• Disease is created voluntarily and consciously by the patient.
• The patient's goal is to receive medical, surgical and psychiatric care.
• The patient has NO gain or economic benefit.
• It can interfere with imitation (simulation), but there is a gain in imitation.
• In factitious disorder, the patient's motivation is unconscious.
• In the simulation, the patient is conscious about both the disease and the motivation.
• The disease is referred to as Baron Munchausen, who was the first person it was identified with.
• No memory impairment.
• No confabulation.
Factitious Disorder of the Caregiver
• Children have illness and signs of illness created by their caregivers.
• It is most common in mothers.
Simulation (Faulting)
• Malingering is not actually a disease and the person is consciously aware of it.
• The person pretends to be sick for purposes such as benefiting from health insurance, evading punishment, and obtaining the right to pension due to disability.
• The difference from factitious disorder is that it has such primary or secondary benefits and purposes.
• The patient is conscious about both the disease and the motivation.
|
Somatoform
disorders renamed in DSM 5 |
|
|
DSM IV |
DSM 5 |
|
somatization disorder |
Somatic symptom disorder |
|
hypochondriasis |
Illness anxiety disorder |
|
conversion disorder |
Functional neurological symptom disorder |