Expanded profile of the SHAFT syndrome

The Journal of Hand Surgery
M L KasdanW L White

Abstract

The SHAFT syndrome is a factitious disorder in which a patient manipulates the surgeon to perform operations to fulfill his or her psychological needs. The acronym describes patients who are sad, hostile, anxious, frustrating, and tenacious. A chart review from January 1990 to June 1996 was undertaken to provide a profile to aid in the recognition and diagnosis of the SHAFT syndrome. An analysis of 28 patients revealed characteristics supporting a definitive SHAFT profile. Patients with SHAFT syndrome seek physicians to perform invasive procedures. Their typical complaint is pain, usually without objective physical findings that would support a more definitive diagnosis. Such patients tend to be women, cry with pain, describe symptoms out of proportion to objective findings, and have a history of psychiatric care.

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Jul 13, 2005·Clinical Rheumatology·Mehmet Ali TaskaynatanTunc Alp Kalyon
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Mary P EldridgeHani S Matloub
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