eMedicine Specialties > Psychiatry > Psychosomatic

Munchausen Syndrome: Multimedia

Author: James C Hamilton, PhD, Associate Professor, Coordinator of Clinical Health Psychology, Department of Psychology, Clinical Affiliate Associate Professor of Internal Medicine, University of Alabama
Coauthor(s): Marc D Feldman, MD, Clinical Professor of Psychiatry, Department of Psychiatry and Behavioral Medicine, and Adjunct Professor, Department of Psychology, University of Alabama, Tuscaloosa, AL
Contributor Information and Disclosures

Updated: Sep 16, 2009

Multimedia

Baron Munchausen as he has been depicted in innum...Media file 1: Baron Munchausen as he has been depicted in innumerable books. The real-life Baron Munchausen lived from 1720-1797 and never told tales about illness.
Baron Munchausen as he has been depicted in innum...

Baron Munchausen as he has been depicted in innumerable books. The real-life Baron Munchausen lived from 1720-1797 and never told tales about illness.

A playing card celebrating the literary Baron, wh...Media file 2: A playing card celebrating the literary Baron, who claimed to have ridden a cannonball into battle.
A playing card celebrating the literary Baron, wh...

A playing card celebrating the literary Baron, who claimed to have ridden a cannonball into battle.

The classic, multiply scarred abdomen of a patien...Media file 3: The classic, multiply scarred abdomen of a patient with Munchausen syndrome. The photograph on the left shows her abdomen as it appeared on presentation, after she had undergone 42 unwarranted operations. The photograph on the right shows her abdomen after additional surgery revealed an authentic colon cancer.
The classic, multiply scarred abdomen of a patien...

The classic, multiply scarred abdomen of a patient with Munchausen syndrome. The photograph on the left shows her abdomen as it appeared on presentation, after she had undergone 42 unwarranted operations. The photograph on the right shows her abdomen after additional surgery revealed an authentic colon cancer.

An antique gyroscope showing Baron Munchausen rid...Media file 4: An antique gyroscope showing Baron Munchausen riding a cannonball into battle as in the famous story attributed to him.
An antique gyroscope showing Baron Munchausen rid...

An antique gyroscope showing Baron Munchausen riding a cannonball into battle as in the famous story attributed to him.

More on Munchausen Syndrome

Overview: Munchausen Syndrome
Differential Diagnoses & Workup: Munchausen Syndrome
Treatment & Medication: Munchausen Syndrome
Follow-up: Munchausen Syndrome
Multimedia: Munchausen Syndrome
References
Further Reading

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric Association. 2000.

  2. Mountz JM, Parker PE, Liu HG, Bentley TW, Lill DW, Deutsch G. Tc-99m HMPAO brain SPECT scanning in Munchausen syndrome. J Psychiatry Neurosci. Jan 1996;21(1):49-52. [Medline].

  3. Sutherland AJ, Rodin GM. Factitious disorders in a general hospital setting: clinical features and a review of the literature. Psychosomatics. Fall 1990;31(4):392-9. [Medline].

  4. Fliege H, Grimm A, Eckhardt-Henn A, Gieler U, Martin K, Klapp BF. Frequency of ICD-10 factitious disorder: survey of senior hospital consultants and physicians in private practice. Psychosomatics. Jan-Feb 2007;48(1):60-4. [Medline].

  5. Plassmann R. Inpatient and outpatient long-term psychotherapy of patients suffering from factitious disorders. Psychother Psychosom. 1994;62(1-2):96-107. [Medline].

  6. Aduan RP, Fauci AS, Dale DC. Factitious fever and self-induced infection: a report of 32 cases and review of the literature. Ann Intern Med. Feb 1979;90(2):230-42. [Medline].

  7. ASHER R. Munchausen's syndrome. Lancet. Feb 10 1951;1(6650):339-41. [Medline].

  8. Babe KS Jr, Peterson AM, Loosen PT. The pathogenesis of Munchausen syndrome. A review and case report. Gen Hosp Psychiatry. Jul 1992;14(4):273-6. [Medline].

  9. Baile WF Jr, Kuehn CV, Straker D. Factitious cancer. Psychosomatics. Winter 1992;33(1):100-5. [Medline].

  10. Eastwood S, Bisson JI. Management of factitious disorders: a systematic review. Psychother Psychosom. 2008;77(4):209-18. [Medline].

  11. Ehlers W, Plassmann R. Diagnosis of narcissistic self-esteem regulation in patients with factitious illness (Munchausen syndrome). Psychother Psychosom. 1994;62(1-2):69-77. [Medline].

  12. Feldman MD. Playing Sick?: Untangling the Web of Munchausen Syndrome, Munchausen by Proxy, Malingering, and Factitious Disorder. New York, Routledge. 2004.

  13. Feldman MD. Web alert. Curr Psychiatry Rep. Oct 2000;2(5):367-8. [Medline].

  14. Feldman MD, Eisendrath SJ. The Spectrum of Factitious Disorders. Washington, DC: American Psychiatric Press; 1996.

  15. Feldman MD, Hamilton JC. "Chest pain" in patients with factitious disorder including Munchausen syndrome. In: Hurst JW, Morris DC, eds. Chest Pain. Armonk, NY: Futura; 2001.

  16. Feldman MD, Hamilton JC. Serial factitious disorder and Munchausen by proxy in pregnancy. Int J Clin Pract. Dec 2006;60(12):1675-8. [Medline].

  17. Feldman MD, Miner ID. Factitious Usher syndrome: a new type of factitious disorder. Medscape Journal of Medicine [serial online]. June 30, 2008;10:153. Available from: http://www.medscape.com/viewarticle/575253. Accessed March 22, 2009. Available at www.medscape.com/viewarticle/575253.

  18. Folks DG. Munchausen's syndrome and other factitious disorders. Neurol Clin. May 1995;13(2):267-81. [Medline].

  19. Folks DG, Feldman MD, Ford CV. Somatoform disorders, factitious disorders, and malingering. In: Stoudemire A, Fogel BS, Greenberg DB, eds. Psychiatric Care of the Medical Patient. 2nd ed. New York: Oxford University Press; 2000:459-475.

  20. Gattaz WF, Dressing H, Hewer W. Munchhausen syndrome: psychopathology and management. Psychopathology. 1990;23(1):33-9. [Medline].

  21. Gavin H. On Feigned and Factitious Diseases. London, England: John Churchill; 1843.

  22. Hamilton JC, Feldman MD. Factitious disorders. In: Phillips KA, ed. Somatoform and Factitious Disorders. Washington, DC: American Psychiatric Publishing; 2001:129-166.

  23. Hamilton JC, Feldman MD, Janata JW. The A, B, C's of factitious disorder: a response to Turner. Medscape J Med. 2009;11(1):27. [Medline][Full Text].

  24. Krahn LE, Bostwick JM, Stonnington CM. Looking toward DSM-V: should factitious disorder become a subtype of somatoform disorder?. Psychosomatics. Jul-Aug 2008;49(4):277-82. [Medline].

  25. Krahn LE, Li H, O'Connor MK. Patients who strive to be ill: factitious disorder with physical symptoms. Am J Psychiatry. Jun 2003;160(6):1163-8. [Medline].

  26. Turner MA. Factitious disorders: reformulating the DSM-IV criteria. Psychosomatics. Jan-Feb 2006;47(1):23-32. [Medline].

Further Reading

Feldman MD. Playing Sick? Untangling the Web of Munchausen Syndrome, Munchausen by Proxy, Malingering, and Factitious Disorder. New York, Routledge, 2004

Selected Web sites

How Munchausen Syndrome Works

The Merck Manual entry on Munchausen syndrome

Cybersickness

Dr. Feldman's Munchausen Syndrome, Factitious Disorder, Malingering, and Munchausen by Proxy Site

Keywords

factitious disorder, FD, hospital hobo, pseudosickness, pathomimicry, disease forgery, scalpellophilia, mania operativa activa, surgery mania, artefactual patients, doctor addicts, hospital hoppers, hospital addicts, professional patients, false patients, operation addicts, pseudologues, peregrinating problem patients, pseudologia fantastica, hypochondriasis, hypochondriac, malingering, goldbricking, black hole patients, heart-sinkers

Contributor Information and Disclosures

Author

James C Hamilton, PhD, Associate Professor, Coordinator of Clinical Health Psychology, Department of Psychology, Clinical Affiliate Associate Professor of Internal Medicine, University of Alabama
James C Hamilton, PhD is a member of the following medical societies: American Psychological Society, American Psychosomatic Society, International Society for Self and Identity, Phi Beta Kappa, and Society for Personality and Social Psychology
Disclosure: Nothing to disclose.

Coauthor(s)

Marc D Feldman, MD, Clinical Professor of Psychiatry, Department of Psychiatry and Behavioral Medicine, and Adjunct Professor, Department of Psychology, University of Alabama, Tuscaloosa, AL
Marc D Feldman, MD is a member of the following medical societies: Academy of Psychosomatic Medicine and American Psychiatric Association
Disclosure: Nothing to disclose.

Medical Editor

Ronald C Albucher, MD, Chief Medical Officer, Westside Community Services; Consulting Staff, California Pacific Medical Center
Ronald C Albucher, MD is a member of the following medical societies: American Psychiatric Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Eduardo Dunayevich, MD, Adjunct Assistant Professor, Department of Psychiatry, University of Cincinnati; Clinical Research Physician, Neuroscience, Lilly Research Laboratories
Eduardo Dunayevich, MD is a member of the following medical societies: American Psychiatric Association
Disclosure: Nothing to disclose.

CME Editor

Harold H Harsch, MD, Program Director of Geropsychiatry, Department of Geriatrics/Gerontology, Associate Professor, Department of Psychiatry and Department of Medicine, Froedtert Hospital, Medical College of Wisconsin
Harold H Harsch, MD is a member of the following medical societies: American Psychiatric Association
Disclosure: lilly Honoraria Speaking and teaching; Forest Labs Honoraria Speaking and teaching; AstraZeneca Honoraria Speaking and teaching; Pfizer Grant/research funds Speaking and teaching; Northstar Grant/research funds Research; Novartis Grant/research funds research; Pfizer  Speaking and teaching; Sanofi-avetis Grant/research funds research; Otsuke Grant/research funds reseach; GlaxoSmithKline Grant/research funds research

Chief Editor

Stephen Soreff, MD, President of Education Initiatives, Nottingham, NH; Faculty, Metropolitan College of Boston University, Boston, MA
Stephen Soreff, MD is a member of the following medical societies: American College of Mental Health Administration and American Psychosomatic Society
Disclosure: Nothing to disclose.

 
 
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