Clinical Case Database / Category: Clinical Care

Factitious disorder

Publication details

Alok Kumar Rana, Ankush Singhal MD, MRCPsych
Foundation Years Journal, volume 3, issue 7, p.32 (123Doc Education, London, September 2009)

Abstract

"Factitious disorder refers to the conditions consisting of intentional production or feigning of signs of medical or mental disorder along with misrepresentation of history and symptoms in order to assume the sick role without any external incentive" (1).

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Authors

Alok Kumar Rana

Specialty Registrar - Old Age Psychiatry
18 Meadow Close
Withington, Hereford
Herefordshire
HR1 3RR

Ankush Singhal MD, MRCPsych

Specialty trainee (Year 5)
Hertfordshire Partnership Foundation NHS Trust

References

1. Factitious disorders. In BJ Sadock, VA Sadock (eds) Kaplan and Sadock's Synopsis of Psychiatry, 9th edn, Philadelphia, USA: Lippincott Williams & Wilkins, 2003, pp. 668–672.
2. Khan SA, Davey CA, Khan SA, et al. Munchausen's syndrome presenting as rectal foreign body insertion: a case report, Cases Journal, 2008, (1): 243. Available from http://www.casesjournal.com/casesjournal/article/view/5167/335 (accessed 26th February 2009).
3. The ICD-10 Classification of Mental and Behavioural Disorders, (10th revision of International classification of disease) Clinical descriptions and diagnostic guidelines. 2004, World Health Organisation, 2004, pp. 222–223.
4. Asher R. Munchausen's syndrome. Lancet, 1951, (1):339–341.
5. Ford CV. Factitious disorder and malingering. In MH Ebert, PT Loosen, B Nurcombe (eds) Current Diagnosis & Treatment in Psychiatry, International edn. Lange medical books/McGraw-Hill, 2000, pp. 378–383.
6. Hamilton JC, Feldman Marc D. Munchausen Syndrome. Available from: http://emedicine.medscape.com/article/295127 (accessed 26 February 2009).
7. NHS Choices. Conditions: Munchausen syndrome. http://www.nhs.uk/Conditions/Munchausens-syndrome/Pages/Introduction.aspx?url=Pages/What-is-it.aspx (accessed 26 February 2009).
8. Carney M, Brown JP. Clinical features and motives among 42 artifactual illness patients. Br J Med Psychol, 1983, 56:57–66.
9. Huffman JC, Stern TA. The diagnosis and treatment of Munchausen's syndrome. Gen Hosp Psychiatry, 2003, 25(5):358–363.
10. Psychiatry and medicine. In M Gelder, P Harrison, P Cowen (eds) Shorter Oxford Textbook of Psychiatry, 5th edn. Oxford: Oxford University Press, UK, 2007, pp. 389–390.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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