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FACTITIOUS DISORDER

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FACTITIOUS DISORDER Intentionally produce signs and symptoms of medical and mental disorder Misrepresent their histories and symptoms Objective: assume the role of a ... – PowerPoint PPT presentation

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Title: FACTITIOUS DISORDER


1
FACTITIOUS DISORDER
2
  • Intentionally produce signs and symptoms of
    medical and mental disorder
  • Misrepresent their histories and symptoms
  • Objective assume the role of a patient
  • Compulsive quality voluntary, deliberate and
    purposeful behavior

3
Epidemiology
  • Prevalence in the general population is unknown
  • Occur more frequent in hospital and health care
    workers
  • Females gt males

4
Etiology
  • Psychosocial Factors
  • History of childhood abuse or deprivation
  • Masochistic personality seek out painful
    procedures
  • Identification reunite with a relative in a
    magical way
  • Borderline PD poor identity formation and
    disturbed self-image
  • Significant defense mechanisms repression,
    identification, regression, symbolization

5
  • Biological Factors
  • Brain dysfunction impaired information processing

6
Diagnosis and Clinical Features
  • Diagnostic Criteria
  • Intentional production or feigning of physical or
    psychological s/sxs
  • The motivation for the behavior is to assume the
    sick role
  • External incentives for the behavior is absent

7
  • Types
  • FD with predominantly Psychological S/Sxs
  • Depression, hallucinations, dissociative and
    conversion sxs, bizarre behavior
  • FD with predominantly Physical S/Sxs
  • Munchausen Syndrome

8
  • 3. FD with Combined Psychological and Physical
    S/Sxs
  • 4. FD NOS
  • FD by Proxy a person intentionally produces
    physical signs or symptoms in another person who
    is under the first persons care to indirectly
    assume the sick role or to be relieved of the
    caretaking role

9
Differential Diagnosis
  1. Somatoform Disorder
  2. PD antisocial PD, histrionic PD, borderline PD,
    schizotypal PD
  3. Schizophrenia
  4. Malingering
  5. Substance abuse
  6. Gansers syndrome

10
Course and Prognosis
  • Onset early adulthood
  • May follow real illness, loss, rejection, or
    abandonment
  • Long pattern of successive hospitalizations -
    knowledgeable about medications and
    hospitalization
  • Incapacitating and often produce severe trauma or
    untowward reactions related to treatment
  • Prognosis is poor

11
Treatment
  • Focus on management rather than on cure
  • Early recognition
  • Educate the hospital staff members
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