<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-4702</journal-id>
<journal-title><![CDATA[Revista Latinoamericana de Bioética]]></journal-title>
<abbrev-journal-title><![CDATA[rev.latinoam.bioet.]]></abbrev-journal-title>
<issn>1657-4702</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-47022020000100049</article-id>
<article-id pub-id-type="doi">10.18359/rlbi.3565</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Bioética e sociedade: transtorno factício autoimposto e imposto a outro]]></article-title>
<article-title xml:lang="en"><![CDATA[Bioethics and society: factitious disorder imposed on oneself and imposed on another]]></article-title>
<article-title xml:lang="es"><![CDATA[Bioética y sociedad: trastorno facticio impuesto a uno mismo e impuesto a otro]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Oliveira Barbosa Franco]]></surname>
<given-names><![CDATA[Janaína]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[da Silva Batistão]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[dos Santos]]></surname>
<given-names><![CDATA[Denise Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[da Silva Ferreira]]></surname>
<given-names><![CDATA[Wellington Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro de Vasconcelos]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Educação Profissional Anisio Pedrussi  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Educação Profissional Anisio Pedrussi  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Educação Profissional Anisio Pedrussi  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal do Paraná  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universitário Campos de Andrade  ]]></institution>
<addr-line><![CDATA[Curitiba ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>20</volume>
<numero>1</numero>
<fpage>49</fpage>
<lpage>66</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-47022020000100049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-47022020000100049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-47022020000100049&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Objetiva-se compreender a síndrome de Münchhausen a partir da descrição das suas causas, dos critérios de identificação, dos sinais clínicos, do diagnóstico e do tratamento, bem como das assistências realizadas pela Enfermagem e pela equipe interdisciplinar com interface da Bioética. Trata-se de uma revisão narrativa de literatura de caráter exploratório reflexivo, com abordagem qualitativa. Realizaram-se buscas de estudos em periódicos publicados entre 2009 e 2019; a amostra final constituiu-se por 30 artigos, além de livros, manuais e normativas. Os resultados apresentados evidenciam o conhecimento da quinta edição do Manual Diagnóstico e Estatístico de Transtornos Mentais, no qual a expressão "síndrome de Münchhausen imposto a si próprio" foi substituída por "transtorno factício autoimposto", e a "síndrome de Münchhausen por procuração" foi alterada para "transtorno factício imposto a outro", quanto à bioética. Indivíduos com o distúrbio factício tendem a buscar tratamento para si mesmo ou para outro. O comportamento desses pacientes aumenta a probabilidade de terem realmente uma doença física e até mesmo ir a óbito, causado pelo excesso de uso de medicações e pelos diversos procedimentos invasivos. Portanto, conclui-se que identificar o quadro clínico pode ser uma das primeiras iniciativas para a detecção e a prevenção. O tratamento deve se concentrar no manejo, com a possibilidade do uso da psicoterapia e de antidepressivos, antipsicóticos e ansiolíticos. A equipe de enfermagem e a multiprofissional devem estar atentas a sinais e sintomas para uma intervenção precisa e precoce, pois desempenham importante papel na identificação adequada do diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: The objective is to understand Münchhausen syndrome, with the description of its causes, identification criteria, clinical signs, diagnosis and treatment, as well as the assistance provided in nursing and the interdisciplinary team regarding bioethics. This paper is a narrative review of literature with a reflective exploratory nature, and a qualitative approach. We searched for studies in journals published between 2009 and 2019, and a final sample consisting of 30 articles, in addition to books, manuals and regulations. The results presented corroborate the claims in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, in which the term "Münchhausen syndrome imposed on self" was replaced by "factitious disorder imposed on self", and the "Münchhausen syndrome by proxy" was changed to "factitious disorder imposed on another", in Bioethics. People with factitious disorder tend to seek treatment for themselves or for others. The behavior of these patients increases the likelihood of physical illness and even death, caused by overuse of medications and as a result of various invasive procedures. Therefore, it is concluded that identifying the clinical picture may be one of the first initiatives for detection and prevention. Treatment should focus on management, being able to use psychotherapy, antidepressants, antipsychotics, and anxiolytics. The nursing team and the multidisciplinary team must be alert to the signs and symptoms for accurate and early intervention since they play an important role in the proper identification of the diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El objetivo es comprender el síndrome de Münchhausen, con la descripción de sus causas, criterios de identificación, signos clínicos, diagnóstico y tratamiento, así como la asistencia brindada en enfermería y el equipo interdisciplinario en cuanto a la bioética. Es una revisión narrativa de la literatura con un carácter exploratorio reflexivo, con un enfoque cualitativo. Se realizaron búsquedas de estudios en revistas publicadas entre 2009 y 2019, y una muestra final que consta de 30 artículos, además de libros, manuales y reglamentos. Los resultados presentados corroboran el conocimiento de la quinta edición del Manual Diagnóstico y Estadístico de los Trastornos Mentales, en el que el término "síndrome de Münchhausen impuesto a uno mismo" fue reemplazado por "trastorno facticio autoimpuesto", y el "síndrome de Münchhausen por proxy" se alteró a "trastorno facticio impuesto a otro", ante la Bioética. Las personas con trastorno facticio tienden a buscar tratamiento para sí mismas o para otros. El comportamiento de estos pacientes aumenta la probabilidad de tener una enfermedad física e incluso la muerte, causada por el uso excesivo de medicamentos y como resultado de varios procedimientos invasivos. Por lo tanto, se concluye que identificar el cuadro clínico puede ser una de las primeras iniciativas para la detección y la prevención. El tratamiento debe centrarse en el manejo, poder usar psicoterapia, antidepresivos, antipsicóticos y ansiolíticos. El equipo de enfermería y el equipo multidisciplinario deben estar atentos a los signos y síntomas para una intervención precisa y temprana, pues desempeñan un papel importante en la identificación adecuada del diagnóstico.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[síndrome de münchhausen]]></kwd>
<kwd lng="pt"><![CDATA[transtorno factício]]></kwd>
<kwd lng="pt"><![CDATA[medicina psicossomática]]></kwd>
<kwd lng="pt"><![CDATA[interdisciplinaridade]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[bioética]]></kwd>
<kwd lng="en"><![CDATA[münchhausen syndrome]]></kwd>
<kwd lng="en"><![CDATA[factitious disorder]]></kwd>
<kwd lng="en"><![CDATA[psychosomatic medicine]]></kwd>
<kwd lng="en"><![CDATA[Interdisciplinarity]]></kwd>
<kwd lng="en"><![CDATA[Nursing]]></kwd>
<kwd lng="en"><![CDATA[Bioethics]]></kwd>
<kwd lng="es"><![CDATA[síndrome de münchhausen]]></kwd>
<kwd lng="es"><![CDATA[trastorno facticio]]></kwd>
<kwd lng="es"><![CDATA[medicina psicosomática]]></kwd>
<kwd lng="es"><![CDATA[interdisciplinariedad]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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