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Factitious post traumatic stress disorder: a case report

L A Neal1, M C Rose

  • 1Department of Military Psychiatry, RAF Hospital Wroughton, Swindon, Wiltshire.

Medicine, Science, and the Law
|October 1, 1995
PubMed
Summary

A man diagnosed with Post Traumatic Stress Disorder (PTSD) claimed to be a victim of a specific IRA attack. However, military records confirmed his service but excluded his presence at the incident, highlighting potential diagnostic challenges.

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Area of Science:

  • Psychiatry
  • Military Medicine
  • Forensic Psychology

Background:

  • Post Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing traumatic events.
  • Accurate diagnosis of PTSD is crucial for effective treatment and patient well-being.
  • Military personnel are at increased risk for trauma exposure and subsequent PTSD.

Observation:

  • A 24-year-old serviceman presented with symptoms consistent with Post Traumatic Stress Disorder (PTSD).
  • The patient reported being a victim of a specific, widely publicized IRA 'human bomb' attack in Northern Ireland.
  • Psychometric testing confirmed the presence of PTSD symptoms.

Findings:

  • Military service records verified the patient's status as a serviceman during the period of the alleged attack.

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  • Public and military records conclusively demonstrated that the patient could not have been present at the terrorist incident he described.
  • This discrepancy raises questions about the origin of the patient's PTSD symptoms.

    • Implications:

    • The case underscores the importance of thorough record verification in diagnosing complex psychiatric conditions, particularly in military contexts.
    • It highlights the potential for misattribution of trauma or the development of PTSD from other, unverified experiences.
    • Further investigation may be needed to understand the etiology of the patient's symptoms and ensure appropriate therapeutic interventions.