It’s all quite fascinating, really. Their motivations don’t seem as obscure as Merck would have it, though, these fragile little snowflakes gain a lot more than just medical attention. It’s a free ticket out of tedious adult responsibilities and a bottomless well of asspats for entitled drama whores with a penchant for self-victimisation.I was reading Merek Manuals for Professionals and came across an interesting passage linking Munch (aka Fictitious disorder) to Borderline PD.
Patients may have prominent borderline personality features and are usually intelligent and resourceful. They know how to simulate disease and are sophisticated regarding medical practices. They differ from malingerers because although their deceits and simulations are conscious and volitional, there are no obvious external incentives (eg, economic gain) for their behavior. It is unclear what they gain beyond medical attention for their suffering, and their motivations and quest for attention are largely unconscious and obscure.
Patients may have an early history of emotional and physical abuse. Patients may also have experienced a severe illness during childhood or had a seriously ill relative. Patients appear to have problems with their identity as well as unstable relationships. Feigning illness may be a way to increase or protect self-esteem by blaming failures on their illness, by being associated with prestigious physicians and medical centers, and/or by appearing unique, heroic, or medically knowledgeable and sophisticated.
What do you think?