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A patient with the diagnosis of a "factituous disorder": a phenomenological investigation

Dissertation (MA (Clinical Psychology))--University of Pretoria, 2005.

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Other Authors: Daws, Loray
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Daws, Loray
author_browse Daws, Loray
author_facet Daws, Loray
collection Thesis
dc_rights_str_mv © 2003, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MA (Clinical Psychology))--University of Pretoria, 2005.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:39:25.358Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
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spelling oai:repository.up.ac.za:2263/25750 A patient with the diagnosis of a "factituous disorder": a phenomenological investigation Daws, Loray aidz@icon.co.za Bosch, Adrian Frans Somatization Factitious disorder Multidisciplinary team Munchausen syndrome Psychotherapy Phenomenology Sick role Borderline personality disorder Psychological phenomenological method Qualitative research UCTD Dissertation (MA (Clinical Psychology))--University of Pretoria, 2005. In this dissertation, the author provides an account of his therapeutic interaction and experience, as an intern clinical psychologist, in working with a patient in psychotherapy who was eventually diagnosed with a “factitious disorder”. This study descriptively addresses how the therapeutic interaction impacted upon the therapist’s thinking of the process both diagnostically and in terms of therapeutic goals. This study consists of a single case, qualitative research design. It concerns the interactions and experiences of the therapist with a specific patient (diagnosed with a factitious disorder) in the context of a multidisciplinary academic hospital setting. The study aims to be predominantly descriptive of this therapy, and as such employs the psychological phenomenological method of Giorgi (1985) in order to provide a specific description of the situated structure of the therapy. As such, this study is able to contribute to the sparse psychological and therapeutic information available on factitious disorders. There are few detailed accounts of actual therapeutic interactions – specifically from a psychological perspective – for patients diagnosed with factitious disorders. The specific description of the situated structure of the therapy is also compared to the available literature on factitious disorders. Although the aim of this study was not evaluative in nature, the author does provide some tentative comments on the aetiology and therapeutic considerations for factitious disorders – with regards to this particular case. The author suggests a strong link to personality and character deficits underlying factitious behaviour. The author further suggests the importance of acknowledging the “sick role”; allowing for “face-saving” strategies; providing consistency (on behalf of the therapist); and the setting of rigid, overt, therapeutic boundaries in the psychotherapeutic treatment of factitious disorders. Psychology unrestricted 2013-09-06T23:57:36Z 2004-02-10 2013-09-06T23:57:36Z 2003-02-08 2005-02-10 2004-01-29 Dissertation Bosch, A 2003, A patient with the diagnosis of a "factituous disorder": a phenomenological investigation, MA dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/25750 > http://hdl.handle.net/2263/25750 http://upetd.up.ac.za/thesis/available/etd-01292004-151155/ © 2003, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Somatization
Factitious disorder
Multidisciplinary team
Munchausen syndrome
Psychotherapy
Phenomenology
Sick role
Borderline personality disorder
Psychological phenomenological method
Qualitative research
UCTD
A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title_full A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title_fullStr A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title_full_unstemmed A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title_short A patient with the diagnosis of a "factituous disorder": a phenomenological investigation
title_sort patient with the diagnosis of a factituous disorder a phenomenological investigation
topic Somatization
Factitious disorder
Multidisciplinary team
Munchausen syndrome
Psychotherapy
Phenomenology
Sick role
Borderline personality disorder
Psychological phenomenological method
Qualitative research
UCTD
url http://hdl.handle.net/2263/25750
http://upetd.up.ac.za/thesis/available/etd-01292004-151155/