Tuesday, May 11, 2010

Factitious Disorders

So, I'm actually in a lecture about substance abuse in adolescents, but somehow found myself reading this website about Factitious Disorders (http://my.clevelandclinic.org/disorders/factitious_disorders/hic_an_overview_of_factitious_disorders.aspx).
Here are some interesting snippets...

What are factitious disorders?
Mental illness describes abnormal cognitive or emotional patterns related to how a person thinks, feels, acts, and/or relates to others and his or her surroundings. Factitious disorders are mental disorders in which a person acts as if he or she has a physical or mental illness when, in fact, he or she has consciously created his or her symptoms. (The name factitious comes from the Latin word for "artificial.")
People with factitious disorders deliberately create or exaggerate symptoms of an illness in several ways. They may lie about or mimic symptoms, hurt themselves to bring on symptoms, or alter diagnostic tests (such as contaminating a urine sample). People with factitious disorders have an inner need to be seen as ill or injured, but not to achieve a concrete benefit, such as a financial gain. People with factitious disorders are even willing to undergo painful or risky tests and operations in order to obtain the sympathy and special attention given to people who are truly ill. Factitious disorders are considered mental illnesses because they are associated with severe emotional difficulties.
Many people with factitious disorders also suffer from other mental disorders, particularly personality disorders. People with personality disorders have long-standing patterns of thinking and acting that differ from what society considers usual or normal. People with personality disorders generally also have poor coping skills and problems forming healthy relationships.

Factitious disorder with mostly physical symptoms — People with this disorder claim to have symptoms related to a physical illness--symptoms such as chest pain, stomach problems, or fever. This disorder is sometimes referred to as Munchausen syndrome, named for Baron von Munchausen, an 18th century German officer who was known for embellishing the stories of his life and experiences.NOTE: Although Munchausen syndrome most properly refers to a factitious disorder with physical symptoms, the term is sometimes used to refer to factitious disorders in general.
Factitious disorder with both psychological and physical symptoms — People with this disorder report symptoms of both physical and mental illness.

What are the symptoms of factitious disorders?
Possible warning signs of factitious disorders include the following:
  • Dramatic but inconsistent medical history
  • Unclear symptoms that are not controllable, become more severe, or change once treatment has begun
  • Predictable relapses following improvement in the condition
  • Extensive knowledge of hospitals and/or medical terminology, as well as the textbook descriptions of illness
  • Presence of many surgical scars
  • Appearance of new or additional symptoms following negative test results
  • Presence of symptoms only when the patient is alone or not being observed
  • Willingness or eagerness to have medical tests, operations, or other procedures
  • History of seeking treatment at many hospitals, clinics, and doctors’ offices, possibly even in different cities
  • Reluctance by the patient to allow health care professionals to meet with or talk to family members, friends, and prior health care providers

Is it terrible to suspect someone of having one of these?

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