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Kanlı Kusma ile Ortaya Çıkan Yapay Bozukluk/Bakım Verenin Yapay Bozukluğu: Olgu Sunumu

Dilşad FOTO ÖZDEMİR, Burak KARAKÖK, Songül YALÇIN
2020; 31(2): 137-142
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SUMMARY
Factitious Disorder Presented by Haematemesis / Factitious Disorder Imposed on Another (FDIA): A Case Report

Factitious disorder imposed on another (FDIA-DSM-5), formerly
known as Munchausen Syndrome by Proxy (MSP) is a form of child
abuse. A case can be recognised by only keeping the relevant diagnoses
in mind. There are many cases of FDIA diversified by the contributions
of both the caregiver and the child. Most of these cases are complicated
by the difficulty of accurately determining the relative roles of the parent
and the child and their levels of awareness and motivation. Here, we
present the case of an 11-year old girl admitted to our hospital with the
complaint of haematemesis 6-8 times a day. A case of factitious disorder
was considered following the physical and psychological examinations
on the patient. Evaluating the case within this context suggested a
case of FDIA by drawing attention to the continuity of the symptoms
described in the patient with the those of the caregiver. In approaching
cases of FDIA, unravelling the interdependence of the dynamics of
different awareness levels of feigning and motivation by the caregiver
and the child is very crucial. Considering the variations in the process
of FDIA development through interweaving of the motivations of the
mother and child, the case presented here is believed to bring a different
point of view that will contribute to the understanding of the nature of
this disorder.
 
Key Words: Factitious disorder, parent-child relation, child abuse, haematemesis