| J.-M. Charcot and simulated neurologic disease: attitudes and diagnostic strategies. | |
| | |
MedLine Citation:
|
PMID: 17606887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Neurologists have long wrestled with the diagnosis of elaborated or feigned disease. Studies have not focused on early techniques utilized to diagnose malingering. OBJECTIVE: To analyze cases of purposeful neurologic malingering among patients treated by the 19th century neurologist J.-M. Charcot, describe his attitudes, and study his methods to separate malingering from primary neurologic diseases. METHODS: A study was conducted of Charcot's printed and original documents from the Bibliothèque Charcot, Paris, and added documents on American neurology. RESULTS: Charcot recognized that purposeful simulation occurred in isolation as well as in established neurologic disorders. Charcot was strict with subjects motivated by greed or spite, but showed forbearance and wonder in those who created illness as "art for art's sake." Charcot developed diagnostic equipment that measured inspiratory depth and muscle activity as a strategy to identify malingerers. His approach strikingly contrasted with contemporary military medical treatises on malingering and S.W. Mitchell's civilian neurologic approaches that unmasked patients through more aggressive strategies. CONCLUSION: Charcot provided an academically professional approach to the assessment of neurologic malingering, with a stern, often patronizing attitude, but without categorical condemnation. His diagnostic techniques are echoed by contemporary approaches and emphasized an attention to enhanced and inconsistent patterns of behaviors by malingerers. |
| | |
Authors:
|
Christopher G Goetz |
Related Documents
:
|
22327467 - Streptococcal skin infection and rheumatic heart disease. 6937997 - Kidney stone disease. experiences from uppsala, sweden. 23162407 - Perioperative management of a patient with gilberts syndrome and rheumatic heart disease. 23567947 - Recent advances in natural products from plants for treatment of liver diseases. 20102557 - Assessing outcomes in liver disease patients: reliability and validity of the spanish v... 1480857 - Neurofibromatosis. |
Publication Detail:
|
Type: Biography; Comparative Study; Historical Article; Journal Article |
Journal Detail:
|
Title: Neurology Volume: 69 ISSN: 1526-632X ISO Abbreviation: Neurology Publication Date: 2007 Jul |
Date Detail:
|
Created Date: 2007-07-03 Completed Date: 2007-07-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401060 Medline TA: Neurology Country: United States |
Other Details:
|
Languages: eng Pagination: 103-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612, USA. cgoetz@rush.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Attitude of Health Personnel* Catalepsy / diagnosis Contracture / diagnosis Conversion Disorder / diagnosis, history*, psychology Deception Diagnosis, Differential Diagnostic Techniques, Neurological / history*, instrumentation Female History, 19th Century Hospitals, Military Hospitals, Psychiatric Humans Inpatients / psychology Male Malingering / diagnosis, history*, psychology Military Medicine / history, methods Military Personnel / psychology Nervous System Diseases / diagnosis, history* Neurasthenia / diagnosis, history, psychology Neurology / history*, methods Neurophysiology / instrumentation Paris Philadelphia Physician-Patient Relations War |
| Personal Name Subject | |
Personal Name Subject:
|
Jean-Martin Charcot; Silas Weir Mitchell |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinical and neuropathologic study of a French family with a mutation in the neuroserpin gene.
Next Document: Buffering of deoxyribonucleotide pool homeostasis by threonine metabolism.