In Factitious Disorder Imposed on Self, the deception is directed towards which of the following?

In Factitious Disorder Imposed on Self, the primary focus of deception is directed towards the individual's own self. Individuals with this disorder deliberately fabricate or induce physical or psychological symptoms to assume the sick role, often seeking medical attention and care. This behavior is not aimed at deceiving others for a tangible gain, but rather involves a deep-seated desire to fulfill an emotional need to be seen as ill or injured. The motivations may include a need for attention, compassion, or to escape from responsibilities. This self-directed deception differentiates it from other disorders where the pathology might involve external manipulation or deceit directed at others.

In this context, the other choices do not align with the core aspect of the disorder. While the actions may indeed impact medical professionals or family members, these groups are not the target of the deception. The key component lies in the individual’s relationship with their own health status and identity, primarily focused on creating a false narrative about their condition.