解离性健忘症还是装病性健忘症?病例报告

B. Marcopulos, Laysa Hedjar, B. Arredondo
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引用次数: 3

摘要

解离性健忘症是一种罕见且令人困惑的精神疾病,据称是由“功能”或神经系统引起的——或者它只是一种装病?我们报告一名被精神病医院收治的简·多伊,她因解离性失忆症或神游症接受了团体治疗和精神药物治疗6个月。她被转介进行神经心理学评估,以评估她过去的记忆丧失和她的身份。记忆装病测试和装病症状的结构化清单显示伪造的记忆缺陷。医院最终得知了无名氏的身份。她在另一个州因犯罪被通缉,但也有多次住院治疗的精神病史。面对质问时,她承认了自己的欺骗行为。这个案例说明了使用正式测试和查阅有关记忆的科学文献来辨别真实和虚假的记忆缺陷的重要性。这个案例还指出,患有精神疾病的被告可能会造成其他疾病。我们回顾了有关自传体记忆的认知神经科学的相关文献,及其为法医心理健康评估提供信息的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dissociative Amnesia or Malingered Amnesia? A Case Report
ABSTRACT Dissociative amnesia is a rare and perplexing psychiatric disorder with purported “functional” or neurological origins—or is it simply malingering? We report a Jane Doe who was admitted to a psychiatric hospital and treated for dissociative amnesia or fugue with group therapies and psychotropic medication for six months. She was referred for neuropsychological assessment to evaluate memory loss for her past and her identity. The Test of Memory Malingering and the Structured Inventory of Malingered Symptomatology suggested feigned memory deficits. The hospital eventually learned Jane Doe’s identity. She was wanted for a crime in another state, but also had a psychiatric history with several hospitalizations. When confronted, she admitted her deception. This case illustrates the importance of using formal testing and consulting the scientific literature on memory for discerning true versus feigned memory deficits. This case also points out that mentally ill defendants can malinger other disorders. We review the pertinent literature on the cognitive neuroscience of autobiographical memory, and its ability to inform forensic mental health evaluations.
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