Yalnız Hissetmek
1 Aralık 2022
Başarısızlık İnancı
6 Aralık 2022
Yapay Bozukluk (Munchausen Sendromu)
Munchausen Sendromu nedir?
Munchausen sendromu basit tanımıyla kişinin kendini hasta olarak göstermesidir. Birey, fiziksel semptomları kasıtlı olarak meydana getirir veya semptomu varmış gibi göstermektedir. Bu kişiler farklı hasta öyküsü ile hastaneye gelmekte, sonuçlarını beklemeden hastaneden ayrılmakta ve başka hastanelere gitmektedirler. Rollerini, çok iyi yaptıkları için doktorları veya hemşireleri rahatlıkla kandırmaktadırlar.
Arzu ettikleri bakımı alamadıklarında bedensel gerginlikte yaşamakta ve kendilerini daha ciddi bir biçimde yaralayıp doktorların veya hemşirelerin ilgisini çekmektedirler. Bu sendroma sahip olan kişilerin herhangi bir ikincil kazançları yoktur.
Munchausen Sendromunun sebepleri?
Yapay bozukluğun altında yatan sebep tam olarak bilinmemektedir. Bu bozukluğa sahip olan kişilerin hayatının ilk dönemlerinde travmaya neden olan tıbbi bir müdahaleye maruz kalmış oldukları tahmin edilmektedir. Kişi maruz kaldığı acı verici hastalık veya ameliyatı yeniden canlandırarak kendi kontrolünde olmasını istemekte yani duruma hakim olmaya çalışmaktadır.
Munchausen Sendromunun semptomları;
• Hastalığı ile ilgili semptomlar hakkında yalan söylemek
• Test sonuçlarıyla oynamak
• Kendine zarar vermek
• Halihazırdaki hastalıklarını ağırlaştıracak davranışlar.
Vekaleten Munchausen Sendromu nedir?
Vekaleten Munchausen sendromu daha yaygın görülmektedir. Vekaleten olmasının sebebi ebeveynlerin kendi çocuklarına bilinçli olarak zarar vermesi veya hastalık semptomları varmış gibi göstermesidir. Vekaleten Munchausen sendromu çocuk istismarına girmektedir. Yapılan gözlemlerde uygulayıcıların çoğunlukla anne olduğu belirlenmiştir.
Anne genellikle çevresindeki kişiler tarafından çocuğunun üzerine titreyen ve çocuğunu çok seven, ilgili şefkatli ideal bir ebeveyn olarak tanımlanmakta ve taktir kazanmaktadır. Fakat etrafında kimse olmadığında çocuğu ile ilgilenmeyi bırakmakta hatta ihmal etmektedir.
Munchausen Sendromunun tedavi süreci nasıldır?
Bozukluğa sahip olan kişiler hasta taklidi yaptığı için tespit etmek zordur. Kişilerin iş birliğine yanaşmamasından dolayı da tedavisi güçleşmektedir. Kişi ile iş birliği yapıldığı taktirde tedavilerinde psikiyatri görüşmesi yapılmakta sonrasında Psikoterapi ve Bilişsel Davranışçı Terapi yöntemleri gibi yöntemler kullanılmaktadır.
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