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Child Safeguarding and Social Care
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
Physical abuse: Physical abuse may involve hitting, shaking, throwing, poisoning, burning or scalding, drowning, suffocating or otherwise causing physical harm to a child. Physical harm may also be caused when a parent or carer deliberately fabricates symptoms or induces illness in a child. The fabrication and deliberate inducement of symptoms relate to conditions such as Munchausen syndrome by proxy.
Fever Of Unexplained Origin — Psychiatric Aspects
Published in Benedict Isaac, Serge Kernbaum, Michael Burke, Unexplained Fever, 2019
Munchausen Syndrome (M.S.) is a complex character disorder, many facets of which might be displayed in patients exhibiting factitious fever. Unlike malingering, the patient with M.S. has nothing to gain and is willing to undergo extensive and often painful diagnostic procedures including repeated major operations.
People Who Care
Published in Marc D. Feldman, Gregory P. Yates, Dying to be Ill, 2018
Marc D. Feldman, Gregory P. Yates
The psychological state behind self-induced or feigned illnesses is difficult for most people to understand. It is hard enough to accept that a person is engaging in self-harm; the fact that he or she is seeking emotional gratification through such behavior predictably elicits little sympathy. The deceit underlying the “disease forgery” only contributes to this unsympathetic attitude, which leaves many with a feeling of “Never darken my door again.” No one likes to be played for a fool. Professional helpers have admitted to finding factitious patients reprehensible and mental health professionals are no less immune to such feelings of intolerance and even disgust. The term “Munchausen syndrome” at times is misapplied pejoratively to dismiss treatment efforts directed toward any patient who has feigned or manufactured an illness, even when it has been an isolated occurrence. Thus, once a deception has been exposed, the factitious patient, if willing to access help, may have a difficult time finding a therapist with whom an alliance can be forged.
Malingering, conversion and factitious disorders. The emotional and monetary costs to the healthcare delivery system
Published in Journal of Community Hospital Internal Medicine Perspectives, 2019
Mental health issues dominate our current medical landscape. It is important to recognize that the difference between malingering, a conversion disorder and a factitious disorder is the goal or the intent of the patient. Malingering patients desire secondary gain such as workman’s compensation, damages through liability suits or a furlough from jail. Patients with a conversion disorder do believe that their illness is ‘real.’ There is no gain. Factitious disorders manifest typically as a Munchausen syndrome with the desire to play the role of a patient. The primary gain is the acquisition of sympathy and emotional support. Munchausen by proxy generally involves pediatric victims who often require frequent hospitalization for myriad medical illnesses.
Fabricated or induced illness in twins associated with insertion of trocar needles into their bodies
Published in Paediatrics and International Child Health, 2019
Yasmine Houas, Fatma Fitouri, Mourad Hamzaoui
Perpetrators are frequently described as having Munchausen syndrome or some features suggestive of it. Some psychological conditions such as depression or personality disorders can induce this syndrome, and having a histrionic or borderline personality is the most common, as with this mother. Many maternal childhood difficulties can give rise to this behaviour such as being in a single-parent household, non-attendance at school or having had residential psychiatric treatment [9].