SICKENED Julie Gregory

THE MEMOIR OF A MUNCHAUSEN BY PROXY CHILDHOOD

Merlyn Ijaya Ms. Stinson

IDC4UE 17/12/2014

mom Sandy Gregory-Parocai

& DAUGHTER Julie Gregory

BROTHER

ADOPTED SIBLINGSGRANDMOTHER

FATHER

SOCIAL WORKERS

Overvi

ew

Overvi

ew

mom Sandy Gregory-Parocai

& DAUGHTER Julie Gregory

↳ Munchausen Syndrome by Proxy↳ Struggles with development↳ Correlated with many other occasions of abuse↳ True motives and beliefs are unclear ↳ Controversy

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

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)

DSM-5 DSM-5 Key Criteria

1. The individual presents himself or herself (or another individual) to others as ill, impaired, or injured2. 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

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"

WOrks C

ited

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.pdfFactitious 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)

WOrks C

ited

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