the infrequent and unique in med icine. equally, psychiatrists and psychological overall healthiness execs were intrigued by way of the unusual and remarkable syndromes which, regardless of their rarity, have a lot to educate us concerning the unlimited types of human version. Of specific curiosity is the truth that fragments and partial expressions of those infrequent problems are usually encountered within the goals and fantasies of the "ordinary" sufferer. consequently, the certainty and insights accrued during this quantity are inclined to have scientific usefulness a ways past these infrequent events after we come across the unique in its totally constructed shape. those problems reveal the complicated interaction among intra psychic dynamic forces and the cultural affects which act to form overt symptomatology. The part on amazing syndromes from non-Western cultures demonstrates the universality of the psychody namic roots of human soreness, regardless of the possible unusual furms during which this ache is expressed. As clinicians we're too frequently limited by means of ethnocentric attitudes and culturally made up our minds stereotypes. This quantity presents a stimulating and stress-free chance to arrive past these obstacles.
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Extra resources for Extraordinary Disorders of Human Behavior
Example text
This case is a diagnostic dilemma, pointing to the difficulties of evaluating a group of symptoms occurring as part of a long-standing illness. It is reasonable to include this case as an example of the syndrome because the symptom of approximate answers was clearly present, in conjunction with a clouding of consciousness that was not permanent, as evidenced by the dramatic clearing during narcosynthesis. In a later paper, Lieberman (1954), reported five additional cases. Three were described as typical of Ganser's syndrome and two as malingering.
Of the 60 additional case reports, 13 demonstrate only the symptom of approximate answers, and 47 cases represent neither. Of the 16 full-fledged cases of the syndrome, only 3 were prisoners. This finding is similar to that of Goldin and MacDonald (1955), who reviewed the German literature and cited Flatau (1913), who noted that of the approximately 60 cases reported up to that time, onethird were not prisoners. , 1960) is obviously inaccurate. In fact, in virtually all cases reported since the early German literature, the syndrome occurred as an interval episode during the course of a major psychiatric illness.
1971; Ananth, 1977; Cheng and Hummel, 1978; Friedmann, 1978). , 1971; Ford, 1973; Stone, 1977; Cheng and Hummel, 1978). In summary, a pattern of repetitive maladjustive behavior has been the rule during adult life. Psychiatric Diagnoses Too often psychiatrists have had insufficient information to make well-considered psychiatric diagnoses. Among those diagnostic labels most commonly applied to patients exhibiting the Munchausen syndrome are psychopathic (sociopathic) personality disorder, schizophrenia, borderline personality, inadequate personality, and hysterical personality.