The term "Munchausen by Internet" was first used in an article published in the Southern Medical Journal written by Marc Feldman in 2000.
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However, the problem most face is that they rarely find therapists who are willing to help them “work out their conflicts and correct their assumptions,” said Mc Hugh.
“Rather, they and their families find only ‘gender counselors’ who encourage them in their sexual misassumptions.” “What is needed now is public clamor for coherent science—biological and therapeutic science—examining the real effects of these efforts to ‘support’ transgendering,” Mc Hugh stressed.
The pattern was identified in 1998 by psychiatrist Marc Feldman, who created the term "Münchausen by Internet" in 2000.
It is not included in the fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
The development of factitious disorders in online venues is made easier by the availability of medical literature on the Internet, the anonymous and malleable nature of online identities, and the existence of communication forums established for the sole purpose of giving support to members facing significant health or psychological problems.
Several high-profile cases have demonstrated behavior patterns which are common among those who pose as gravely ill or as victims of violence, or whose deaths are announced to online forums.
Therefore, no one could predict who would swap this fact of their makeup, nor could one justifiably criticize such a decision.”“I am ever trying to be the boy among the bystanders who points to what’s real.The virtual communities that were created to give support, as well as general non-medical communities, often express genuine sympathy and grief for the purported victims.When fabrications are suspected or confirmed, the ensuing discussion can create schisms in online communities, destroying some and altering the trusting nature of individual members in others.Transsexual issues and sexual reassignment surgery are receiving a great deal of attention and support in the media, schools, government and in health professionals today. Paul Mc Hugh, former Chairperson of Psychiatry at Johns Hopkins Hospital has written that, "The idea that one's sex is fluid and a matter open to choice runs unquestioned through our culture and is reflected everywhere in the media, the theater, the classroom, and in many medical clinics.It is doing much damage to families, adolescents, and children and should be confronted as an opinion without biological foundation wherever it emerges." Transsexual issues are creating new controversy in our elementary and high schools today as a result of youth and their parents asserting a right to identify the sex of their child without regard to the biological and genetic realities.