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(p. 288) Factitious Disorders 

(p. 288) Factitious Disorders
Chapter:
(p. 288) Factitious Disorders
Author(s):

Brenda Bursch

and Robert Haskell

DOI:
10.1093/med:psych/9780190245863.003.0019
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date: 25 November 2020

In Factitious Disorders, the patient exaggerates, fabricates, simulates, and/or induces symptoms of medical and/or psychiatric illnesses—in himself or in another person—with no concrete incentive beyond the pleasure, consolation, or status conferred by being a patient (or by being closely identified with a patient). This condition can go unrecognized for years, as most physicians assume that descriptions of medical symptoms are presented in good faith. Variations have sometimes been termed factitious disorder imposed on another or Munchausen syndrome by proxy. The secretive and sometimes criminal nature of these behaviors provides numerous barriers to research, but important data have been collected. After discussing the available research base of the factitious disorders, potential assessment procedures using medical records are detailed.

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