Medicine Involving Deception, Malingering, Munchausen Syndrome, And Munchausen By Proxy

1268 Words Dec 9th, 2014 6 Pages
Diagnoses in medicine involving deception are some of the most difficult phenomenon’s to detect: factitious disorder, malingering, Munchausen syndrome, and Munchausen by proxy. As a starting point for diagnosis and treatment, doctors rely on reported symptoms in order to accurately detect the problems with the patients. When patients give misleading information, consciously or unconsciously, doctors and physicians are unable to accurately diagnose the patient (Dyer & Feldman, 2007). This phenomenon is commonly known as factitious disorder, which the “DSM-IV offers two inclusion criteria: physical symptoms are intentionally produced, and the patient’s motivation is to assume the patient role” (Krahn, Li, & O’Connor, 2003). Factitious disorders (FD) are characterized by the deliberate faking of physical or psychological signs and symptoms. Although some of the reports symptoms are false, in some cases the symptoms are real only self-induced.
In relation to other psychological and psychiatric disorders, it is very rare to diagnosis factitious disease; however it may be extremely prevalent in our health care system. “Factitious disorder is an uncommon, but probably underdiagnosed, condition associated with considerable morbidity, mortality, and health care expenditure” (Sutherland & Rodin, 1990). In order to accurately diagnose FD, physicians and other medical professions must be able to maintain an organized and complete collection of patient medical records with detailed…

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