The munchausen spectrum

Nadelson, Theodore

doi:10.1016/0163-8343(79)90073-2

Cited by 140 publications

(6 citation statements)

References 20 publications

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“…This outcome is not surprising since the correlation between FD and personality disorders is frequently described in literature. 16 , 17 In the group with comorbidity, personality disorders and depressive disorders are the most represented. There are many studies published in the professional literature that support these connections, but the relationship between these diagnosis is still unclear.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and evolution of the diagnostic classification of factitious disorders in <em>DSM-5</em>

Caselli¹,

Poloni²,

Ielmini³

et al. 2017

PRBM

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A systematic search for all case reports and case series of adult patients with factitious disorders (FD) in the databases MEDLINE, Scopus, and PsycINFO was conducted. FD is a psychiatric disorder in which sufferers intentionally fabricate physical or psychological symptoms in order to assume the role of a patient, without any obvious gain. The clinical and demographic profile of patients with FD has not been sufficiently clear. Thus, the aims of this study were to outline a demographic and clinical profile of a large sample of patients with FD and to study the evolution of the position of FD in the Diagnostic and Statistical Manual of Mental Disorders. One thousand six hundred thirty-six records were obtained based on key search terms, after exclusion of duplicate records. Five hundred seventy-seven articles were identified as potentially eligible for the study, of which 314 studies were retrieved for full-text review. These studies included 514 cases. Variables extracted included age, gender, reported occupation, comorbid psychopathology, clinical presentation, and factors leading to the diagnosis of FD. In the sample, 65.4% of patients were females. Mean age at presentation was 33.5 years. A health care profession was reported most frequently (n=113). Patients were most likely to present in psychiatry, neurology, emergency, and internal medicine departments. The broad survey of sociodemographic profile of the sample has highlighted some important points for early diagnosis and early psychiatric treatment. The study showed that the patients did not meet Diagnostic and Statistical Manual of Mental Disorders-5 diagnostic criteria in 11.3% of cases.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and evolution of the diagnostic classification of factitious disorders in <em>DSM-5</em>

Caselli¹,

Poloni²,

Ielmini³

et al. 2017

PRBM

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“…When the deception is uncovered it can provoke anger and frustration in treating clinicians. Many patients with factitious disorder have traits consistent with Borderline Personality Disorder [10]. With manipulative behaviour, splitting between staff and idealization/denigration, these patients frequently cause significant disharmony and loss of effectiveness in clinical teams [11].…”

Section: Discussionmentioning

confidence: 99%

Hypogammaglobulinemia factitia- Munchausen syndrome masquerading as common variable immune deficiency

Ameratunga

Casey

Parry

et al. 2013

All Asth Clin Immun

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BackgroundWe describe the first case of a patient with factitious disorder who closely simulated a primary immune deficiency disorder – Common Variable Immune Deficiency (CVID), by surreptitiously ingesting non-steroidal anti-inflammatory agents.Case descriptionHe was treated with several expensive and potentially dangerous drugs before the diagnosis was established through collateral information. In retrospect he did not meet the proposed new criteria for CVID. These criteria may prove useful in distinguishing cases of CVID from secondary hypogammaglobulinemia.ConclusionIt is imperative clinicians recognise patients with factitious disorder at the earliest opportunity to prevent iatrogenic morbidity and mortality.

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“…In this manner, they are able to mitigate their hypochondriacal fear of their own bodies [ 14], In this context, the physician appears as a neutral asexual parental figure, one who is also omnipotent, however, with the ability to exert a calming and anxietyallaying effect. The doctors are 'good parents' [15]. Once the process of factitious illness is underway, doctors and hospitals increasingly become central points of reference for the patients.…”

Section: Infantile Fixation On the Figure Of The Physicianmentioning

confidence: 99%

“…Where accounts have been presented, they have come from authors who have been able to conduct and extensive exploration of their patients' histories. The patients of Herzberg and Wolff [15] were the victoms of narcissis tic and sexual abuse, an abuse which was sub tle to a greater or lesser degree. One mother had, for no reason, 'taken the temperature' of her son rectally every day for years.…”

Section: ]mentioning

confidence: 99%

The Biography of the Factitious-Disorder Patient

Plassmann¹

1994

Psychother Psychosom

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The munchausen spectrum

Cited by 140 publications

References 20 publications

Epidemiology and evolution of the diagnostic classification of factitious disorders in <em>DSM-5</em>

Epidemiology and evolution of the diagnostic classification of factitious disorders in <em>DSM-5</em>

Hypogammaglobulinemia factitia- Munchausen syndrome masquerading as common variable immune deficiency

The Biography of the Factitious-Disorder Patient

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