Despite poor treatment results, a family-oriented approach and the securing of residency have been deemed essential to recovery from resignation syndrome (RS). In a retrospective cohort study, we evaluated an alternative method involving environmental therapy, with patients separated from their parents, while actively abstaining from involving the asylum process in treatment. We examined medical records, social services acts, and residential care home acts from 13 individuals treated at Solsidan residential care home between 2005 and 2020. Severity and outcome were assessed with Clinical Global Impression, Severity and Improvement subscales. Thirteen participants were included and out of these nine (69%) recovered, i.e. they very much or much improved. Out of the eight that were separated, all recovered, also, one non-separated recovered. The difference in outcome between subjects separated and not was significant (p = 0.007). Moreover, out of the five which received a residency permit during treatment, one recovered whereas four did not. The difference in outcome between subjects granted residency and not was significant (p = 0.007). The data revealed three (23%) cases of simulation where parents were suspected to have instigated symptoms. Our evaluation suggests that separation from parents and abstaining from invoking residency permit could be essential components when treating RS. Relying on a family-oriented approach, and residency could even be detrimental to recovery. The examined intervention was successful also in cases of probable malingering by proxy.

尽管治疗效果不佳，但以家庭为导向的方法和确保居住权被认为对于从辞职综合症 (RS) 中恢复至关重要。在一项回顾性队列研究中，我们评估了一种涉及环境疗法的替代方法，让患者与父母分开，同时积极避免在治疗中涉及庇护程序。我们检查了 2005 年至 2020 年间在 Solsidan 养老院接受治疗的 13 名个人的医疗记录、社会服务行为和养老院行为。严重程度和结果通过临床总体印象、严重程度和改善分量表进行评估。包括了 13 名参与者，并且在这 9 名参与者中 (69%) 恢复了，即他们有很大或很大的改善。被分离的八个，全部恢复，还有一个没有分离的恢复。p  = 0.007）。此外，在治疗期间获得居留许可的 5 人中，有 1 人康复，4 人未康复。授予居留权和未授予居留权的受试者之间的结果差异显着 ( p  = 0.007)。数据显示了三个 (23%) 的模拟案例，其中父母被怀疑有煽动症状。我们的评估表明，在治疗 RS 时，与父母分离和不申请居留许可可能是必不可少的组成部分。依靠以家庭为导向的方法和居住甚至可能不利于康复。在代理人可能装病的情况下，所检查的干预也很成功。