Psychodynamic Aspects and Clinical Approach to The Concepts of Factitious Disorder / Factitious Disorder Imposed on Another: A Review

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Journal of Clinical Psychiatry, vol.23, no.4, pp.503-517, 2020 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 4
  • Publication Date: 2020
  • Doi Number: 10.5505/kpd.2020.29291
  • Journal Name: Journal of Clinical Psychiatry
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, Psycinfo, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.503-517
  • Hacettepe University Affiliated: Yes


Factitious Disorder is characterized by fabricating physical or psychological symptoms, injuring or inducing the illness with the intent of deception. Factitious Disorder Imposed on Another is mimicking physical or mental, misleading symptoms, injuring or causing the disease on another. In this disorder, behaviors of deception are obvious, even without any extrinsic reward. It is a severe form of child abuse which leads to high levels of mortality and morbidity. It is stated in the literature that raising awareness of physicians about the disorder can reduce and even sometimes prevent the mortality and morbidity. Multidisciplinary approach is of great significance for the process to be carried out properly and for the disorder to be detected. Turkey suffers from the lack of multidisciplinary teams of physicians who can study and treat such a disorder. It is clear that the judicial system in the country is ignorant of such cases, does not usually commence legal proceedings and cannot prevent the child abuse. This article aims to extensively discuss the biopsychosocial and psychodynamic features of the concepts of factitious disorder and the factitious disorder imposed on another and undertakes to set a course for these concepts in the light of literature research and recent information on the issue, considering the multidisciplinary teamwork conducted by the Commission on Evaluation, Research and Treatment of Child Abuse, clinical experiences and a wide range of concept research included in the literature.