Diagnosis and Classification of Factitious Disorder with Operational Diagnostic Systems

Freyberger, H. J.; Schneider, Wolfgang

doi:10.1159/000288900

Cited by 13 publications

(5 citation statements)

References 4 publications

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“…Given the relatively high prevalence rate reported in this article (6% of patients), it is important to point out the study's limitations. All diagnoses were assigned by a single individual, there is a degree of uncertainty in making the diagnosis of factitious disorder, and interrater reliability for the disorder is low (Freyberger & Schneider, 1994). It is possible, therefore, that the results of this study may not generalize to other settings.…”

Section: Discussionmentioning

confidence: 99%

Factitious disorder on an inpatient psychiatry ward.

Gregory¹,

Jindal²

2006

American Journal of Orthopsychiatry

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Section: Discussionmentioning

confidence: 99%

Factitious disorder on an inpatient psychiatry ward.

Gregory¹,

Jindal²

2006

American Journal of Orthopsychiatry

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“…There are a number of clinical variations of factitious disorder, and some investigators have suggested a subclassification based on lifelong stressors 19 or adjunctive psychiatric syndromes such as borderline personality disorder, atypical psychotic disorders, and dissociative states. 20 Therefore, if several items on the medically self-sabotaging survey overlap with the symptoms encountered in factitious disorder, this by no means excludes a diagnosis of borderline personality disorder.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Medically Self-Sabotaging Behaviors and Borderline Personality Disorder Among Psychiatric Inpatients

Sansone¹,

McLean²,

Wiederman³

2008

Prim. Care Companion J. Clin. Psychiatry

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Objective: In this study, we hypothesized and explored a relationship between medically selfsabotaging behaviors and borderline personality disorder.Method: Using a cross-sectional self-report survey methodology, we examined 120 psychiatric inpatients, who were not psychotic, demented, medically ill, or cognitively impaired, being treated in an urban community hospital located in a midsized, midwestern city (sample of convenience) for medically self-sabotaging behaviors (author-developed survey) and borderline personality disorder. Borderline personality disorder was assessed with the following 3 measures: the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4), the Self-Harm Inventory Results: For the 76 respondents (63.3%) who reported having engaged in at least 1 medically self-sabotaging behavior, the mean number of different medically self-sabotaging behaviors was 4.11 (SD = 3.93). With regard to the most commonly endorsed behaviors, approximately one quarter of participants acknowledged damaging self on purpose and seeking medical treatment; not going for medical treatment, despite needing it, to purposefully hurt self; not taking a prescribed medication to hurt self; and gravitating toward a dangerous situation hoping to be physically hurt. As hypothesized, greater numbers of self-reported medically self-sabotaging behaviors were related to higher scores on the PDQ-4 (r = 0.28, p < .01), the SHI (r = 0.55, p < .001), and the MSI-BPD (r = 0.41, p < .001).Conclusions: Medically self-sabotaging behaviors are commonly encountered in psychiatric inpatients with borderline personality disorder.(Prim Care Companion J Clin Psychiatry 2008;10:448-452)

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“…Factors associated with factitious disorder by proxy are many and varied. From the perspective of family functioning, a number of factors have been identified including enmeshment, marital dysfunction, sexual abuse, abnormal behaviour around illness and substance abuse (Griffith, 1988). In addition, doctors themselves may unwittingly act as collusive agents by engaging in medical procedures that bring support, care and concern to the parent (e.g.…”

Section: Factitious Disorder By Proxymentioning

confidence: 99%

Factitious disorders by proxy: A trap for the unwary

Randall¹,

Parker²

1997

Journal of Social Work Practice

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S u m m a r y This paper reviews the literature on Factitious Disorders by fioxy; one of the most insidious forms of chiM abuse known to practitioners. It provides a description of the disorder and its place relative to other similar disorders. The epidemiology and course of the disorder are examined and the symptoms by which it may be recognised are identzjied. A case study illustrates the main features of this disorder and demonstrates how easy it is for practitioners to be misled by the abuser. Finally, the paper examines the prospect for successful intervention and details the criteria that are associated with success.

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Diagnosis and Classification of Factitious Disorder with Operational Diagnostic Systems

Cited by 13 publications

References 4 publications

Factitious disorder on an inpatient psychiatry ward.

Factitious disorder on an inpatient psychiatry ward.

The Relationship Between Medically Self-Sabotaging Behaviors and Borderline Personality Disorder Among Psychiatric Inpatients

Factitious disorders by proxy: A trap for the unwary

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