The 'gains' of Munchausen syndrome cannot readily be understood on a rational level, and are presumed to be intra-psychic. The presenting fabrications often follow a remarkably similar pattern, and some psychodynamic insight might be gained by analysis of the general themes and contents. The case of one typical patient is reported here, and the aetiology and symbolic significance discussed.
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Anne Cremona-Barbaro (1987) studied this question.
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