ABSTRACT
Despite the knowledge and the development of sophisticated procedures in the treatment of wounds, many clinicians are faced with the wounds that heal very slowly or they do not heal at all. In spite of repeated reconsideration of the treatment strategies and focusing on the biological factors, we still pay little attention to the psychosocial factors that are listed as one of the causes of atypical wounds. One factor is self-mutilation caused by psychological disorder called hospital addiction syndrome or Munchausen syndrome, which belongs to a group of the states called imaginary disorder where someone with great need for attention turns to disease or injury. In people with "hospital addiction syndrome", we are confronted with evidence for the symptoms to be imaginary or consequential to self-inflicted injuries; they usually deny these clams and often leave the hospital despite advice but in search for other physicians and hospitals.