Summary
Summary Textbook of psychiatry - H12.2 Mimicked disorder
- Course
- Institution
- Book
SV Textbook of psychiatry - H12.2 Mimicked disorder
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
More summaries for
-
Textbook of psychiatry - H25 Spoedpsychiatrie
-
Textbook of psychiatry - H14 Middel gerelateerde en verslavende stoornissen
-
Textbook of psychiatry - H7.2 Suïcidaal gedrag
Seller
Follow
CarmenHorenberg
Reviews received
Content preview
Textbook of PsychiatryH12.2 Factitious disorders
Patients with factitious disorders do not have an actual illness but allow others to believe
that they do by feigning one: they pretend they have an illness.
It is regarded as pathological if there are no understandable external motives for it,
such as obtaining compensation or avoiding a court case.
2 subtypes of factitious disorder:
Factitious disorder imposed on self (“Münchhausen syndrome”)
Factitious disorder imposed on another (“Münchhausen syndrome by proxy”)
Development, course and impact:
If the pretence produces benefits and if the response of others is unexpectedly pleasant, it
may be reinforced and become a routine, degenerating into a pseudo-reality that is
increasingly difficult to escape from.
most often a regular pattern
usually starts in adolescence
more common in girls
The pretence is usually confined to falsifying a serious illness in a subgroup of the patients’
social circle, eliciting compassion and respect. It is accompanied by embarrassment, worry
and fear that the truth will be discovered.
Chosen symptoms are based on the patient’s own experience with disease or
encounter with a particular illness in the patient’s circle or in the media.
GP’s and psychologist often do not suspect a factitious disorder. The illusion is refined by
falsifying diagnostic tests, covert non-compliance, or inducing actual symptoms. They also
win respect from the clinician by not whining, staying strong even in the face of worrying
symptoms and taking responsibility and continuing to meet their commitments.
An episode of falsification is ended by a chance event in the patients’ life or by being
unmasked as a fraud. The patient is ‘cured’.
At a later stage in life, a different symptom may be chosen and the history is repeated.
If the feigned illness is psychiatric, the course will be different, as a connection will always be
made with previous episode of a psychiatric disorder.
Diagnosis:
Falsified symptoms can sometimes be recognized by a doctor. A suspicion may arise during
the course of treatment from indirect clues. It is only possible to diagnose more complex
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller CarmenHorenberg. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $4.28. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now