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Vignette Vignette
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Historical/Cultural Context Historical/Cultural Context
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Role in Current Diagnostic System and Symptomatology Role in Current Diagnostic System and Symptomatology
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Prevalence Rate and Associated Features Prevalence Rate and Associated Features
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Theories of Etiology Theories of Etiology
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Assessment Options Assessment Options
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Differential Diagnosis Differential Diagnosis
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Somatic Symptom Disorder or Conversion Disorder (Functional Neurological Symptom Disorder) Somatic Symptom Disorder or Conversion Disorder (Functional Neurological Symptom Disorder)
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Malingering Malingering
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Borderline Personality Disorder Borderline Personality Disorder
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Psychotic Disorders Psychotic Disorders
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Anxiety Disorders Anxiety Disorders
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Autism Spectrum Disorders Autism Spectrum Disorders
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Eating and Feeding Disorders Eating and Feeding Disorders
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Treatment Options Treatment Options
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Recommendations for Future Work Recommendations for Future Work
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References References
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Cite
Abstract
In Factitious Disorders, the patient exaggerates, fabricates, simulates, and/or induces symptoms of medical and/or psychiatric illnesses—in himself or in another person—with no concrete incentive beyond the pleasure, consolation, or status conferred by being a patient (or by being closely identified with a patient). This condition can go unrecognized for years, as most physicians assume that descriptions of medical symptoms are presented in good faith. Variations have sometimes been termed factitious disorder imposed on another or Munchausen syndrome by proxy. The secretive and sometimes criminal nature of these behaviors provides numerous barriers to research, but important data have been collected. After discussing the available research base of the factitious disorders, potential assessment procedures using medical records are detailed.
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