The Ganser Syndrome: Evidence Suggesting its Classification as a Dissociative Disorder

Author:

Cocores James A.1,Santa Wilfredo G.2,Patel Mukesh D.3

Affiliation:

1. Chief Resident, Department of Psychiatry, Bergen Pines County Hospital, New Jersey

2. Child Psychiatry Fellow, Gabler Childrens Center, Waltham, Massachusetts, Harvard Medical School, Boston, Massachusetts

3. Senior Resident, Department of Psychiatry, Bergen Pines County Hospital, New Jersey

Abstract

The past and present nosology of Ganser's syndrome is discussed. The anomaly is defined as the presence of approximate answers with hallucinations, clouded sensorium, somatic conversion, and amnesia. The characteristic symptom of the syndrome, paralogia, is appreciated as an associated feature of Factitious Disorder with Psychological Symptoms. It is suggested that Ganser syndrome may be linked inappropriately with the concept of factitious illness. Two new cases of the Ganser syndrome are presented, and an additional forty-one case reports are reviewed. A high correlation between the presence of paralogia and amnesia is revealed, which suggests that paralogia and related psychological symptoms are better classified as associated features of Atypical Dissociative Disorder.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference22 articles.

1. Enoch M. D., Trethowan W. H., and Barker J. C., Some Uncommon Psychiatric Syndromes, Bristol, pp. 41–55, 1967.

2. A New Look at Ganser's Syndrome

3. The Ganser Syndrome

4. Committee on Nomenclature and Statistics, Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association, Washington, D.C., second edition, p. 49, 1968.

5. Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association, Washington, D.C., third edition, pp. 285–287, 1980.

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