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Both the nature of the disorder and the approach to treatment are controversial and under\u2010researched. It is argued that <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> should be classified as a mental disorder; may well expose the patient to extreme risk; can warrant paternalistic interventions, in order to fulfil duty of care. Moreover, treatment of <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> is inherently paternalistic and therefore raises interesting questions about justifications and type of paternalistic interventions in psychiatry both for <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> and in general. A brief account of key questions concerning psychiatry and paternalism is followed by some case histories of <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>, the clinical dilemmas posed and the question of how this disorder might warrant paternalistic interventions. In order to answer this question, two things are considered: the legitimacy and character of <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> as a mental disorder; possible frameworks for and types of paternalistic interventions. To conclude, it is argued that there are no compelling reasons for rejecting the use of paternalistic interventions for <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>, but that further investigation of <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> and type and frameworks for psychiatric paternalism, in relation to <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content> and other mental disorders, are urgently needed.<\/jats:p>","DOI":"10.1111\/jep.12388","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T02:04:09Z","timestamp":1433988249000},"page":"565-574","source":"Crossref","is-referenced-by-count":9,"title":["Paternalism and factitious disorder: medical treatment in illness deception"],"prefix":"10.1111","volume":"22","author":[{"given":"Anthony","family":"Fry","sequence":"first","affiliation":[{"name":"Guy's and St Thomas Hospital King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania L.","family":"Gergel","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000126072"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.6.504"},{"key":"e_1_2_7_4_1","unstructured":"Bach M.&Kerzner L.(2010)A new paradigm for protecting autonomy and the right to legal capacity. 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