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SICKENED Julie Gregory
THE MEMOIR OF A MUNCHAUSEN BY PROXY CHILDHOOD
Merlyn Ijaya Ms. Stinson
IDC4UE 17/12/2014
mom Sandy Gregory-Parocai
& DAUGHTER Julie Gregory
BROTHER
ADOPTED SIBLINGSGRANDMOTHER
FATHER
SOCIAL WORKERS
Overvi
ew
Overvi
ew
mom Sandy Gregory-Parocai
& DAUGHTER Julie Gregory
↳ Munchausen Syndrome by Proxy↳ Struggles with development↳ Correlated with many other occasions of abuse↳ True motives and beliefs are unclear ↳ Controversy
Basic
Facts
“Caregiver deliberately produces or feigns illness in a person under his or her care so that the proxy will receive medical care that
gratifies the caregiver”
- children, elderly adults, disabled persons, or pets - Most common in mothers (biological or adopted does not matter) - Diagnosis given to the perpetrator, not victim
DSM-5
Factitious Disorder
Somatic Symptom and Related Disorders
3 Types Recognized by DSM-5: 1. Predominantly psychological signs and symptoms 2. Predominantly physical signs and symptoms 3. Combined psychological and physical signs and symptoms
Imposed on Self Imposed on Another(victim may be assigned
an abuse diagnosis)
DSM-5 DSM-5 Key Criteria
1. The individual presents himself or herself (or another individual) to others as ill, impaired, or injured2. The deceptive behavior is evident even in the absence of obvious external rewards
Symptoms
Eagerness to have medical tests, operations, or other procedures
Dramatic but inconsistent medical history
Unclear symptoms that are not controllable, become more severe, or change
once treatment has begunPredictable relapses following improvement in the condition
Extensive knowledge of hospitals and/or medical terminology,as well as the textbook descriptions of illness
History of seeking treatment in various locations, constantly switching
Quotes
“I look between both of them. What is a headache, exactly?
Is it when my eyes hurt? Is it when I'm dizzy on the bus? I'm trying to guess, hoping it's
the right answer,”
"She pins me to the trunk of the car with a glare. 'You are going to tell him what's wrong with you,
what's happening to your heart. You understand me? Sharp chest pain.
Shortness of breath. You got it?'"
"Sometimes clear over to other counties [we'd go] to try out new doctors who would do the tests Mom was
starting to read about in waiting rooms""Mom pulls out a new book of matches and carefully bends
back the cover to expose two fresh red rows of the minipops she's been giving me for as long as I can remember.
My mouth waters when I see their shimmery crimson tips. The first one is always the best, and I pluck it out
and get it fast on my tongue, waiting for the metallic zolt to rush my taste buds"
WOrks C
ited
An Overview of Factitious Disorders Cleveland Clinic, (2014). An Overview of Factitious Disorders. [online] Available at: http://my.clevelandclinic.org/health/diseases_conditions/hic_An_Overview_of_Factitious_Disorders [Accessed 17 Dec. 2014].
Dsm5.org,. (2014). Retrieved 17 December 2014, from http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdfFactitious Disorder Symptoms in DSM-5 Gmeded.com,. (2014). Factitious Disorder Symptoms in DSM-5. Retrieved 17 December 2014, from http://www.gmeded.com/dsm-5/factitious-disorder-symptoms-dsm-5
Factitious Disorder DSM-5 300.19 (F68.10) - Therapedia Theravive.com,. (2014). Factitious Disorder DSM-5 300.19 (F68.10) - Therapedia . Retrieved 17 December 2014, from http://www.theravive.com/therapedia/Factitious-Disorder-DSM--5-300.19-(F68.10)
WOrks C
ited
DSM-5 Wikipedia,. (2014). DSM-5. Retrieved 17 December 2014, from http://en.wikipedia.org/wiki/DSM-5#Somatic_symptom_and_related_disorders
Ucdmc.ucdavis.edu,. (2014). Retrieved 17 December 2014, from http://www.ucdmc.ucdavis.edu/psychiatry/calendar/DSM5_presentation_20130816.pdfMunchausen syndrome by adult proxy: A review of the literature Burton, M., Warren, M., Lapid, M., & Bostwick, J. (2014). Munchausen syndrome by adult proxy: A review of the literature. Journal Of Hospital Medicine, n/a-n/a. doi:10.1002/jhm.2268