Munchausen's Syndrome. Why do they do it?
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- Опубліковано 1 лют 2021
- For expertise and research on Munchausen's Syndrome and Factitious Disorder, see Marc Feldman's website: www.munchausen.com
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Munchausen's Syndrome. Why do they do it?
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First video I've seen from you and immediately subscribed. More about FD/Munchausen's please!
This was such an interesting video. Looking forward to your future videos on this topic.
Thank you. More to come!
I have seen someone online admit they got diagnosed with Munchausen but vehemently denied it. Unfortunately everyone supported them and talked bad of the doctor because people seem to refuse to believe that someone could be dishonest. But the patient must be bad enough for a doctor to actually diagnose them to their face.
Thank you for a very interesting video!
I can tell you’ve had some really interesting experiences-to put it mildly. I’d love to sit you down and have you just talk about your nursing stories for a couple of hours. You also have a very approachable way about you-great job on the recording.
I’ve been recently active in a Reddit forum about a specific subset of Munchausens-MBI, ala Marc Feldman. I’m a recovering opioid addict, and there’s sooooo much malingering to score controlled substances (amongst other prizes) in the crowd of young, middle class women who make up the huge majority of the subjects. I’ve often thought that addiction therapy would serve them well in many different aspects in addition to the actual substance abuse. These people need to develop a lot of humility, self-honesty and take responsibility for restarting a productive adult lifestyle. But I’m rambling. Good work, sir.
loved it!!! would love to hear some more about munchausens, MBP, and a rather new one called Munchausens by Internet - the term was coined by Marc Feldman. it’s so interesting.
Hi, I don’t know if you got my last comment as it’s not showing up so I will say it again as i feel very strongly that this needs to be heard.
I finally feel like I have the courage to say that am pretty sure I have got Münchausen syndrome. I have told all the right people so they can help me get better as I truly do not want to do this anymore. I understand that you have seen a lot of patients with Münchausen syndrome in your job and believe what you believe but I just want to say that yes I believe that there is people who don’t want to get better but I also 100% truly believe that there is people like me that do want to get better. To get better we will need 1. To be able to come out in our own time as It will make it worse if people out us before we are ready, 2. To have a good support network and people we can trust to help us get better. 3. Awareness about the condition to get rid of the stigma and miss information about it. 4. Talk therapy. (It really helps) if you would like to know more please reply.
I’ve done a lot of research when it comes to Munchausen Syndrome and this is the best explanation I have heard
The other connection I'm making with this is copycat suicide epidemics.
Sometimes a child or adult will see a family member, classmate etc with an illness or injury get more attention than they do or getting special dispensations they want. Faking an illness or injury or even harming one's self can get the desired attention, even if temporary.
Hey I remember those fake paramedics, there was an episode highlighting this issue on BBC 1 Saturday line up show Casualty. That NLP cat was amazing lol
This is so interesting!! I would love to see more videos on this.
More to come!
So interesting to find out it’s name. Thank you.
That sounds like some serious antics.
It could be some had parents or grandparents who never validated them--their grades aren't good enough, they don't win enough awards, don't help around the house enough. Being sick or hurt is the only way they get any validation--you HAVE to be nice to sick children, don't you?
Excellent. You have got me wondering if some of the patients I see who are diagnosed with functional neurological disorders might also be thought of from a context of Munchausen's. It's something to think about at any rate. Cheers.
Sadly, it is a common hiding ground for the munch-bunch, and this is partly why some patients have a hard time getting taken seriously by their clinicians.
Inhave been diagnosed with FND after having hydrocephalus and spinal surgery for a dural AV fistula and feel it is a lazy diagnosis because naturally my nerves would not be working well and I will have pain
A cracking example is the latest episode of '24hrs in police custody' where the woman accused of plotting to kill her ex-husband would developed 'debilitating' back pain every time she was due to be interviewed. The best bit was her giving the police in the station the run around asking for gluten free food because of her 'celiacs' only for her to say off camera "this hot chocolate might have gluten in it but don't care gunna drink it anyway"!!
That example would fall into the "malingering" subcategory, where the primary gain is extraneous and conscious.
The difference between Munchausen's patients and "spa junkies:" in a spa it's not all about you, there's no sense of emergency, it's not all attention on you by several people. You can't get friends, relatives to feel guilty or "care" about you. People won't visit you, send you cards or flowers or call to check up on you. When you get back people won't ask how you're feeling, won't say "sit down, rest, I'll do that for you." Of course they might not do that when you've been in the hospital, either....
I'm interested to hear you consider Munchausen's different from the self harm engaged in by people with BPD who seriously self harm numerous times a day. We have had people cut parts of their body off, swallow batteries and ingest anything they can get hold of. We also have people who will attempt to call the paramedics 20-30 times a day and are obsessed with going to A&E. Munchhausen's by proxy is different (seen lots of that) but in my experience, its difficult to separate ordinary Munchausen's from BPD as there is a lot of cross over.
I suspect all Munchausen's, BPD, BPD self-harmers and non-BPD self-harmers would all come under the narcissism umbrella, where self is the primary interest and everyone else is just a tool to further that interest. For me, the main difference with the standard cutters, is that they only attend when they've gone too far, and aren't using cutting as an excuse to attend. It is often a private joy for them, rather than a tool for manipulation.
The BPDers will basically use just about anything they can access in order to manipulate and control others.
@@AndrewTAustinMetaphors Lookup a UA-camr by the vlog name of : Chronically Jaquie. She eventually died due to a feeding tube that she did not need strangulated her intestines. The doctors had really tried to get her to remove the feeding tube, but she refused. Her poor mom even tried to convince her to stop doing so many things to herself, but all it did was cause a large rift (for a while, they were talking prior to Jaquie's untimely and senseless death.
This young lady was 23 yr old. There's a lot info out ther on her channel the link below (isn't her YT vlog) will give you an idea of her life up until her death :
ua-cam.com/video/MumHxrgiTdU/v-deo.html
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Here's a link to her channel :
ua-cam.com/channels/KaX0dQwEUgTafzCZ2yEjUQ.html
@@holiday-td6hx Many thanks, I shall take a look with interest.
@@AndrewTAustinMetaphors well whatever the cause I have to admit I find it challenging to work with all of these groups of people - sadly in my experience nothing seems to help and it results in a massive drain on already stretched NHS services.
I can’t stop thinking how exhausting it would be to keep up with munch activities, I’m tired just thinking about it! 😂
It's certainly a full on pastime.
Is FND a made up disorder ?
I have hydrocephalus and surgery for it as well as spinal surgery and have been diagnosed with FND now and feel it is not specific enough for some one with nerve damage
Many years ago I had to deal with a Munchausen's Syndrome by proxy. The mum kept making her daughter extremely ill. One occasion the child had eaten glass that the mum had ( we later found out ) put in her food. Loads of attention on Mum and lots of sympathy for her. And of course no one
Munch by proxy is certainly a horrible situation, and like the other forms of Munchausen's is horrible common. Not uncommon in the veterinary world either, where instead of a child as the focus, the munch uses a pet, or series of pets (they can get to kill the pet, or have the pet killed, publicly grieve, rinse and repeat.)
A woman in a tube feeding group I'm in would give her son salt through his feeding tube to make him sick. Eventually, we find out on the news she'd killed her son with salt. :(
How does one treat the nonexistent disorder?
I think it is called "referring them on" - the problem is, what do you do when you cannot tell the patient their real diagnosis without 1. making them worse to prove you wrong, or 2. making them take flight and move to the next clinical setting, or 3. creating a whole world of professional hurt via complaints procedures against you.
@@AndrewTAustinMetaphors Can you not refer them to more appropriate environments and therapies like you say a health farm for instance?
@@unusualaquariumecosystems5805 Sure...but who's going to pay for that?
@@AndrewTAustinMetaphors Ah I see. Owing to The Cove I have not had a back massage for a year now :-( I got a Charles Jacobs Shiatsu massager but its not the same.
Granfallon 😅😅😅
800?! Suddenly these internet abuse movements look even more toxic and dangerous.
800 was just the ones we knew about...there were undoubtedly plenty more that we didn't spot.
Mitty.
How does one balance the suspicion of faking with the long standing problems with doctors and other professionals dismissing and disbelieving very real concerns of patients- specifically women, especially women of color, etc? How does one differentiate between someone with real illnesses who may be a bit of a dramatic or anxious personality with someone who's malingering? How does one differentiate between a person with multiple invisible illnesses and complaints that are real vs someone who is faking? I believe malingerers 100% exist, but the numbers you're stating are tough to wrap my mind around as it creates a picture of entire emergency departments with beds full of fakers constantly and the occasional real severe injury peppered here or there.
And this is exactly why the problem is so impactful - these patient's DON'T get dismissed, that's the point. The medical services have to treat them seriously, even if they appear three times a day every day.
To give an example, I once did a weekend shift on an in-patient neurological unit of 18 patients....all 18 were known Munchausen's. Really.
Talk to any clinician working in A&E or neurology. The scale of the problem is mind blowing.
Ok, but you didn't answer any of my questions about how you assess this and can tell fakers from others and how you avoid medical discrimination with this outlook. How did you know everyone in neurology was faking? Just because scans didn't show anything or because there wasn't hard proof? Many neurological disorders start without anything showing up on imaging. I'm just worried sending this message that the majority of people in the ER are malingerers is hyperbolic and dangerous. I'm in the states so maybe it's different since we have a terrible healthcare system. But people die all the time because of doctors dismissing them and like I said, it happens most to marginalized people.
Even if they are getting treatment, studies still show that many doctors believe (unconsciously or consciously) that Black people don't feel pain as much as thus are undermedicated and considered overreacting.
What is your criteria, based on medical and scientific evidence based data, that you use to show everyone in the ER mostly is faking? Obviously the woman who lies about ODs is. But I'm curious about neurology especially and how you know.
@@alixmllri Good questions, thanks. I'll do my next video based on these and explain.