[Munchausen通过代理进行定性案例分析]
Petra N Tamás, Anna Lisincki, Éva Jekkel1
1Semmelweis Egyetem ÁOK Pszichiátriai és Pszichoterápiás Klinika, Budapest, Hungary,
概括
代理蒙查森综合征 (MSBP) 涉及照顾者在儿童中捏造疾病. 这项研究揭示了犯罪者的共同特征,如创伤史,操纵行为和人格障碍.
科学领域:
- 精神病学是一个精神病学.
- 儿童心理学 儿童心理学
- 法医心理学 法医心理学
背景情况:
- 代理蒙查森综合征 (MSBP) 是一种虐待儿童的形式,在这种情况下,照顾者在孩子身上捏造或诱导疾病.
- 这种虐待导致不必要的医疗干预,对孩子造成严重的心理和生理伤害.
研究的目的:
- 探索与MSBP相关的个性特征,心理机制,动机和动态.
- 通过主题内容分析和心理测试,分析MSBP的两个案例研究.
主要方法:
- 探索性采访的主题内容分析.
- 心理人格测试包括罗沙赫,MMPI和SCID-II.
主要成果:
- 发现的常见主题:创伤史 (例如,丧亲,虐待),MSBP指标 (例如,样本操纵),特定的人格特征 (例如,戏剧性,自我中心性) 和激励因素 (例如,次要收益).
- 这两种病例都表现出严重创伤的历史以及与孩子的密切,共生关系.
- 在这两种情况下,人格障碍的诊断,特别是具有历史性特征的诊断得到了证实.
结论:
- 童年创伤显著影响人格和情绪状态,可能导致MSBP.
- 在MSBP中,照顾者与儿童的关系往往以强烈的共生为特征.
- 虽然犯罪者有共同的特征,但在诱导疾病的侵略程度可能会有所不同.
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