• Disease
  • Factitious
  • Factitious Disorder
  • Marc D Feldman

    Prominent publications by Marc D Feldman

    KOL Index score: 6648

    OBJECTIVE: Patients with factitious disorder (FD) fabricate illness, injury or impairment for psychological reasons and, as a result, misapply medical resources. The demographic and clinical profile of these patients has yet to be described in a sufficiently large sample, which has prevented clinicians from adopting an evidence-based approach to FD. The present study aimed to address this issue through a systematic review of cases reported in the professional literature.

    METHOD: A ...

    Also Ranks for: Factitious Disorder |  patients fd |  professional literature |  systematic search |  large sample
    KOL Index score: 5802

    OBJECTIVE: The professional literature on Munchausen by Proxy (MBP) abuse consists of more than 400 articles, chapters, and books. Most have come from a handful of English-speaking industrialized countries. Our aims were to establish the extent to which published work about MBP has emerged from outside these countries, and to determine the characteristics of any reported cases.

    METHOD: Numerous health care computer databases were queried, and the results supplemented by materials ...

    Also Ranks for: Munchausen Syndrome |  proxy mbp |  abuse child |  reported cases |  professional literature
    KOL Index score: 4601

    BACKGROUND: Medically unexplained symptoms (MUS) are considered a common occurrence in medical settings, although definitions, methodologies and resulting prevalence rates for MUS vary widely between studies.

    OBJECTIVES: The objective of the present study was to characterize physicians' estimates of MUS, including clinically significant MUS, and to demonstrate in a single study how estimates vary based on the definition used.

    METHODS: Two hundred and thirteen physicians completed an ...

    Also Ranks for: Medically Unexplained Symptoms |  patients mus |  factitious disorders |  primary health |  prevalence rates
    KOL Index score: 4504

    The term "Munchausen's syndrome by proxy" (MSBP) was first used in the 1970s to describe a potentially lethal variant of abuse. In representative cases a mother deceives physicians into treating her child for illness that she has fabricated or induced, her motivation being to accrue the intangible benefits of the "sick role." Increased efforts to identify and protect victims have sometimes resulted in misdiagnosis of MSBP, leading authorities to remove children from the home and/or bring ...

    Also Ranks for: Munchausen Syndrome |  proxy msbp |  literature review |  sick role |  diagnostic errors
    KOL Index score: 4325

    BACKGROUND: The DSM-5 working group on the somatoform (SFD) and factitious (FD) disorders has recommended substantial revisions of these categories. The recommendations are based, in part, on anecdotal evidence that the diagnoses are infrequently used.

    OBJECTIVE: To assess the assignment rates for SFD, FD, and related diagnoses among general medical inpatients.

    METHOD: The National Hospital Discharge Survey was queried for instances of SFD and FD, along with related diagnoses identifying ...

    Also Ranks for: Mental Disorders |  anxiety disorder |  assignment rates |  health personnel |  statistical manual
    KOL Index score: 3716

    OBJECTIVE: The purpose of this review, which also includes the report of a new case, is to discuss the pervasive denial of responsibility among individuals who have engaged in Munchausen syndrome by proxy (MSBP) behavior. In MSBP, a caretaker (almost always the mother) fabricates or induces illness in her child; she then presents the child for medical treatment, disclaiming knowledge of the etiology of the illness.

    METHOD: Literature searches of several computer databases were performed, ...

    Also Ranks for: Munchausen Syndrome |  proxy msbp |  factitious disorders |  referral consultation |  psychiatry humans

    Munchausen by Internet

    KOL Index score: 3363

    Within the past few years, the Internet has exploded into a medium of choice for those interested in health and medicine. Along with the promise of immediate access to authoritative resources via websites, the Internet offers "virtual support groups" through formats such as chat rooms and newsgroups. These person-to-person exchanges, typically focusing on a specific topic, can be invaluable sources of information and compassion for patients and their families. However, individuals may ...

    Also Ranks for: Factitious Disorders |  munchausen internet |  cystic fibrosis |  groups communication |  interpersonal relations
    KOL Index score: 3048

    OBJECTIVE: In Munchausen by proxy (MBP) abuse, a caretaker fabricates or induces illness in another person to obtain emotional gratification. In representative cases, a mother is the perpetrator and her child is the victim. In view of the limits of current explanatory models, we use personal accounts of MBP perpetrators, physicians, and family members as a window into understanding this counterintuitive behavior.

    METHOD: As subspecialty clinicians and consultants, we supplemented our ...

    Also Ranks for: Munchausen Proxy |  mother child |  professionals involved |  review published
    KOL Index score: 2958

    Factitious disorder, including Munchausen syndrome, is seldom documented among pregnant patients but can have powerful consequences. We report on a 44-year-old woman who, over a period of two decades, self-induced labour and delivery in five consecutive pregnancies. She precipitated labour by rupturing her own amniotic sac with a fingernail or cervical manipulation, or misappropriating and self-administering prostaglandin suppositories from the hospital unit on which she worked as a ...

    Also Ranks for: Factitious Disorder |  munchausen syndrome |  proxy pregnancy |  female fetal |  illness behaviour
    KOL Index score: 2817

    In typical cases of Munchausen by proxy maltreatment, a mother feigns or produces illness in her child. Her primary goal is to accrue emotional gratification, and no mental disorder better accounts for the behavior. We present the first published case in which the principal manufactured ailment was celiac sprue. In addition, a panoply of other ailments ranging from seizures to behavioral abnormalities was reported. The case is also very unusual in the involvement of the paternal ...

    Also Ranks for: Celiac Disease |  illness child |  munchausen syndrome |  diagnosis differential
    KOL Index score: 2722

    Two forms of medical dissimulation-factitious disorder and factitious disorder by proxy-present enormous challenges to clinicians accustomed to receiving valid symptom reports from their patients. The consequences of such "disease forgery" are heightened when a patient simultaneously engages in both forms of deception. We discuss a 34-year-old nurse who simulated or induced a panoply of physical and psychological ailments in both herself and her daughter. The staff's insistence on access ...

    Also Ranks for: Factitious Disorder |  munchausen syndrome |  child abuse |  treatment patient
    KOL Index score: 2714

    Factitious disorder by proxy (FDP) is a form of abuse in which a caregiver surreptitiously simulates or induces illnesses in a person for whom he or she cares. Typically, a mother is the perpetrator and at least one of her children is victimized. FDP has a high morbidity and mortality rate, and a knowledgeable health team increases the primary physician's confidence in making this difficult diagnosis. The purpose of this study was to determine the levels of awareness of FDP among mental ...

    Also Ranks for: Factitious Disorder |  munchausen syndrome |  proxy fdp |  case professional
    KOL Index score: 2546

    Renal and urologic problems in pediatric condition falsification (PCF)/Munchausen by proxy (MBP) can pose frustrating diagnostic and management problems. Five previously unreported victims of PCF/MBP are described. Symptoms included artifactual hematuria, recalcitrant urinary infections, dysfunctional voiding, perineal irritation, glucosuria, and “nutcracker syndrome”, in addition to alleged sexual abuse. Falsifications included false or exaggerated history, specimen contamination, and ...

    Also Ranks for: Urologic Problems |  proxy renal |  early recognition |  munchausen syndrome |  pediatric condition
    KOL Index score: 1965

    Factitious disorder by proxy (FDP), historically known as Munchausen syndrome by proxy, is a diagnosis applied to parents and other caregivers who intentionally feign, exaggerate, and/or induce illness or injury in a child to get attention from health professionals and others. A review of the recent literature and our experience as consultants indicate clearly that FDP has emerged in educational settings as well. Variants of educational FDP include parents of children with real or ...

    Also Ranks for: Factitious Disorder |  munchausen syndrome
    KOL Index score: 1564

    A mathematical model using simple concepts of repeated games is proposed to model the course and prognosis of factitious disorders. Although simple, the model seems capable of explaining the yet unknown mechanisms underlying the variable course of factitious disorders. One of the notable results of this study is the significant effect of involved physicians in the treatment process on the course of the disease. Particularly, the doctor's error rate in realizing whether the symptoms are ...

    Also Ranks for: Factitious Disorders


    Marc D Feldman: Influence Statistics

    Sample of concepts for which Marc D Feldman is among the top experts in the world.
    Concept World rank
    proxy pets #1
    definitive intervention child #1
    successful outcome child #1
    exposure munchausen #1
    factitious disorders model #1
    attention ruses #1
    ailments seizures #1
    unknown mechanisms variable #1
    serial factitious disorder #1
    consecutive pregnancies labour #1
    mastectomy factitious disorder #1
    prognosis factitious #1
    pets proxy pets #1
    mastectomy munchausen #1
    serial factitious #1
    celiac sprue addition #1
    proxy pets veterinarians #1
    simple concepts repeated #1
    records munchausen #1
    prognosis factitious disorders #1
    model unknown mechanisms #1
    variable factitious disorders #1
    labour amniotic sac #1
    patient surreptitious autophlebotomy #1
    pregnancy factitious disorder #1
    unnecessary hysterectomy illusion #1
    model factitious #1
    involvement paternal grandmother #1
    hospital unit nurse #1
    surreptitious autophlebotomy #1
    factitious disorders notable #1
    proxy celiac #1
    mental disorder behavior #1
    feigns #1
    proxy maltreatment mother #1
    perpetrators definitive intervention #1
    manifestation munchausen #1
    factitious disorders fraud #1
    legal issues exposure #1
    doctors error rate #1
    fraud factitious disorders #1
    factitious munchausen #1
    fabricates induces #1
    proxy typical cases #1
    pregnancy factitious #1
    diagnoses medical cases #2
    internet mbi #2
    maltreatment munchausen #2
    revision⁎ ⁎the #2
    threehundred fiftysix posts #2

    Key People For Factitious Disorder

    Top KOLs in the world
    Marc D Feldman
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    Richard Asher
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    Christopher M Bass
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    Lois E Krahn
    electroconvulsive therapy factitious disorder tsh secretion
    Michael K O'Connor
    major depression electroconvulsive therapy maintenance ect
    Hongzhe Li
    electroconvulsive therapy factitious disorder physical symptoms

    Marc D Feldman:Expert Impact

    Concepts for whichMarc D Feldmanhas direct influence:Factitious disorder,  Munchausen syndrome,  Factitious disorders,  Plastic surgery,  Patients fd,  Munchausen proxy,  Medically unexplained symptoms,  Munchausen syndrome proxy.

    Marc D Feldman:KOL impact

    Concepts related to the work of other authors for whichfor which Marc D Feldman has influence:Munchausen syndrome,  Factitious disorder,  Medically unexplained symptoms,  Child abuse,  Therapeutic discharge,  Daytime sleepiness,  Mental illness.



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    From Harvard Medical School (Drs. Peng, Koire, and Jimenez-Madiedo); Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA (Drs. Peng, Koire, and Jimenez-Madiedo); Department of Psychiatry, Weill Institute for Neurosciences, University o