From Interference to Factitious Disorder: Slippery Slope or Tip of the Iceberg? The Case of a Difficult Guardian of a Head-Injured Adult
Abstract
Factitious disorder imposed on another is predominantly recognized in the pediatric population. It represents a diagnostic challenge and can have a profoundly negative influence on the illness and management of adult patients. This report describes a case of factitious disorder imposed on an adult with acquired brain injury and discusses the diagnostic and management challenges. Positive outcome followed appropriate limit-setting.
J Med Cases. 2018;9(4):116-118
doi: https://doi.org/10.14740/jmc3030w
Keywords
Factitious disorder; Factitious disorder imposed on another; Munchausen syndrome; Munchausen syndrome by proxy; Head injury; Surrogate decision maker; Splitting; Unexplained medical symptom

