TY - JOUR
T1 - Looking toward DSM-V
T2 - Should factitious disorder become a subtype of somatoform disorder?
AU - Krahn, Lois E.
AU - Bostwick, J. Michael
AU - Stonnington, Cynthia M.
PY - 2008
Y1 - 2008
N2 - Background: Factitious and somatoform-disorder patients are alike in that they both organize their lives around seeking medical services in spite of having primarily a psychiatric condition. In DSM-IV, the key difference is that factitious-disorder patients feign illness, and somatoform-disorder patients actually believe they are ill. Although patients may not be conscious of their motivation or even their behaviors, deliberately embellishing history or inducing symptoms exemplifies behaviors designed to enhance a self-concept of being ill. Conclusion: For DSM-V, we propose reclassifying factitious disorder as a subtype within the somatoform-spectrum disorders or the proposed physical-symptom disorder, premised on our belief that deliberate deceptions serve primarily to portray to treaters the sense of being ill.
AB - Background: Factitious and somatoform-disorder patients are alike in that they both organize their lives around seeking medical services in spite of having primarily a psychiatric condition. In DSM-IV, the key difference is that factitious-disorder patients feign illness, and somatoform-disorder patients actually believe they are ill. Although patients may not be conscious of their motivation or even their behaviors, deliberately embellishing history or inducing symptoms exemplifies behaviors designed to enhance a self-concept of being ill. Conclusion: For DSM-V, we propose reclassifying factitious disorder as a subtype within the somatoform-spectrum disorders or the proposed physical-symptom disorder, premised on our belief that deliberate deceptions serve primarily to portray to treaters the sense of being ill.
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U2 - 10.1176/appi.psy.49.4.277
DO - 10.1176/appi.psy.49.4.277
M3 - Article
C2 - 18621932
AN - SCOPUS:46149088688
SN - 0033-3182
VL - 49
SP - 277
EP - 282
JO - Psychosomatics
JF - Psychosomatics
IS - 4
ER -