Factitious skin lesions as an expression of a family crisis
The factitious disorder is a deliberately induced, hidden self-mutilation based on a psychic conflict. We present a previously healthy nine-year old girl with initially obscure symmetric skin lesions. Family history, psychological exploration, special tests like pictural expression and scenial exhib...
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| Veröffentlicht in: | Klinische Pädiatrie 1999-01, Vol.211 (1), p.44-46 |
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| container_title | Klinische Pädiatrie |
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| creator | Vieker, S Hilger-Wittkowsky, B Krüger, A Moll, I Vieluf, I Püst, B |
| description | The factitious disorder is a deliberately induced, hidden self-mutilation based on a psychic conflict. We present a previously healthy nine-year old girl with initially obscure symmetric skin lesions. Family history, psychological exploration, special tests like pictural expression and scenial exhibition revealed the child's fear of a divorce of her parents and her own identity problem. These examinations aroused the suspicion that the girl could only express her conflict of ambivalence by self-injury behavior in the meaning of artificial disease. Guided by this impression, an intensive conversation with both parents was undertaken, focussing the familiar crisis. Afterwards, the skin lesions disappeared the girl admitted the self-mutilation. A family therapy was initiated. |
| format | Article |
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We present a previously healthy nine-year old girl with initially obscure symmetric skin lesions. Family history, psychological exploration, special tests like pictural expression and scenial exhibition revealed the child's fear of a divorce of her parents and her own identity problem. These examinations aroused the suspicion that the girl could only express her conflict of ambivalence by self-injury behavior in the meaning of artificial disease. Guided by this impression, an intensive conversation with both parents was undertaken, focussing the familiar crisis. Afterwards, the skin lesions disappeared the girl admitted the self-mutilation. 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We present a previously healthy nine-year old girl with initially obscure symmetric skin lesions. Family history, psychological exploration, special tests like pictural expression and scenial exhibition revealed the child's fear of a divorce of her parents and her own identity problem. These examinations aroused the suspicion that the girl could only express her conflict of ambivalence by self-injury behavior in the meaning of artificial disease. Guided by this impression, an intensive conversation with both parents was undertaken, focussing the familiar crisis. Afterwards, the skin lesions disappeared the girl admitted the self-mutilation. 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| fulltext | fulltext |
| identifier | ISSN: 0300-8630 |
| ispartof | Klinische Pädiatrie, 1999-01, Vol.211 (1), p.44-46 |
| issn | 0300-8630 |
| language | ger |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Child Family Health Family Relations Female Humans Identity Crisis Self-Injurious Behavior - pathology Self-Injurious Behavior - psychology Skin - injuries |
| title | Factitious skin lesions as an expression of a family crisis |
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