The document discusses the phenomenon of Munchausen syndrome by proxy, where a caregiver feigns or induces illness in a dependent individual, often leading to misdiagnosis and further abuse. It outlines the diagnostic criteria according to DSM-5, key symptoms, and emphasizes the deceptive behavior of the caregiver, usually in mothers. Quotes from Julie Gregory illustrate the personal impact of such childhood experiences.

1. SICKENEDJulie Gregory
THE MEMOIR OF A MUNCHAUSEN BY PROXY CHILDHOOD
Merlyn Ijaya
Ms. Stinson
IDC4UE
17/12/2014

2. momSandy Gregory-Parocai
& DAUGHTERJulie Gregory
BROTHER
ADOPTED SIBLINGS
GRANDMOTHER
FATHER
SOCIAL WORKERS
Overview

3. Overview
momSandy Gregory-Parocai
& DAUGHTERJulie Gregory
↳ Munchausen Syndrome by Proxy
↳ Struggles with development
↳ Correlated with many other occasions of abuse
↳ True motives and beliefs are unclear
↳ Controversy

4. Basic Facts
“Caregiver deliberately produces or feigns illness in a person under
his or her care so that the proxy will receive medical care that
gratifies the caregiver”
- children, elderly adults, disabled persons, or pets
- Most common in mothers (biological or adopted does not matter)
- Diagnosis given to the perpetrator, not victim

5. DSM-5
Factitious Disorder
Somatic Symptom and Related Disorders
3 Types Recognized by DSM-5:
1. Predominantly psychological signs and symptoms
2. Predominantly physical signs and symptoms
3. Combined psychological and physical signs and symptoms
Imposed on Self Imposed on Another
(victim may be assigned
an abuse diagnosis)

6. DSM-5 DSM-5 Key Criteria
1. The individual presents himself or herself (or another
individual) to others as ill, impaired, or injured
2. The deceptive behavior is evident even in the absence of
obvious external rewards
Symptoms
Eagerness to have medical tests,
operations, or other procedures
Dramatic but inconsistent
medical history
Unclear symptoms that are not controllable,
become more severe, or change
once treatment has begunPredictable relapses following
improvement in the condition
Extensive knowledge of hospitals and/or medical
terminology,as well as the textbook descriptions of illness
History of seeking treatment in various locations,
constantly switching

7. Quotes
“I look between both of them.
What is a headache, exactly?
Is it when my eyes hurt?
Is it when I'm dizzy on the bus?
I'm trying to guess, hoping it's
the right answer,”
"She pins me to the trunk of the car with a glare.
'You are going to tell him what's wrong with you,
what's happening to your heart.
You understand me? Sharp chest pain.
Shortness of breath. You got it?'"
"Sometimes clear over to other counties [we'd go] to try out
new doctors who would do the tests Mom was
starting to read about in waiting rooms"
"Mom pulls out a new book of matches and carefully bends
back the cover to expose two fresh red rows of the
minipops she's been giving me for as long as I can remember.
My mouth waters when I see their shimmery crimson tips.
The first one is always the best, and I pluck it out
and get it fast on my tongue, waiting for the
metallic zolt to rush my taste buds"

8. WOrks Cited
An Overview of Factitious Disorders Cleveland Clinic, (2014). An Overview of Factitious Disorders.
[online] Available at: http://my.clevelandclinic.org/health/diseases_conditions/
hic_An_Overview_of_Factitious_Disorders [Accessed 17 Dec. 2014].
Dsm5.org,. (2014). Retrieved 17 December 2014, from
http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf
Factitious Disorder Symptoms in DSM-5
Gmeded.com,. (2014). Factitious Disorder Symptoms in DSM-5. Retrieved 17 December 2014,
from http://www.gmeded.com/dsm-5/factitious-disorder-symptoms-dsm-5
Factitious Disorder DSM-5 300.19 (F68.10) - Therapedia
Theravive.com,. (2014). Factitious Disorder DSM-5 300.19 (F68.10) - Therapedia . Retrieved 17 December
2014, from http://www.theravive.com/therapedia/Factitious-Disorder-DSM--5-300.19-(F68.10)

9. WOrks Cited
DSM-5 Wikipedia,. (2014). DSM-5. Retrieved 17 December 2014, from http://en.wikipedia.org/wiki/
DSM-5#Somatic_symptom_and_related_disorders
Ucdmc.ucdavis.edu,. (2014). Retrieved 17 December 2014, from http://www.ucdmc.ucdavis.edu/
psychiatry/calendar/DSM5_presentation_20130816.pdfMunchausen syndrome by adult proxy:
A review of the literature
Burton, M., Warren, M., Lapid, M., & Bostwick, J. (2014). Munchausen syndrome by adult proxy:
A review of the literature. Journal Of Hospital Medicine, n/a-n/a. doi:10.1002/jhm.2268