In fact, some guardians will deliberately make their children or dependents appear frail due to emotional needs or other psychological factors, a phenomenon known as False Illness in Imposition of Others (FDIA). This mental health disorder typically involves a guardian creating the appearance of a health problem in the person in his or her care, often presenting as a long-term apparent illness that not only affects the child's health but can also lead to permanent harm or even death.
FDIA, once known as "Munchausen syndrome by proxy," may have its roots in traumatic events experienced by the guardian in childhood, such as emotional neglect or abuse.
According to observations from medical professionals, the motivation behind this behavior is often a desire to gain sympathy and attention from others. Guardians can maintain this status by falsifying medical test results, intentionally harming the child, or fabricating various symptoms. The pain of children not only affects their health, but also causes invisible psychological trauma.
FDIA takes various forms, including:
What is unique about this behavior is that the interaction between guardians and health care workers often inadvertently creates an unhealthy alliance that perpetuates this abuse.
Symptoms of FDIA may include, but are not limited to:
Compared with ordinary physical abuse, FDIA's abuse is often planned, lacks improvisation, and is often carried out in secret. This leaves medical professionals, faced with vague and difficult-to-explain cases, with the potential to become unintentional collaborators with perpetrators.
Children affected by FDIA often experience profound psychological trauma, and they may grow up unable to trust those around them. Losing a trusted parent may make it difficult to develop healthy attachment relationships in the future. There are reports that when children grow up, they may deny their own health needs or develop fear of the medical system.
The only "sin" of these children is that they were born into unfortunate families, but they cannot escape from the control of their parents.
Currently, the FDIA's solution is primarily to remove the victimized child from the perpetrator and provide necessary emotional support and appropriate treatment. Although the effectiveness of psychotherapy is still uncertain, it can still be effective for perpetrators who are willing to recognize their own problems. However, treatment becomes more difficult for those who refuse to admit that they have acted inappropriately or are unable to take action.
The understanding of FDIA is still evolving, and many medical professionals are researching this condition more and more each year. The naming and development of this disease have its historical background, and now different terms are used in different regions, making society's understanding of this issue increasingly rich.
Over the past few decades, the understanding of FDIA has continued to cause controversy, especially how the phenomenon is described and the psychological motivations behind it. Although studies have revealed its pathological nature, there are still varying degrees of skepticism and controversy.
So, how should we view the psychological need behind this behavior to avoid harming innocent lives?