{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:25:08Z","timestamp":1793269508249,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T00:00:00Z","timestamp":1651017600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>This paper explores the recent phenomenon of adolescents presenting en masse (both online and in clinical settings) with symptoms seemingly acquired from viewing illness-related content posted by social media influencers. The most frequently reproduced illnesses have included Dissociative Identity Disorder (DID) and Tourette Syndrome. It discusses evidence that the recent spate of new-onset, severe tics are a form of Mass Psychogenic Illness facilitated by social media networks (a phenomenon labeled Mass Social Media Induced Illness). It then suggests that many of those self-diagnosed with DID may be manifesting a similar, technologically-facilitated conversion phenomenon. It then explores another explanatory model: that these simulacra of DID and Tourette Syndrome may also arise via a mechanism more closely resembling social media facilitated Factitious Disorder. Similar presentations, of individuals falsifying cancer, have previously been labeled Munchausen\u2019s by Internet. It then proposes an overarching construct, Social Media Associated Abnormal Illness Behavior (SMAAIB), that is agnostic regarding phenomenology. Within this framework, it explores the ways in which de-commodifying attention, connection and care (measured once in appointments and admissions, now in \u2018likes\u2019 and \u2018shares\u2019) and obtaining a full picture of the patient\u2019s psychological, sociological and cultural grounding can offer deeper understanding and ultimately a path to wellness.<\/jats:p>","DOI":"10.1177\/13591045221098522","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T05:12:42Z","timestamp":1651036362000},"page":"270-278","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":57,"title":["The tic in TikTok and (where) all systems go: Mass social media induced illness and Munchausen\u2019s by internet as explanatory models for social media associated abnormal illness behavior"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6893-6364","authenticated-orcid":false,"given":"Andrea","family":"Giedinghagen","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Division of Child and Adolescent Psychiatry, Washington University in St Louis School of Medicine, St Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,27]]},"reference":[{"key":"bibr1-13591045221098522","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.180.4.300"},{"key":"bibr2-13591045221098522","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.2012.120053"},{"key":"bibr3-13591045221098522","doi-asserted-by":"publisher","DOI":"10.1111\/jcom.12106"},{"key":"bibr4-13591045221098522","volume-title":"Care and feeding: My teen is faking a disability on TikTok","author":"Brown S. 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