Mental disorders and adaptive behaviour in people with Down's syndrome

overall costs while offering a very limited prospect of any long-term change in his behaviour. In summing-up, I feel that compulsory treatment of Munchausen patients cannot be legally, ethically, clinically, or financially justified. However, I agree with the authors that such persons have tended to be neglected, if not rejected, and more efforts should be made to engage them in voluntary treatment which can then be properly assessed for its efficacy and cost-effectiveness.