Pregledni rad

https://doi.org/10.24869/psyd.2023.16

COMORBIDITY BETWEEN FACTITIOUS AND BORDERLINE PERSONALITY DISORDER: A NARRATIVE ANALYSIS

Carlo Lazzari orcid.org/0000-0002-9253-4610 ; Department of Psychiatry, International Centre for Healthcare and Medical Education, Bristol, United Kingdom
Marco Rabottini ; Department of Psychiatry, International Centre for Healthcare and Medical Education, Bristol, United Kingdom

Sažetak

Background: Factitious disorder (FD) illnesses have increased recently, primarily due to comorbidity with borderline
personality disorder (BPD). Psychiatrists, hospital doctors, and general practitioners are interested in and concerned about patients
with comorbid FD-BPD.
Subjects and methods: We used a qualitative analysis of prototypical narratives collected as vignettes by merging individual
contributions, case histories, naturalistic observations, and data from mental health practitioners into specific descriptions. Our
study used a phenomenological and narrative method to illustrate the contents and behaviours in FD-BPD comorbidity.
Results: Fourteen case vignettes were created from our case studies. These categories included knowledge of symptoms and
medical terms, dramatisation, symptoms ambiguity, unexplainable deterioration of symptoms, symptom inventiveness, craving for
painkillers, conflicts with health carers, hospital migration, piling of medication and search for invasive diagnostic procedures.
Conclusions: The combined use of narrative analysis and naturalistic observation has helped identify a unique comorbid
condition of FD-BPD, which is not yet clearly described in its behavioural components by the international literature. The current
study presents novel findings into a condition becoming progressively popular in psychiatric and medical settings.

Ključne riječi

factitious disorder; borderline personality disorder; comorbidity; narrative; vignettes qualitative analysis

Hrčak ID:

307216

URI

https://hrcak.srce.hr/307216

Datum izdavanja:

17.4.2023.

Posjeta: 282 *