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Paper Information

Journal:   IRANIAN JOURNAL OF PSYCHIATRY AND CLINICAL PSYCHOLOGY   FALL 2010 , Volume 16 , Number 3 (62); Page(s) 326 To 326.
 
Paper: 

FACTITIOUS BEREAVEMENT WITH PSYCHOTIC FEATURES IN A PATIENT WITH BORDERLINE PERSONALITY DISORDER AND OPIUM DEPENDENCE

 
 
Author(s):  GHAFFARI NEJAD A.R.*, SHAHRIARI V.
 
* KERMAN UNIVERSITY OF MEDICAL SCIENSES
 
Abstract: 

Though factitious disorder is uncommon, it is not rare in patients referring to clinics and psychiatric hospitals. For instance, only two recorded cases of this disturbance among hospitalized patients in Shahid Beheshti Psychiatric Hospital (in Kerman, Iran), have been reported so far (1983-2009). Concerning high rate of grief reactions in Kerman province after the Bam earthquake in 2004, it was believed that this condition is underdiagnosed, mainly because of diagnostic difficulties. In this article an unusual case that came with psychotic symptoms accompanied by symptoms of complicated grief is reported. The final diagnosis is supposed to be factitious bereavement. Reported case is a 27 years old man with approved diagnosis of borderline personality disorder and opium dependence with several previous admissions since four years ago. At the last session of hospitalizing in 2010, his symptoms included: irritability, aggression and emphasis on visiting his relatives and some strange people who died in the Bam earthquake about six years ago, in which the patient took part in finding their corpses in collaboration with safety guards. From onset of disturbance, patient claimed that those deceased people are continuously present around him, talk to him and blame him because of his insufficient effort to save them. He also believed that the experiences are real and those people are alive at present. Clinical evaluations considered impression of factitious disorder and complicated grief, especially those with hallucinations. The factitious disorder with bereavement symptoms is not well-described in literatures, so this patient and influences of personality structure and opium dependence on forming patient’s symptoms are discussed.

 
Keyword(s): PSYCHOSIS, BORDERLINE PERSONALITY DISORDER, FACTITIOUS BEREAVEMENT
 
References: 
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