Snowflake Posted July 1, 2005 Share Posted July 1, 2005 http://www.selfhelpmagazine.com/articles/chronic/faking.html MUNCHAUSEN BY INTERNET: FAKING ILLNESS ONLINE by Marc D. Feldman Online Support for People with Illness The Internet is a medium of choice for millions of people who need health-related information. Medical websites have multiplied exponentially over the past several years. Thousands of virtual support groups have sprung up for those suffering from particular illnesses. Whether formatted as chat rooms, as newsgroups, or in other ways, they offer patients and families the chance to share their hopes, fears, and knowledge with others experiencing life as they are. These online groups can counter isolation and serve as bastions of understanding, deep concern, and even affection. Unfortunately, cyberspace resources are sometimes deliberately misused by people intent on deceiving others. False product claims in spam are perhaps the best-known example. But even in the relative intimacy of health support groups, individuals may choose to mislead others by pretending to have illnesses they do not. They divert the attention of the group toward their feigned battles with cancer, multiple sclerosis, anorexia nervosa, or other ailments. The eventual discovery of the deceptions can be devastating. One group member called it "emotional rape" to have cared so deeply about a person who lied to her and others from his first post on. Munchausen by Internet For decades, physicians have known about so-called factitious disorder, better known in its severe form as Munchausen syndrome (Feldman & Ford, 1995). Here, people willfully fake or produce illness to command attention, obtain lenience, act out anger, or control others. Though feeling well, they may bound into hospitals, crying out or clutching their chests with dramatic flair. Once admitted, they send the staff on one medical goose chase after another. If suspicions are raised or the ruse is uncovered, they quickly move on to a new hospital, town, state, or in the worst cases — country. Like traveling performers, they simply play their role again. I coined the terms "virtual factitious disorder" (Feldman, Bibby, & Crites, 1998) and "Munchausen by Internet" (Feldman, 2000) to refer to people who simplify this "real-life" process by carrying out their deceptions online. Instead of seeking care at numerous hospitals, they gain new audiences merely by clicking from one support group to another. Under the guise of illness, they can also join multiple groups simultaneously. Using different names and accounts, they can even sign on to one group as a stricken patient, his frantic mother, and his distraught son all to make the ruse utterly convincing. Clues to Detection of False Claims Based on experience with two dozen cases of Munchausen by Internet, I have arrived at a list of clues to the detection of factititous Internet claims. The most important follow: *the posts consistently duplicate material in other posts, in books, or on health-related websites; *the characteristics of the supposed illness emerge as caricatures; *near-fatal bouts of illness alternate with miraculous recoveries; *claims are fantastic, contradicted by subsequent posts, or flatly disproved; *there are continual dramatic events in the person's life, especially when other group members have become the focus of attention; *there is feigned blitheness about crises (e.g., going into septic shock) that will predictably attract immediate attention; *others apparently posting on behalf of the individual (e.g., family members, friends) have identical patterns of writing. Lessons Perhaps the most important lesson is that, while most people visiting support groups are honest, all members must balance empathy with circumspection. Group members should be especially careful about basing their own health care decisions on uncorroborated information supplied in groups. When Munchausen by Internet seems likely, it is best to have a small number of established members gently, empathically, and privately question the author of the dubious posts. Even though the typical response is vehement denial regardless of the strength of the evidence, the author typically will eventually disappear from the group. Remaining members may need to enlist help in processing their feelings, ending any bickering or blaming, and refocusing the group on its original laudable goal. References: Feldman, M.D. (2000): Munchausen by Internet: detecting factitious illness and crisis on the Internet. Southern Journal of Medicine, 93, 669-672 Feldman, M.D., Bibby, M., Crites, S.D. (1998): "Virtual" factitious disorders and Munchausen by proxy. Western Journal of Medicine, 168, 537-539 Feldman, M.D., Ford, C.V. (1995): Patient or Pretender: Inside the Strange World of Factitious Disorders. New York, John Wiley & Sons Quote Link to comment Share on other sites More sharing options...
stand4hope Posted July 1, 2005 Share Posted July 1, 2005 Is our site immune? Nope! Quote Link to comment Share on other sites More sharing options...
cindi o'h Posted July 1, 2005 Share Posted July 1, 2005 no. double no. and maybe triple no. Cindi o'h Quote Link to comment Share on other sites More sharing options...
Geri Posted July 1, 2005 Share Posted July 1, 2005 my feeling exactly! Geri Quote Link to comment Share on other sites More sharing options...
Kasey Posted July 1, 2005 Share Posted July 1, 2005 I agree. A sad thought...isn't it? Kasey Quote Link to comment Share on other sites More sharing options...
Ry Posted July 1, 2005 Share Posted July 1, 2005 Wow does this describe our latest person that's shown up or what? Quote Link to comment Share on other sites More sharing options...
Fay A. Posted July 2, 2005 Share Posted July 2, 2005 People who do this kind of thing are sick. But it is very difficult for me to remain sympathetic. Quote Link to comment Share on other sites More sharing options...
Connie B Posted July 2, 2005 Share Posted July 2, 2005 Ditto on all accounts! These people may be sick, but in my heart I think it's plain MEAN and ROTTEN! Shame Shame Shame! You just can't make sense of NON-SENSE! And moving on......... Love, Support, & Hugs to All, Connie Quote Link to comment Share on other sites More sharing options...
dadstimeon Posted July 2, 2005 Share Posted July 2, 2005 Sad But True. Quote Link to comment Share on other sites More sharing options...
tnmynatt Posted July 2, 2005 Share Posted July 2, 2005 Must be a cultural thing. LOL!! I got suckered in one time. Details intentionally left out. I'm sure Cindi remembers! Take care. Quote Link to comment Share on other sites More sharing options...
kimmek Posted July 2, 2005 Share Posted July 2, 2005 Im thinking we may have one or more of those right now about LCSC. Disgusting. Kim Quote Link to comment Share on other sites More sharing options...
Tiny Posted July 2, 2005 Share Posted July 2, 2005 I haven't been keeping up well lately, but we definitely have had at least one such incident previously on this site, and I was naively suckered in, along with lots of other nice folks , for quite some time . What a pity to waste time and energy in this manner. Quote Link to comment Share on other sites More sharing options...
bunny Posted July 2, 2005 Share Posted July 2, 2005 so creepy. Quote Link to comment Share on other sites More sharing options...
Leslie221 Posted July 4, 2005 Share Posted July 4, 2005 Holy Moses! The telltale signs were right on 100%! It's as if he was writing about our unwanted visitor. We need to be aware that person will proably come back and try again with a new name, personna, and sotry. I think he might have done it today, but I don't want to say who or where in case I offend an honest person. I have PM'd ConnieB to see what she thinks. Quote Link to comment Share on other sites More sharing options...
tnmynatt Posted July 4, 2005 Share Posted July 4, 2005 Leslie, I'm thinking the same thing. At least some indications. Quote Link to comment Share on other sites More sharing options...
Maryanne Posted July 6, 2005 Share Posted July 6, 2005 Interesting article, especially since we all just witnessed this outselves. Maryanne Quote Link to comment Share on other sites More sharing options...
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