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• W2034130968 abstract "The term medically unexplained symptoms refers to a clinical presentation where the child's symptoms and impairment cannot be explained by any known organic pathology, and may include conversion disorders, somatoform pain disorders, factitious disorder, and factitious disorder by proxy. In this case study, we present our treatment of a 9-year-old girl with a 2-year history of medically unexplained abdominal cramping and vaginal discharge. During the 9 months that we worked with this family, we were never able to clarify in our own minds the source of the child's symptoms—that is, who was responsible for their induction or who was the instigator or maintainer of the exaggerated symptoms. Nor did we come to fully understand the function of the symptoms in the family system. Our case report does not answer either of these questions. Instead, we describe how we worked with the family despite the ongoing ambiguities as to why the symptoms were occurring and who was inducing them. The functional outcome was disappearance of symptoms, return to full school attendance, and improved parenting behavior. 医学无法解释症状这一术语指的是一种临床表现,其中患儿的症状和损伤无法以任何已知器质性病理进行解释。该临床表现可能包括转化障碍、躯体形式疼痛障碍、做作性障碍以及代理性做作障碍。在本个案研究中,我们陈述了对一名已有两年病史的有医学难于解释的腹部痉挛和阴道分泌物的九岁女孩的治疗。在与这个家庭一起工作的九个月里,我们自己心里从未能弄清该患儿症状的源头——也即,是什么诱导了这些症状,是什么激发或维持着这些夸张的症状。我们也未能完全理解这些症状在家庭系统中的功能。我们的案例报告没有对这两个问题做出回答,而是描述了我们如何与这个家庭一起工作,尽管我们一直不清楚症状为何出现以及诱导因素为何。案例的功能结果为症状消失,返回全日上学,以及养育行为改善。 El término síntomas médicamente inexplicables se refiere a una presentación clínica donde los síntomas y los trastornos del niño no pueden explicarse mediante ninguna patología orgánica conocida. Éstos pueden consistir en trastornos de conversión, trastornos de dolor somatoforme, trastorno facticio y trastorno facticio por poderes. En este estudio de casos, presentamos nuestro tratamiento de una niña de nueve años con una historia de dos años de cólicos abdominales y secreción vaginal médicamente inexplicables. Durante los nueve meses que trabajamos con esta familia, nunca pudimos aclarar en nuestras mentes el origen de los síntomas de la niña, es decir, quién era la persona responsable de su inducción o quién instigaba o mantenía los síntomas exagerados. Tampoco pudimos comprender completamente la función de los síntomas en el sistema familiar. Nuestro informe del caso no responde ninguna de estas preguntas. En cambio, describimos cómo trabajamos con la familia a pesar de las constantes ambigüedades con respecto a por qué se estaban produciendo los síntomas y quién los estaba provocando. El resultado funcional fue la desaparición de los síntomas, el regreso a la asistencia escolar completa y un mejor comportamiento de crianza. Appendix S1. Summary of investigations and investigative procedures. Appendix S2. Information about diethylstilbestrol (DES). Appendix S3. Lucy's school-age assessment of attachment (SAA). Appendix S4. Mrs. Irving's adult attachment interview (AAI). Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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• W2034130968 date "2012-10-18" @default.
• W2034130968 modified "2023-09-23" @default.
• W2034130968 title "Fabricated Illness: Working within the Family System to Find a Pathway to Health" @default.
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• W2034130968 doi "https://doi.org/10.1111/famp.12000" @default.
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