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Psychological blindness - a case report.

M N Parikh1, H M Shah

  • 1M.N. PARIKH, MD., Assistant Professor, Department of Psychiatry, B.J. Medical College Civil Hospital Ahmedabad-380 016.

Indian Journal of Psychiatry
|March 17, 2011
PubMed
Summary
This summary is machine-generated.

This case study examines prolonged, complete blindness caused by malingering, a rare psychological symptom presentation. It demonstrates successful management strategies for such extreme somatoform disorders.

Keywords:
Psychological blindnessmalingering

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Ophthalmology

Background:

  • Malingering, the feigning of symptoms for external gain, rarely manifests as prolonged, complete blindness.
  • The presentation is complicated by potential organic corroboration and familial support, complicating diagnosis.

Purpose of the Study:

  • To report an unusual case of malingering presenting as profound, persistent blindness.
  • To highlight the extreme capacity for psychological symptom production in somatoform disorders.
  • To illustrate successful therapeutic interventions for complex malingering cases.

Main Methods:

  • Case report detailing a patient with feigned blindness.
  • Review of diagnostic challenges in differentiating malingering from genuine visual impairment.
  • Description of the multidisciplinary approach to management and treatment.

Main Results:

  • The patient exhibited prolonged, complete functional blindness without organic basis.
  • Psychological factors were identified as the primary drivers of the symptoms.
  • Successful resolution of symptoms was achieved through targeted therapeutic strategies.

Conclusions:

  • This case underscores the significant role of psychological factors in somatoform disorders.
  • It emphasizes the importance of a comprehensive diagnostic and therapeutic approach for malingering.
  • Effective management is achievable even in extreme presentations of feigned conditions.