JULIUS POMERANZE, M.D.
To the editor: I found the paper by Reich and Gottfried (1) instructive in its delineating factitious disorders as self-inflicted fabrications or simulations of a disorder, as distinguished from somatoform disorders in which mechanisms linking mind and body are not under conscious control. The authors state that factitious disorders are generally not associated with ulterior motives or material advantages other than the achievement of patient status. This is an ulterior motive, although the advantage can be considered a negative one. None of the patients had major mental disorders as shown by personal history or examinations of their mental state. These
POMERANZE J. The Family and Factitious Disorders. Ann Intern Med. ;99:739–740. doi: 10.7326/0003-4819-99-5-739_3
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Published: Ann Intern Med. 1983;99(5):739-740.
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