Munchausen syndrome

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Munchausen syndrome

ICD-10 | F68.1
ICD-9 | 301.51
DiseasesDB | 8459 Template:DiseasesDB2
MeSH | D009110

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

## Contents

* 1 Overview
* 2 Munchausen syndrome
* 3 Origin of the name
* 4 Comparison to Fabricated or Induced Illness (FII)
* 5 See also
* 6 References

## Overview

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Munchausen syndrome is a psychiatric disorder in which those affected feign disease, illness, or psychological trauma in order to draw attention or sympathy to themselves. It is in a class of disorders known as factitious disorders which involve "illnesses" whose symptoms are either self-induced or falsified by the patient. It is also sometimes known as hospital addiction syndrome.

## Munchausen syndrome

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In Munchausen syndrome, the affected person exaggerates or creates symptoms of illnesses in themselves in order to gain investigation, treatment, attention, sympathy, and comfort from medical personnel. In some extremes, people suffering from Munchausen's Syndrome are highly knowledgeable about the practice of medicine, and are able to produce symptoms that result in multiple unnecessary operations. For example, they may inject a vein with infected material, causing widespread infection of unknown origin, and as a result cause lengthy and costly medical analyses and prolonged hospital stay. The role of "patient" is a familiar and comforting one, and it fills a psychological need in people with Munchausen's. It is distinct from hypochondria in that patients with Munchausen syndrome are aware that they are exaggerating, while sufferers of hypochondria actually believe they have a disease.

## Origin of the name

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The name derives from Baron Münchhausen (Karl Friedrich Hieronymus Freiherr von Münchhausen, 1720 - 1797), to whom were ascribed a series of fantastically impossible tales written by Rudolf Raspe.

In 1950, Sir Richard Asher (father of Jane Asher and Peter Asher) was the first to describe a pattern of self-harm, where individuals fabricated histories, signs, and symptoms of illness. Remembering Baron Munchausen, Asher named this condition Munchausen's Syndrome. Originally, this term was used for all factitious disorders. Now, however, there is considered to be a wide range of factitious disorders, and the diagnosis of "Munchausen syndrome" is reserved for the most severe form, where the simulation of disease is the central activity of the affected person's life.

## Comparison to Fabricated or Induced Illness (FII)

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Main article: Fabricated or Induced Illness

Fabricated or Induced Illness (FII) is the formal name of a type of abuse in which a caregiver feigns or induces an illness in a person under their care, in order to attract attention, sympathy, or to fill other emotional needs. It has been informally known as Munchausen Syndrome by Proxy (MSbP), due to its similarity to Munchausen syndrome, in which a person feigns or induces illness in themselves for similar emotional reasons. The syndrome was proposed in 1977 by the pediatrician Roy Meadow, and gained recognition from the Royal College Of Paediatrics and Child Health in 2002. Nevertheless, not all medical organizations agree on the nature and extent of the syndrome; whether it actually exists and the rate of prevalence if it does is a matter of dispute.

## See also

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* Fabricated or Induced Illness, also known as Munchausen Syndrome by Proxy
* Psychosomatic illness
* Mythomania

## References

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* Feldman, Marc (2004). Playing sick?: untangling the web of Munchausen syndrome, Munchausen by proxy, malingering & factitious disorder. Philadelphia: Brunner-Routledge. ISBN 0-415-94934-3.
* Fisher JA (2006). "Playing patient, playing doctor: Munchausen syndrome, clinical S/M, and ruptures of medical power". The Journal of medical humanities. 27 (3): 135–49. doi:10.1007/s10912-006-9014-9. PMID 16817003.
* Fisher JA (2006). "Investigating the Barons: narrative and nomenclature in Munchausen syndrome". Perspect. Biol. Med. 49 (2): 250–62. doi:10.1353/pbm.2006.0024. PMID 16702708.
* Friedel,Robert O., MD Borderline Personality Disorder Demystified, Pg 9-10, Munchausen syndrome, Munchausen syndrome by Proxy. ISBN 1-56924-456-1

* v
* t
* e

WHO ICD-10 mental and behavioral disorders (F * 290–319)

Neurological/symptomatic|

Dementia (Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia) * Delirium * Post-concussion syndrome

Psychoactive substance|

Intoxication (drunkenness) * Physical dependence (alcohol dependence, opioid dependency, cocaine dependence) * Withdrawal (benzodiazepine withdrawal, delirium tremens) *
Amnesic: (Korsakoff's syndrome)

Psychotic disorder|

Schizophrenia (disorganized schizophrenia) * Schizotypal personality disorder * Delusional disorder * Folie à deux * Schizoaffective disorder

Mood (affective)|

Mania * Bipolar disorder * Clinical depression * Cyclothymia * Dysthymia

Neurotic, stress-related
and somatoform|

Agoraphobia * Anxiety disorder * Panic disorder * Generalized anxiety disorder * Social Anxiety Disorder * OCD * Acute stress reaction * PTSD * Adjustment disorder * Conversion disorder (Ganser syndrome) * Somatoform disorder * Somatization disorder * Neurasthenia

Physiological/physical
behavioural|

Eating disorder (anorexia nervosa, bulimia nervosa) * Sleep disorder (dyssomnia, insomnia, hypersomnia, parasomnia, night terror, nightmare) *
Sexual dysfunction (erectile dysfunction, premature ejaculation, vaginismus, dyspareunia, hypersexuality) * Postpartum depression

Adult personality
and behaviour|

Personality disorder * Passive-aggressive behavior * Kleptomania * Trichotillomania * Voyeurism * Factitious disorder * Munchausen syndrome * Ego-dystonic sexual orientation

Mental retardation|

Mental retardation

Psychological development
(developmental disorder)|

Specific: speech and language (expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp) * Scholastic skills (dyslexia, dysgraphia, Gerstmann syndrome) * Motor function (developmental dyspraxia)
Pervasive: Autism * Rett syndrome * Asperger syndrome

Behavioural and emotional,
childhood and adolescence onset|

ADHD * Conduct disorder * Oppositional defiant disorder * Separation anxiety disorder * Selective mutism * Reactive attachment disorder * Tic disorder * Tourette syndrome * Speech (stuttering * cluttering)

da:Münchhausen-syndromet de:Münchhausen-Syndrom ko:뮨하우젠 증후군 it:Sindrome di Münchausen he:תסמונת מינכהאוזן nl:Münchhausensyndroom fi:Munchausenin syndrooma sv:Münchhausens syndrom

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