Paper Title
Fraudulent AIDS: A Variant of Munchausen's Syndrome
Keywords
- fraudulent aids
- munchausen's syndrome
- factitious disorder
- acquired immunodeficiency syndrome aids
- human immunodeficiency virus hiv
- medical deception
- narcotic fraud
- chronic factitious disorder
- psychological manipulation
- healthcare fraud
- misdiagnosis
- physician responsibility
- medical ethics
- patient deception
- government fraud
- dsm-iii
- overdose risk
- clinical psychology
- psychosomatic disorders
- healthcare system vulnerability
- self-induced illness
- munchausen by proxy
- medical examination
- psychiatric evaluation
- disease fabrication
- patient motives
Article Type
Research Article
Research Impact Tools
Publication Info
Volume: 258 | Issue: 14 | Pages: 1889-1890
Published On
October, 1987
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Abstract
To the Editor.— In a recent issue of JAMA, Zumwalt and others1 described a man with factitious acquired immunodeficiency syndrome (AIDS). The purpose of the man's deception as perceived by the authors, who were also the medical examiners, was to obtain narcotics and defraud the government. Furthermore, they discovered the man died from an overdose of medications that were obtained by his successfully posing as an AIDS victim at multiple hospitals—a feat that may seem difficult to comprehend, since human immunodeficiency virus infection is usually easily and quickly confirmed. We would like to suggest an alternative explanation for the victim's deception. More importantly, we would also like to offer some comments on the role of physicians in providing the means for this man's death.First of all, another diagnosis could perhaps better account for the man's actions and motives: chronic factitious disorder with physical symptoms (DSM-III 301.51), more commonly
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