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Speaking of Psychology

Medical Deception: Understanding Munchausen Syndrome/Factitious Disorder, with Marc Feldman, MD, and Janet Cahill, PhD

Speaking of Psychology

Kim Mills

Health & Fitness, Life Sciences, Science, Mental Health

4.3781 Ratings

🗓️ 24 May 2023

⏱️ 37 minutes

🧾️ Download transcript

Summary

Factitious disorder, more commonly known as Munchausen syndrome, is a mental health disorder in which people fake serious illness to gain sympathy, attention and support. A related disorder, Munchausen by proxy, or factitious disorder imposed on another, is a form of abuse in which caregivers make up or induce illness in their children. Psychiatrist Marc Feldman, MD, and psychologist Janet Cahill, PhD, discuss researchers’ evolving understanding of these disorders, how common they are, the phenomenon of “Munchausen by internet” where people lie to strangers online, and whether there are any effective therapies for these disorders. For transcripts, links and more information, please visit the Speaking of Psychology Homepage. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Why would someone lie about being sick or do terrible things to themselves in order to appear sick?

0:07.0

Factitious disorder, more commonly known as Munchausen syndrome, is a mental health disorder in which people fake serious illness in order to gain sympathy, attention, and support.

0:18.0

A related disorder, Munchausen by proxy, or a factitious disorder imposed on

0:24.0

another, is a form of abuse in which caregivers, often mothers of young children, make up or even

0:30.7

induce illness in their kids. This is to gain sympathy and support. How common are these disorders? Why do they go by so many

0:40.6

different names? What's the difference between factitious disorder or Munchausen syndrome and simply

0:45.8

malingering? Are factitious disorders related to other mental health disorders? Are there effective

0:52.0

therapies? Can a person with factitious disorder be cured of it?

0:56.0

And what about people who lie to strangers on the internet about being sick? Is that a form

1:02.0

of one of these disorders as well?

1:05.0

Welcome to Speaking of Psychology, the flagship podcast of the American Psychological Association that examines

1:11.5

the links between psychological science and everyday life.

1:15.1

I'm Kim Mills.

1:16.2

We have two guests today.

1:21.9

First is Dr. Mark Feldman, a board-certified psychiatrist, clinical professor of psychiatry,

1:27.3

and adjunct professor of psychology at the University of Alabama.

1:31.3

He is an international expert in factitious disorder,

1:34.3

Munchausen syndrome, Munchausen by proxy, and malingering.

1:38.3

He has authored more than 100 research studies and five books on these topics,

1:42.3

including his most recent book, Dying to

1:44.9

Be Ill, True Stories of Medical Deception. Dr. Feldman is a distinguished fellow of the American

1:50.5

Psychiatric Association and has spoken to dozens of media outlets about Munchausen Syndrome.

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