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CHAPTER 9 - E XPOSITION


We are beginning to identify the reasons for the behavior of Mun-
10
chausen patients, but we are still far from knowing how to free them of
their remarkably creative compulsion for self-destructive behavior.

Questions on Content, Structure, and Style
1. Why does Lipsitt begin his essay with reference to Thomas Mann’s
character in Confessions of Felix Krull, Confidence Man?
2. What effect does the essay’s title have on readers? Why didn’t Lipsitt
simply call this essay “Munchausen Disease”?
3. Why does Lipsitt feel this syndrome is important to understand? How
does this problem affect the health-care system?
4. Why explain the origin of the syndrome’s name?
5. Why does Lipsitt use specific examples of “deceptions” to develop his
extended definition?
6. Similarly, why does Lipsitt offer examples of actual patients? Would
additional examples be helpful?
7. How does Lipsitt use contrast as a technique of definition in para-
graph 4?
8. What other strategy of definition does Lipsitt employ in para-
graphs 6–9? Why might readers interested in understanding this syn-
drome want such discussion?
9. Evaluate the essay’s conclusio



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