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Playing Sick?
Untangling the Web of Munchausen
   Syndrome, Munchausen Syndrome by
Proxy, Malingering and Factitious Disorder


by Marc D. Feldman

When a person fakes illness or
injury to satisfy emotional needs,
doctors and family members are lured into a costly, frustrating,
and potentially deadly web of deceit.

Editorial Review
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Taken from bizarre cases of real patients, Playing Sick? is the first book to chronicle the devastating impact of phony illnesses--factitious disorders, Munchausen syndrome, Munchausen by proxy, and malingering--on patients and caregivers alike.   Psychiatrist Marc Feldman describes patients' strange motivations, from malingerers who invent chronic back pain to avoid work to mothers who demand major abdominal surgery for their healthy children because they derive perverse pleasure from medical attention. Self-induced bleeding, fake fevers, and even a bogus asthma attack so convincing that doctors rush the patient to ICU are the stock in trade of patients with these disorders. Practitioners are deeply disturbed by these patients, angry about the time and resources they consume but nervous about confronting them with the truth.

red-block.gif (827 bytes)Based on years of research and clinical practice, Playing Sick? provides the clues that can help practitioners and family members recognize these disorders, avoid invasive procedures, and sort out the motives that drive people to hurt themselves and deceive others. With insight and years of hands-on experience, Feldman shows how to get these emotionally ill patients the psychiatric help they need.


Playing Sick? by Marc Feldman. Hardcover - 256 pages (May 2004) Brunner-Routledge Publishers; ISBN: 0415949343

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An Interview with AsherMeadow

Why Dr. Feldman Wrote Playing Sick?

red-block.gif (827 bytes)I have received thousands of emailed inquiries through my website www.munchausen.comOffsite Link from people desperate to come to terms with so-called “disease forgery.”  There has been a gaping hole in the literature, and I have had almost no resources to which I could direct these individuals.  I stood back and recognized that, which sickness is a costly inconvenience for most of us, and the thought of serious disease scares us, there are people who actually enjoy the benefits of the “sick role.”  The general public and even the medical community remains unaware of how to recognize and address factitious disorder and Munchausen Syndrome, in which patients take playing sick to extremes.  Munchausen by proxy maltreatment is also shrouded in mystery and misunderstanding; it is the often-fatal variation in which mothers invent or induce illnesses in their children.  I knew that I could put together a book filled with first-hand stories that evoke sorrow and shock toward people who view illness as emotional salvation, but at the same time could clarify the misconceptions and provide a hopeful look at intervention and treatment.


More Books by Marc Feldman:
Stranger than Fiction: When Our Minds Betray Us by Marc Feldman, Jacqueline Feldman, Roxenne Smith,1998 ISBN: 0880489308.
Patient or Pretender: Inside the Strange World of Factitious Disorders by Dr. Marc Feldman / John Wiley & Sons / Published 1995
The Spectrum of Factitious Disorders The New England Journal of Medicine - December 26, 1996, Volume 335, Number 26, Edited by Marc Feldman and Stuart Eisendrath.  229pp. Washington, D.C., American Psychiatric Press,  1996 / ISBN 0-88048-909-X

About the Author

Marc D. Feldman, M.D.Marc D. Feldman, M.D. is about to release his fourth book, Playing Sick? which was written both for the general public and for professionals interested in why people feign or produce illness in themselves or in others (i.e., Munchausen by proxy, or MBP).  The book is filled with first-hand accounts from patients, MBP perpetrators, family members, friends, and colleagues, and humanizes phenomena that otherwise seem bewildering.  Dr. Feldman is Attending Psychiatrist at the Montclair Pain and Rehabilitation Institute in Birmingham, Alabama.  He is also Clinical Professor of Psychiatry at the University of Alabama, and performs medicolegal consultation throughout the United States.  He is a Diplomate of the American Board of Psychiatry and Neurology and the National Board of Medical Examiners and Distinguished Fellow of the American Psychiatric Association.

A native of New York State, Dr. Feldman has  discussed MBP, factitious disorders, Munchausen syndrome, malingering and many other topics in psychiatry in appearances on CNN’s “Your Health,” “Larry King Live,” “Good Morning America,” “20/20,” “Dateline,” “Donahue,” “Court TV,” and other television and radio programs in the U.S., Canada, England, Australia, Japan, and Austria.  Dr. Feldman's work has been the subject of articles in the New York Times, USA Today, the Los Angeles Times, the Chicago Tribune, the Boston Globe, the Washington Post, the Toronto Star, the Times of London, JAMA, and Japan’s Nekkei, and in magazines such as GQ, People, Cosmopolitan, Shape, Psychology Today, Self, and NOW (UK).  His first book, Patient or Pretender, was published in 1994.  His second book, The Spectrum of Factitious Disorders (co-edited with Stuart Eisendrath, M.D.), was published by the American Psychiatric Press in 1996.  His third book, Stranger Than Fiction: When Our Minds Betray Us (co-authored with his wife, Jacqueline Feldman, M.D.), was published by the American Psychiatric Press in 1998.  Stranger Than Fiction is a review of both common and controversial topics in psychiatry that is intended for the general public.

Dr. Feldman is the author of more than 80 publications as well as numerous national and regional presentations in the field of psychiatry.  He is the recipient of numerous awards for his work, and has been listed for years in The Best Doctors in America.

Visit the author's web siteOffsite Link

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