Factitious disorder (Munchausen's syndrome) in oncology: case report and literature review. Review uri icon

Overview

abstract

  • BACKGROUND: Factitious disorder is where patients repeatedly seek medical care for feigned illnesses in the absence of obvious external rewards; 'Munchausen's syndrome' is the historical name for this disorder. METHOD: We report on a case that was presented to a tertiary oncology center as a suspected rare bone cancer. RESULTS AND CONCLUSIONS: Psychosocial clinicians working in oncology settings should be aware of the complexities of diagnosing factitious disorder in cancer settings where empathy is prominent and suspicion unusual. Moreover, comorbidity can cloud the diagnosis (in this case substance abuse), and, even when accurately diagnosed, there are no evidence-based management approaches to offer to the patient. What seems to linger most after the patient is discharged, usually in a huff, are strong counter-transference feelings and substantial medical bills. Copyright © 2015 John Wiley & Sons, Ltd.

publication date

  • July 14, 2015

Research

keywords

  • Munchausen Syndrome

Identity

PubMed Central ID

  • PMC5481998

Scopus Document Identifier

  • 84990216370

Digital Object Identifier (DOI)

  • 10.1002/pon.3906

PubMed ID

  • 26179957

Additional Document Info

volume

  • 25

issue

  • 6