[Cultural assimilation and factitious symptoms]

With description of the case of a patient birth in Maroco and emigrated in France at 10 years old, met during 6 years, we try to include signs noticed in a nosologic entity. Some patients offer many complaints and have very frequent contacts for themselves or their family, with the practitioners. Events of current life grow expression of their troubles. Cultural difference will be integrated in anamnesis, hearing and in care. Production of symptoms for himself or for children are called: factitious disorders, Münchhausen's syndrome, Polle's syndrome or Meadow's syndrome. Generally physicians are in check with these patients. During medical session this relationship requires to try to have clarifications or have research of meaning. These patients are very often refractory in psychotherapy and no compliant for institutional therapy. For second generation of immigrants, cultural identity is in conflict with personal identity, in part caused by the decay of social group of belonging. Troubles caused by distortion of fusional relation with mother can be favoring factors of these diseases for Maghrebian patients.