▁an ▁attempt ▁to ▁w ors en ▁the ▁child ' s ▁condition . ▁In ▁addition , ▁in ▁many ▁juris dict ions , ▁medical ▁profession als ▁have ▁a ▁duty ▁to ▁report ▁such ▁ab use ▁to ▁legal ▁authorities . ▁ ▁Di agn osis ▁M unch aus en ▁synd rome ▁by ▁proxy ▁is ▁a ▁controvers ial ▁term . ▁ ▁In ▁the ▁World ▁Health ▁Organ ization ' s ▁International ▁Statist ical ▁Classification ▁of ▁D ise ases , ▁ 1 0 th ▁Re vision ▁( IC D - 1 0 ), ▁the ▁official ▁diagn osis ▁is ▁fact it ious ▁dis order ▁( 3 0 1 . 5 1 ▁in ▁I CD - 9 , ▁F 6 8 . 1 2 ▁in ▁I CD - 1 0 ). ▁ ▁Within ▁the ▁United ▁States , ▁fact it ious ▁dis order ▁im posed ▁on ▁another ▁( F DI A ▁or ▁F DI o A ) ▁was ▁officially ▁recognized ▁as ▁a ▁dis order ▁in ▁ 2 0 1 3 , ▁while ▁in ▁the ▁United ▁Kingdom , ▁it ▁is ▁known ▁as ▁fabric ated ▁or ▁induced ▁ill ness ▁by ▁car ers ▁( F II ). ▁ ▁In ▁D SM - 5 , ▁the ▁di agnostic ▁manual ▁published ▁by ▁the ▁American ▁Psych iat ric ▁Association ▁in ▁ 2 0 1 3 , ▁this ▁dis order ▁is ▁listed ▁under ▁ 3 0 0 . 1 9 ▁Fact it ious ▁dis order . ▁ ▁This , ▁in ▁turn , ▁en comp ass es ▁two ▁types : ▁ ▁Fact it ious ▁dis order ▁im posed ▁on ▁self ▁– ▁(