The ethical and legal dilemmas related to disclosures of medical information about a patient with factitious disease to other doctors and family members, in order to hopefully protect the patient from self-induced injury, have been well discussed by Kass (12).
It has therefore been concluded that factitious disease is not a reliable defense against a bad outcome (61).
In Arizona, health care providers successfully sued a patient with factitious disease.
There may be a history of factitious disease or somatization in the mother.
The physicians can also inquire about the mother's medical and emotional history, to see if she has any evidence of previous factitious disease.
It has been stated that a diagnosis of factitious disease (and presumably the related disorders shown in Table 4 as well as psychogenic pain) is made only after exclusion of organic illness (40).
This case, as well as some of the earlier cases, raises questions about the roles of the primary physician and a consulting psychiatrist in the diagnosis of factitious disease.
Principles of a supportive confrontation of patients suspected of factitious disease * Basis for this confrontation approach: * Factitious disease represents the patient's attempt to cope with emotional distress (although the patient may not recognize this).