(See also Overview of Somatic Symptom and Related Disorders Overview of Somatic Symptom and Related Disorders Somatic symptom and related disorders are mental health disorders characterized by an intense focus on physical (somatic) symptoms that causes significant distress and/or interferes with daily... read more .)
This disorder used to be called factitious disorder by proxy or Munchausen syndrome by proxy.
Factitious disorder imposed on another is similar to factitious disorder imposed on self Factitious Disorder Imposed on Self Factitious disorder is pretending to have or producing physical or psychologic symptoms for no apparent external reason. The cause is unknown, but stress and a severe personality disorder may... read more , except that people (usually caregivers, typically a parent) intentionally falsify or produce physical or psychologic symptoms in a person in their care (usually a child who is unable to contradict the caregiver's falsehoods or tell how the caregiver caused injury).
The caregiver falsifies history—for example, by stating that children have been having fevers or vomiting at home when they actually have been well. Some caregivers may even injure the child with drugs or other agents or add blood or bacterial contaminants to urine specimens to simulate disease. The caregiver seeks medical care for the child and appears to be deeply concerned and protective. The child typically has a history of frequent hospitalizations, usually for a variety of nonspecific symptoms, but no firm diagnosis was made. Such children may be seriously ill and sometimes die because of the caregiver's attempts to simulate an illness.
As with factitious disorder imposed of self Factitious Disorder Imposed on Self Factitious disorder is pretending to have or producing physical or psychologic symptoms for no apparent external reason. The cause is unknown, but stress and a severe personality disorder may... read more , the caregiver usually has no obvious external incentives for the behavior. For example, the caregiver is not trying to cover up signs of child abuse.
