Psychological medicine

Fictitious Disorder

Factitious Disorder by Proxy

  • = Munchausen‟s By Proxy
  • Criteria:
    • Intentional production or feigning of physical or psychological signs or symptoms in another person under the individual‟s care
    • Motivation is to assume the sick role by proxy
    • No external incentives for the behaviour (economic gain, avoiding legal responsibility)
  • Warning signs: child aged 15 months to 6 years, baffling multisystem symptoms, taken to lots of health care providers, over attached parent, no symptoms when parent absent, strange poisonings, reported seizures