Factitious disorder imposed on another

**Factitious disorder imposed on another** (**FDIA**), dem sanso know as **fabricated or induced illness by carers** (**FII**), **medical child abuse** den originally dem name **Munchausen syndrome by proxy** (**MSbP**) after Munchausen syndrome, be a mental health disorder insyd wich a caregiver dey create de appearance of health problems insyd anoda person – typically dema kiddie, den sam times (rarely) wen an adult falsely dey simulate an illness anaa health issues insyd anoda adult partner. Dis fi include altering test samples, injuring a kiddie, falsifying diagnoses, anaa portraying de appearance of health issues thru contrived photographs, videos, den oda 'evidence' of de supposed illness. De caregiver anaa partner then continue dey present de person as being sick anaa injured, wey dey convince odas of de condition/s den dema own suffering as de caregiver. Permanent injury (both physical den psychological harm) anaa even death of de victim fi occur as a result of de disorder den de caretaker ein actions. De behaviour be generally thought to be motivated by de caregiver anaa partner seeking de sympathy anaa attention of oda people den/anaa de wider public.

De causes of FDIA generally be unknown, yet dem dey believe among physicians den mental health professionals say de disorder be associated plus na de 'caregiver' experience traumatic events during kiddie time (for example, parental neglect, emotional deprivation, psychological abuse, physical abuse, sexual abuse, anaa severe bullying). De primary motive dem believe to be to gain significant attention den sympathy, often plus an underlying need to lie den a desire to manipulate odas (wey dey include health professionals). Financial gain sanso be a motivating factor insyd sam individuals plus de disorder. Generally, risk factors for FDIA commonly dey include pregnancy related complications den sympathy anaa attention na a mommie receive upon giving birth, den/anaa a mommie wey na dem neglect, traumatize, anaa abused thru out kiddie time, anaa who get a diagnosis of (anaa history of) factitious disorder imposed on self. Dem consider victims of those affected by de disorder dem be subjected to a form of trauma, physical abuse, den medical neglect.

Management of FDIA insyd de affected 'caregiver' fi require removing de affected kiddie den putting de kiddie into de custody of oda family members anaa into foster care. Dem no know how effective psychotherapy be give FDIA, yet e be assumed say e likely to be highly effective for those wey be able to admit dem get a problem wey dem be willing to engage insyd treatment. However, psychotherapy be unlikely to be effective for an individual wey dey lack awareness, be incapable of recognizing dema illness, anaa refuses to undertake treatment. De prevalence of FDIA be unknown, buh e dey appear to be relatively rare, wey ein prevalence generally be higher among women. More dan 90% of cases of FDIA involve a person ein mommie. De prognosis give de caregiver be poor. However, der be a burgeoning literature on possible courses of effective therapy. Na dem first name de condition as "Munchausen syndrome by proxy" insyd 1977 by British pediatrician Roy Meadow. Sam aspects of FDIA fi represent criminal behavior.

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