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From 1783 to 1785, a woman named Kate Hudson plagued England's Nottingham General Hospital with visits prompted by the mysterious appearance of needles, nails, and pieces of bone beneath her skin. Her medical record, which may be the first recorded account of factitious disorder, reveals evidence of drug-seeking (laudanum), care-eliciting, and an array of surreptitious self-injuring behaviors (William Granger, Wonderful Museum, vol. 4. London: Alex. Hogg, 1803). Over the years, other factitious disorders were periodically described in the medical literature, but there was no broad interest in the phenomenon until 1951, when Richard Asher, in a flash of whimsy, connected
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