A factitious disorder is feigning of physical symptoms without obvious external incentives; the motivation for this behavior is to assume the sick role. Symptoms may be acute, dramatic and convincing. Patients often go for treatment by a doctor or hospital to another. The cause is unknown, but are stress and a severe personality disorder, often a borderline personality disorder, often involved. The diagnosis is made clinically. There is no clearly effective treatments
The self-inflicted factitious disorder called Munchausen syndrome earlier, especially when manifestations were dramatic and difficult. A forced another person factitious disorder may also occur.
A factitious disorder is feigning of physical symptoms without obvious external incentives; the motivation for this behavior is to assume the sick role. Symptoms may be acute, dramatic and convincing. Patients often go for treatment by a doctor or hospital to another. The cause is unknown, but are stress and a severe personality disorder, often a borderline personality disorder, often involved. The diagnosis is made clinically. There is no clearly effective treatments The self-inflicted factitious disorder used to be called Munchausen syndrome, especially when manifestations were dramatic and difficult. A forced another person factitious disorder may also occur. These patients are initially and over to sometimes chronic medical or surgical clinics. However, the disorder is a mental health problem, it is more complex than a simple dishonest simulation of symptoms and associated with severe emotional difficulties. Patients may have striking features of a borderline personality disorder and are intelligent and resourceful in general. You know how the disease is fake, and are demanding in terms of the medical procedure. Although their deceptions are knowingly and willingly, they differ from malingerers because there are no external incentives (eg. As economic benefits) for their behavior. What they gain about medical attention for their sufferings addition, it is unclear and their motives and their desire for attention are largely unconscious and opaque. Patients can have an early history of emotional and physical abuse. Patients may also have experienced a serious illness in childhood, or they had a seriously ill relative. Patients seem to have problems with their identity and unstable relationships. feign illness can be a way to boost the self-esteem or to protect themselves by attributing the blame for the failure of their disease by be associated with renowned doctors and medical centers and / or by formed unique, heroic or medically competent and seem to be. Symptoms and signs Patients with Munchausen syndrome deputy can complain about physical symptoms or simulate these that indicate certain diseases (eg. As abdominal pain suggestive of acute surgical abdomen, vomiting of blood). Patients often know many associated symptoms and characteristics of the disease, which they pretend (for example, that the pain of a myocardial infarction in the left arm or jaw or broadcast may be accompanied by sweating). . Sometimes simulate or cause them physical findings (eg they pricking her finger to contaminate a urine sample with blood, injecting bacteria under the skin to produce fever or an abscess in such cases is often Escherichia coli, the pathogen ). Your abdominal wall may be covered with scars by exploratory laparotomy, or a finger or a limb may be amputated. Diagnosis Clinical Investigation The diagnosis of Munchausen syndrome deputies based on the medical history and examination, together with all the necessary tests for exclusion of physical illness and demonstration of exaggeration, fancies, simulation and / or use of physical symptoms. The behavior has no apparent äüßere incentives (eg. As time off from work, financial compensation for injuries) occur. Treatment No clearly effective treatments Treatment of a self-imposed artificial disease is usually a challenge, and there is no clearly effective treatments. Patients may experience initial relief when they get fulfilled their treatment requirements, but their symptoms escalate and eventually typically exceed what doctors do intend to, or are able. Confrontation or refusal to comply with the treatment requirements, often leading to angry reactions, and patients typically go from a doctor or hospital to another (Peregrination). It is important to recognize the disorder and early to request psychiatric, psychosomatic or psychological counseling to avoid risky invasive tests, surgical procedures and the excessive or unwarranted use of medication. A non-aggressive, non-punitive, nichtkonfrontativer approach should be taken to present patients, the diagnosis of artificial disturbance. In order to avoid anything that points to guilt and blame, a doctor may be the diagnosis as a cry for help. Alternatively, some experts recommend to offer a treatment for mental health patients, without having to reveal their role in the development of their disease. In both cases, it is helpful to give the patient that the doctor and patient can work together to solve the problem. Other added factitious disorder Another added factitious disorder is the corruption of the manifestations of a disease in another person, usually performed by nurses against someone who is in their care. So far, this disorder was known as factitious disorder by proxy or Munchausen syndrome by proxy. In a factitious disorder, which is added to another people, caregivers usually generate (such. As parents) intentionally physical or psychological symptoms or complaints to a person in their care (usually a child), or distort them, not with itself (as with the self-inflicted artificial disorder). The supervisor distorts the history and can harm the baby with drugs or other agents or enclose urine sample blood or bacterial contaminants in order to simulate diseases. The supervisor takes medical care for the child to complete and appears to be deeply concerned and protective. The child typically has a history with frequent hospital stays, usually due to a variety of non-specific symptoms, but no clear diagnosis. Child victims may be seriously ill and sometimes die. As with the self-imposed “factious disorder”, the behavior of the supervisor must occur without obvious external incentives (eg. As covering up signs of child abuse.