Resumo

DE OLIVEIRA BARBOSA FRANCO, Janaína et al. Bioethics and society: factitious disorder imposed on oneself and imposed on another. rev.latinoam.bioet. [online]. 2020, vol.20, n.1, pp.49-66.  Epub 14-Nov-2020. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.3565.

The objective is to understand Münchhausen syndrome, with the description of its causes, identification criteria, clinical signs, diagnosis and treatment, as well as the assistance provided in nursing and the interdisciplinary team regarding bioethics. This paper is a narrative review of literature with a reflective exploratory nature, and a qualitative approach. We searched for studies in journals published between 2009 and 2019, and a final sample consisting of 30 articles, in addition to books, manuals and regulations. The results presented corroborate the claims in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, in which the term "Münchhausen syndrome imposed on self" was replaced by "factitious disorder imposed on self", and the "Münchhausen syndrome by proxy" was changed to "factitious disorder imposed on another", in Bioethics. People with factitious disorder tend to seek treatment for themselves or for others. The behavior of these patients increases the likelihood of physical illness and even death, caused by overuse of medications and as a result of various invasive procedures. Therefore, it is concluded that identifying the clinical picture may be one of the first initiatives for detection and prevention. Treatment should focus on management, being able to use psychotherapy, antidepressants, antipsychotics, and anxiolytics. The nursing team and the multidisciplinary team must be alert to the signs and symptoms for accurate and early intervention since they play an important role in the proper identification of the diagnosis.

Palavras-chave : münchhausen syndrome; factitious disorder; psychosomatic medicine; Interdisciplinarity; Nursing; Bioethics.

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