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Related Experiment Videos

Concurrent factitious disorder and factitious disorder by proxy. Double jeopardy

M D Feldman1, P B Rosenquist, J P Bond

  • 1Department of Psychiatry & Behavioral Neurobiology, University of Alabama at Birmingham, USA.

General Hospital Psychiatry
|January 1, 1997
PubMed
Summary

This case study highlights the challenges of diagnosing factitious disorder and factitious disorder by proxy, where patients fake illnesses. Accessing external information was crucial for accurate diagnosis and patient protection.

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Area of Science:

  • Psychiatry
  • Medical Psychology

Background:

  • Factitious disorder and factitious disorder by proxy pose significant diagnostic challenges for clinicians.
  • These conditions involve intentional deception regarding illness, complicating patient care.

Observation:

  • A 34-year-old nurse presented with simulated and induced physical and psychological ailments in herself and her daughter.
  • The simultaneous presentation of both forms of factitious disorder created a complex clinical scenario.

Findings:

  • External information access was indispensable for establishing accurate diagnoses of both factitious disorder and factitious disorder by proxy.
  • The case demonstrates the critical role of collateral information in uncovering complex medical deception.

Implications:

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  • Accurate diagnosis is vital for appropriate treatment of the patient with factitious disorder.
  • Protecting the child involved in factitious disorder by proxy requires vigilant and informed clinical practice.