Factitious Disorder

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Oral Resmiye - One of the best experts on this subject based on the ideXlab platform.

Jerald Kay - One of the best experts on this subject based on the ideXlab platform.

Brenda Bursch - One of the best experts on this subject based on the ideXlab platform.

  • Munchausen by Proxy and Pediatric Factitious Disorder Imposed on Self
    Clinical Handbook of Psychological Consultation in Pediatric Medical Settings, 2020
    Co-Authors: Natacha D. Emerson, Brenda Bursch
    Abstract:

    The term Munchausen by proxy refers to abuse and/or neglect by a caregiver who intentionally falsifies an illness or condition in another individual due to the caregiver’s Factitious Disorder imposed on another psychopathology. When the falsification behavior is directed toward oneself, the psychopathology is called Factitious Disorder imposed on self. To diagnose someone with a Factitious Disorder, the individual has to have engaged in intentional deception, differentiating it from anxiety, psychosis, or other psychiatric Disorders. Similar to those with a substance abuse Disorder or pedophilia, those with Factitious Disorders frequently ignore the needs and well-being of others in order to satisfy their own needs. The individual may provide false information, fail to report or deny clinically relevant data, induce or worsen illness, neglect medical protocols and regimens, and/or simulate symptoms. They may coach victims and others into corroborating false claims. It is important for psychologists to be skilled on the topic of Factitious Disorders because they may (1) encounter patients they come to suspect as being victims or perpetrators of condition falsification, (2) be asked to assist in a clinical or forensic evaluation, and/or (3) receive requests for treatment referrals. This chapter reviews the basic information needed for minimal competency as a pediatric psychologist related to the topics of Munchausen by proxy and pediatric Factitious Disorder imposed on self.

  • Evaluation and Management of Factitious Disorder Imposed on Another
    Journal of Clinical Psychology in Medical Settings, 2019
    Co-Authors: Brenda Bursch, Natacha D. Emerson, Mary J Sanders
    Abstract:

    Munchausen by proxy refers to an individual who abusively and compulsively falsifies physical, psychiatric or developmental Disorders in a child or adult victim in order to satisfy a psychological need. Factitious Disorder imposed on another refers to the psychopathology in the abuser. Psychologists in medical settings may: (1) identify patients they come to suspect as being victims or perpetrators of MBP, (2) conduct or assist in clinical or forensic evaluations; (3) offer recommendations for clinical case management, and/or (4) provide treatment or referrals. The purpose of this paper is to provide guidance to psychologists and other mental health professionals in medical settings who may encounter individuals with this potentially lethal form of psychopathology.

  • forensic assessment of illness falsification munchausen by proxy and Factitious Disorder nos
    Child Maltreatment, 2002
    Co-Authors: Mary J Sanders, Brenda Bursch
    Abstract:

    The purpose of this article is to propose guidelines for the evaluation of possible Munchausen by proxy child abuse for the court systems. These assessments require the evaluator to have an understanding of the complexity involved when this type of abuse is alleged. The evaluator should have an appreciation of how falsification of illness may or may not occur, recognize the need for careful analysis of medical records, and understand the problems associated with the use of a profile in determining the validity of an abuse allegation. This article presents guidelines for gathering pertinent data, analyzing records, and evaluating psychological testing for forensic evaluations when the questions for the evaluation are the following: (a) Is there evidence that child abuse did occur? (b) Does the alleged perpetrator meet criteria for Factitious Disorder, NOS (or Factitious Disorder by proxy)? and (c) What management and treatment recommendations should be made?

Hudaverdi Kucuker - One of the best experts on this subject based on the ideXlab platform.

Marc D. Feldman - One of the best experts on this subject based on the ideXlab platform.

  • Factitious Disorder, Munchausen Syndrome, Munchausen by Proxy, and Malingering
    Encyclopedia of Mental Health, 2016
    Co-Authors: James C. Hamilton, Marc D. Feldman, Ian M. Sherwood
    Abstract:

    This article describes psychological Disorders involving exaggerated, fabricated, simulated, and induced medical problems. Factitious Disorder and Munchausen syndrome are characterized by feigning or inducing illness or injury in oneself for primarily psychological benefits. Factitious Disorder imposed on another and Munchausen by proxy are characterized by feigning or inducing illness or injury in another person, most commonly a child or dependent adult, for primarily psychological benefits. Malingering, although not a psychiatric diagnosis, is characterized by feigned illness or injury for primarily material benefits.

  • The A, B, C's of Factitious Disorder: A response to Turner
    Medscape journal of medicine, 2009
    Co-Authors: James C. Hamilton, Marc D. Feldman, Jeffrey W. Janata
    Abstract:

    The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is being prepared, but little attention has been accorded the category of Factitious Disorder, despite its presence in the manual for almost 30 years. Among relevant articles that have appeared, Turner's publication advocates retention of the category, but with new criteria. In the current paper, we reject Turner's reformulation but use the identified diagnostic dilemmas to illuminate the phenomenology of Factitious Disorder. We also offer a reconceptualization of the diagnosis that should better inform the preparations for DSM-V.

  • Factitious Usher syndrome: a new type of Factitious Disorder.
    Medscape journal of medicine, 2008
    Co-Authors: Marc D. Feldman, Ilene D. Miner
    Abstract:

    Perhaps no diagnosis is as daunting for physicians as Factitious Disorder, called “Munchausen syndrome” in its most severe and chronic form. Patients with Factitious Disorder feign, exaggerate, or self-induce illness. Unlike malingerers, who pursue external gains from their behavior, such as opioid medications or disability payments, patients with Factitious Disorder have the goal of assuming the “patient” or “victim” role. It has been pointed out that essentially any ailment can be falsified. For instance, reports in the professional literature include Factitious quadriplegia[1] and Factitious breast cancer resulting in mastectomy.[2] In this report, we document the occurrence of Factitious Usher syndrome, a form of deafblindness, in a middle-aged woman. A PubMed review revealed only our earlier report of 2 cases of feigned deafblindness.[3] However, this is the first documented case in which the patient alleged Usher syndrome.

  • Factitious Disorder: Detection, Diagnosis, and Forensic Implications
    The Psychiatric times, 2007
    Co-Authors: Allen R. Dyer, Marc D. Feldman
    Abstract:

    Few phenomena in medicine are more confounding than the diagnoses involving deception: malingering, Munchausen syndrome, Munchausen by proxy (MBP), and Factitious Disorder.

  • prophylactic bilateral radical mastectomy resulting from Factitious Disorder
    Psychosomatics, 2001
    Co-Authors: Marc D. Feldman
    Abstract:

    Received March 30, 2001; revised July 16, 2001; accepted July 20, 2001. From the Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL. Address correspondence and reprint requests to Dr. Feldman, Center for Psychiatric Medicine, 1713 Sixth Avenue South, UAB Station, Birmingham, AL 35294-0018. Copyright 2001 The Academy of Psychosomatic Medicine. As awareness of hereditary cancers grows, individuals who may be at risk on the basis of a family history are pursuing risk determination and, as appropriate, prophylactic medical or surgical intervention. Through news outlets and health-related Internet Web sites, the public is increasingly aware of the importance of genetic transmission and the possibilities of attenuating heritable risk factors. One point emphasized is that heritable cancers tend to arise in several close relatives and in multiple generations within the same family. Considering that the expression of Factitious Disorders is limited only by an individual’s creativity andmotivation, it is perhaps not surprising that alarming genetic histories would be invoked by some individuals who seek the intangible benefits of the “sick role.” Unlike individuals who malinger for external benefits such as money or abusable medications, patients with Factitious Disorder deliberately produce or falsify illness to secure the attention, sympathy, nurturance, and lenience of others. They may also manufacture illness to manipulate and control others, to enhance their own self-esteem through association with medical professionals, and to organize and preserve their sense of identity. This case report discusses a woman who chose to present herself as a member of a family ravaged by a history of cancer. Like many individuals with Factitious Disorders, she obtained unnecessary surgical intervention, this time in the dramatic form of a prophylactic bilateral radicalmastectomy. She meets criteria for the diagnosis of Factitious Disorder in that she engaged in a pattern of deliberately misleading health professionals about her background while lacking any evident motivation beyond assuming the mantle of “patienthood.” Searches of MEDLINE (1966 to present), CancerLit (1975 to present), HealthSTAR (1975 to present), and ISI Science Citation (1995 to present) computer databases failed to uncover any previously published reports of prophylactic radical mastectomy prompted by a false family history. However, one case of prophylactic subcutaneous mastectomy based on a spurious family history has been reported.