title: Looking toward DSM-V: should factitious disorder become a subtype of somatoform disorder?
abstract: BACKGROUND
  Factitious and somatoform-disorder patients are alike in that they both organize their lives around seeking medical services in spite of having primarily a psychiatric condition. In DSM-IV, the key difference is that factitious-disorder patients feign illness, and somatoform-disorder patients actually believe they are ill. Although patients may not be conscious of their motivation or even their behaviors, deliberately embellishing history or inducing symptoms exemplifies behaviors designed to enhance a self-concept of being ill.
  
  
  CONCLUSIONS
  For DSM-V, we propose reclassifying factitious disorder as a subtype within the somatoform-spectrum disorders or the proposed physical-symptom disorder, premised on our belief that deliberate deceptions serve primarily to portray to treaters the sense of being ill.
authors.affiliation: Department of Psychiatry and Psychology, 13400 East Shea Blvd., Scottsdale, AZ 85259, USA. krahn.lois@mayo.edu
authors.forename: Lois E
authors.initials: LE
authors.lastname: Krahn
authors.forename: J Michael
authors.initials: JM
authors.lastname: Bostwick
authors.forename: Cynthia M
authors.initials: CM
authors.lastname: Stonnington
mesh_terms: D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005162:Factitious Disorders / Q000145:classification* / Q000175:diagnosis*; D006801:Humans; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000523:psychology; D013001:Somatoform Disorders / Q000145:classification* / Q000175:diagnosis*