Practitioners look to experts in a particular area to formulate and solidify diagnoses, dynamics, and other phenomena. Despite 30 years of literature, clarity and clinical direction are lacking in the case of Munchausen syndrome by proxy (MSBP), factitious disorder by proxy (FDBP), and fabricated and/or induced illness in children (FII). These diagnoses are rare, complex, and controversial, and their underlying dynamics and etiology are at best poorly understood by health professionals. Situations arise, nonetheless, requiring professionals to address these diagnoses under forensic scrutiny without solid scientific footing. This is the nature of the complaint addressed in this article, and the authors propose that these categories be reexamined using diagnostic conventions that already exist in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000) and applying the most recognized markers of FDBP for an acceptable individual and dynamic diagnostic description.