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Factitious disorder imposed on another

From Wikipedia
factitious disorder imposed on another
child abuse, type of disease
Subclass offactitious disorder Edit
Dem name afterBaron Munchausen Edit
Discoverer or inventorRoy Meadow Edit
Time of discovery anaa invention1977 Edit
Health specialtypsychiatry, psychology Edit

Factitious disorder imposed on another (FDIA), dem sanso know as fabricated or induced illness by carers (FII), medical child abuse den originally dem name Munchausen syndrome by proxy (MSbP) after Munchausen syndrome, be a mental health disorder insyd wich a caregiver dey create de appearance of health problems insyd anoda person – typically dema kiddie, den sam times (rarely) wen an adult falsely dey simulate an illness anaa health issues insyd anoda adult partner.[1][2][3] Dis fi include altering test samples, injuring a kiddie, falsifying diagnoses, anaa portraying de appearance of health issues thru contrived photographs, videos, den oda 'evidence' of de supposed illness.[2] De caregiver anaa partner then continue dey present de person as being sick anaa injured, wey dey convince odas of de condition/s den dema own suffering as de caregiver.[4] Permanent injury (both physical den psychological harm) anaa even death of de victim fi occur as a result of de disorder den de caretaker ein actions.[2] De behaviour be generally thought to be motivated by de caregiver anaa partner seeking de sympathy anaa attention of oda people den/anaa de wider public.

De causes of FDIA generally be unknown, yet dem dey believe among physicians den mental health professionals say de disorder be associated plus na de 'caregiver' experience traumatic events during kiddie time (for example, parental neglect, emotional deprivation, psychological abuse, physical abuse, sexual abuse, anaa severe bullying).[5] De primary motive dem believe to be to gain significant attention den sympathy, often plus an underlying need to lie den a desire to manipulate odas (wey dey include health professionals).[6] Financial gain sanso be a motivating factor insyd sam individuals plus de disorder. Generally, risk factors for FDIA commonly dey include pregnancy related complications den sympathy anaa attention na a mommie receive upon giving birth, den/anaa a mommie wey na dem neglect, traumatize, anaa abused thru out kiddie time, anaa who get a diagnosis of (anaa history of) factitious disorder imposed on self.[7] Dem consider victims of those affected by de disorder dem be subjected to a form of trauma, physical abuse, den medical neglect.[8]

Management of FDIA insyd de affected 'caregiver' fi require removing de affected kiddie den putting de kiddie into de custody of oda family members anaa into foster care.[5][6][9] Dem no know how effective psychotherapy be give FDIA, yet e be assumed say e likely to be highly effective for those wey be able to admit dem get a problem wey dem be willing to engage insyd treatment. However, psychotherapy be unlikely to be effective for an individual wey dey lack awareness, be incapable of recognizing dema illness, anaa refuses to undertake treatment.[6] De prevalence of FDIA be unknown,[4] buh e dey appear to be relatively rare, wey ein prevalence generally be higher among women.[6] More dan 90% of cases of FDIA involve a person ein mommie.[7] De prognosis give de caregiver be poor.[6] However, der be a burgeoning literature on possible courses of effective therapy.[7] Na dem first name de condition as "Munchausen syndrome by proxy" insyd 1977 by British pediatrician Roy Meadow.[6] Sam aspects of FDIA fi represent criminal behavior.[4]

References

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  1. ↑ "APA PsycNet". psycnet.apa.org (in English). Archived from the original on 2024-12-11. Retrieved 2025-11-30.
  2. 1 2 3 "Factitious Disorder Imposed on Self – Psychiatric Disorders". Merck Manuals Professional Edition (in Canadian English). Retrieved 28 April 2019.
  3. ↑ "Overview - Fabricated or induced illness". nhs.uk (in English). 2021-02-16. Retrieved 2022-11-09.
  4. 1 2 3 Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington: American Psychiatric Association. 2013. pp. 324–326. ISBN 978-0-89042-555-8.
  5. 1 2 Jacoby, David B.; Youngson, R. M. (2004). Encyclopedia of Family Health (in English). Marshall Cavendish. p. 1286. ISBN 978-0-7614-7486-9.
  6. 1 2 3 4 5 6 Myers, John E. B. (2005). Myers on Evidence in Child, Domestic, and Elder Abuse Cases (in English). Aspen. pp. 280–282. ISBN 978-0-7355-5668-3.
  7. 1 2 3 Yates, G.; Bass, C. (October 2017). "The perpetrators of medical child abuse (Munchausen Syndrome by Proxy) – A systematic review of 796 cases". Child Abuse & Neglect. 72: 45–53. doi:10.1016/j.chiabu.2017.07.008. PMID 28750264. S2CID 46348831.
  8. ↑ Stirling J, et al. (Committee on Child Abuse Neglect) (May 2007). "Beyond Munchausen syndrome by proxy: identification and treatment of child abuse in a medical setting". Pediatrics. 119 (5). Berlin, Germany: Karger: 1026–1030. doi:10.1542/peds.2007-0563. PMID 17473106.
  9. ↑ Kelley, David M.; Curran, Kelly A. (2019). "Medical Child Abuse: An Unusual 'Source' of Vaginal Bleeding". Journal of Pediatric and Adolescent Gynecology (in English). 32 (3): 334–336. doi:10.1016/j.jpag.2019.03.003. PMID 30923026. S2CID 85564487.
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