Dr. Simona Trifu, Dr. Camelia Petcu, From emotional flattening and simple Schizophrenia to Pseudologia fantastica

Abstract: The present case report refers to a child who has been living in an oneiric-fantastic subculture, populated by believes in magic, witches, spells, and the power of curses. Stubbornness, as a distinctive personality trait, has turned into a structure of defence against maternal beliefs, stubbornness which, over the years, became extremely rigid, inflexible and maladaptive. As key elements of psychopathology, the patient presents symptoms from the negative area, such as poor hygiene, apathy, avolition in terms of social and occupational functioning, with a hyperbulia selectively targeted within the force she uses to oppose her parents. We suggest psychodynamic discussions over the existence of a disharmonic structuring of personality from the schizotypal register, but fingerprinted with a regional, cultural, histrionic halo, with decompensations from an atypical register, which involves impairment of social and occupational functioning, by emphasizing trends such as infantile stubbornness, which may take the form of self-destruction. We are raising suspicions over meta-simulation elements, such as Münchausen syndrome by proxy, regardless of the psychiatric diagnosis given in longitudinal development.