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Malingering is established as separate from similar forms of excessive illness behaviour, such as somatization disorder, wherein symptoms are not deliberately falsified. Another disorder is factitious disorder, which lacks a desire for secondary, external gain. [7] [6] Both of these are recognised as diagnosable by the DSM-5. However, not all ...
A factitious disorder is a mental disorder in which a person, without a malingering motive, acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms, purely to attain (for themselves or for another) a patient's role.
Ganser syndrome was listed under Factitious Disorder with Psychological Symptoms in the DSM-III. [13] The criteria of this category emphasized symptoms that cannot be explained by other mental disorders, psychological symptoms under the control of the individual, and the goal of assuming a patient role, not otherwise understandable given their circumstances.
Factitious disorders are fundamentally a mental problem, despite the repeated faking of symptoms there is no clear secondary gain. Of the factitious disorders, Munchausens is the most serious of the physical factitious disorders. Malingering is fundamentally different as it is a premeditated fraudulent behaviour for a clear seconday gain.
Next, an exclusion of factitious disorder (a subconscious somatic symptom disorder, where seizures are caused by psychological reasons) and malingering (simulating seizures intentionally for conscious personal gain – such as monetary compensation or avoidance of criminal punishment) is conducted.
Melgar’s case was investigated as a suspected case of Munchausen syndrome by proxy — also known as factitious disorder imposed on another. Munchausen syndrome by proxy is a mental health ...
Factitious disorder (self-induced illness) can take many forms, and, during pregnancy, they include obstetric complications such as antepartum bleeding and hyperemesis. [14] [15] They also include simulation of labor by contractions of the abdominal muscles [16] or manipulation of tocodynamometry.
Factitious disorders include "factitious disorder by proxy", also known as Münchausen syndrome by proxy, where a person claims that another person, usually their child, has the alleged illness(es), again to gain medical attention.