Search results for ‘Subject term:"fabricated or induced illness"’ Sort:
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Different interpretations of Munchausen Syndrome by Proxy
- Author:
- MEADOW Roy
- Journal article citation:
- Child Abuse and Neglect, 26(5), May 2002, pp.501-508.
- Publisher:
- Elsevier
Reviews the definition of Munchausen Syndrome by Proxy, looks at the original use of the term and considers it in the context of the overlap with other harmful behaviours of parents.
Forensic assessment of illness falsification, Munchausen by proxy, and factitious disorder, NOS
- Authors:
- SANDERS Mary J., BURSCH Brenda
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.112-124.
- Publisher:
- Sage
Proposes guidelines for the evaluation of possible Munchausen by proxy child abuse for the court systems. These assessments require evaluators to have an understanding of the complexity involved when this type of abuse is alleged. They should have an appreciation of how falsification of illness may or may not occur, recognise the need for careful analysis of medical records, and understand the problems associated with the use of a profile in determining the validity of an abuse allegation. Presents guidelines for gathering pertinent data, analysing records and evaluating psychological testing for forensic evaluations when the questions for the evaluation are: Is there evidence that child abuse did occur?; Does the alleged perpetrator meet criteria for factitious disorder, NOS (or factitious disorder by proxy)?; and What management and treatment recommendations should be made? Part of the focus section 'Munchausen by proxy'.
Munchausen by proxy
- Authors:
- AYOUB Catherine C., SCHREIER Herbert A., ALEXANDER Randall
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.103-104.
- Publisher:
- Sage
Introduces the focus section 'Munchausen by proxy', describing the work of the taskforce set up by the American Professional Society on the Abuse of Children set up in 1995 and the greatly increased professional and public attention given to the subject since then.
Position paper: definitional issues in Munchausen by proxy
- Author:
- AYOUB Catherine C.
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.105-111.
- Publisher:
- Sage
Describes the aims and work of the multidisciplinary task force set up in 1996 to develop working definitions for the constellation of behaviours described as Munchausen by proxy. Defines the 2 components of child victim and adult perpetrator. Defines and describes paediatric condition falsification (PCF), facitious disorder by proxy (FDP), and conditions that may be confused with abuse by PCF and/or FDP. Gives preliminary recommendations for evaluating the child and for when psychological evaluations are recommended. Part of the focus section 'Munchausen by proxy'.
Casebook companion to the definitional issues in Munchausen by proxy position paper
- Authors:
- SCHREIER Herbert A., AYOUB Catherine C.
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.160-165.
- Publisher:
- Sage
Comments on the definitions given in the article by Ayoub et al in this focus section, providing examples of clinical presentations of children abused through paediatric condition falsification (PCF) and factitious disorder by proxy (FDP), including multiple system disorders, apnoea and apparent life-threatening events, and psychiatric illness as examples of PCF and FDP; psychotic disorder in the mother resulting in PCF but not FDP; the 'help seeker' as an example of PCF that is not FDP; cyclic vomiting in a case of false suspicions of PCF and FDP; and diabetes mellitus as an example of primary factitious disorder. Concludes that disorders involving the deceptions found in Munchausen by proxy (MBP) are hard to detect and diagnose because of the many symptom presentations and vagueness and intermittence of many true illnesses. Adult perpetrators are often engaging, knowledgeable about medical issues (they may be in health-related fields), and have an uncanny ability to convince others they are good and caring. Given the risks, agreement among professionals about MBP presentation is very important. Part of the focus section 'Munchausen by proxy'.
Asthma, allergy and sinopulmonary disease in pediatric condition falsification
- Authors:
- FELDMAN Kenneth W., STOUT James W., INGLIS Andrew F.
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.125-131.
- Publisher:
- Sage
Reports of pediatric condition falsification (PCF) have noted, but not emphasised, exaggerated complaints of real and common illnesses. Among the most frequent chronic childhood illnesses are asthma, allergy, drug sensitivity, and ear and sinopulmonary infections. The most common pediatric surgery is the insertion of myringotomy tubes. A computer database of 104 PCF victims from 68 families spanning from 1974-98 was searched for the frequency of these conditions. Outright falsification or extreme exaggeration of severity of asthma or allergies was noted in 52 children (50%), sinopulmonary infections in 50 (48%), and drug reactions or sensitivities in 30 (29%). Forty-five (43%) had otolaryngologic surgery, including ear tubes. In all, 71 children (68%) had at least one of these conditions. Associated victim and perpetrator characteristics are described. Children with PCF are not only subjected to induced illnesses and excessive medical, diagnostic and therapeutic efforts but also victimised by the consequences of false and exaggerated complaints of common pediatric diseases. Part of the focus section 'Munchausen by proxy'.
Discriminating pediatric condition falsification from chronic intestinal pseudo-obstruction in toddlers
- Author:
- HYMAN Paul E.
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.132-137.
- Publisher:
- Sage
Paediatric condition falsification may masquerade as chronic and serious digestive disease, including chronic intestinal pseudo-obstruction. Aimed to define clinical criteria to discriminate between these conditions by comparing medical records of 8 pediatric condition falsification victims to those of 14 children with chronic intestinal pseudo-obstruction. Clinical features suggesting pediatric condition falsification in toddlers presenting with chronic and severe digestive complaints included: daily abdominal pain, illness involving 3 or more organ systems, accelerating disease trajectory, reported history of pre-term birth, absence of dilated bowel on x-ray, normal antroduodenal manometry, and no urinary neuromuscular disease. Results suggest that a diagnosis of pediatric condition falsification may be suspected in toddlers presenting with a phenotype for enteric neuromuscular disorders by features in the clinical history, symptoms, and signs. Part of the focus section 'Munchausen by proxy'.
Considering suffocatory abuse and Munchausen by proxy in the evaluation of children experiencing apparent life-threatening events and sudden infant death syndrome
- Authors:
- TRUMAN Thomas L., AYOUB Catherine C.
- Journal article citation:
- Child Maltreatment, 7(2), May 2002, pp.138-148.
- Publisher:
- Sage
Describes 138 young children admitted to hospital over 23 years for recurrent apparent life threatening events (ALTEs), unexplained deaths, or with diagnoses related to sudden infant death syndrome (SIDS). In examining the potential for suffocatory abuse in living children, the authors used characteristics in the literature distinguishing SIDS or ALTEs due to natural disease states from abuse. Findings demonstrate a co-occurrence of risk factors that raise suspicions of suffocatory abuse or Munchausen by proxy. Of the 35 children who died, SIDS was the presumed clinical diagnosis at time of death in 71%. Comprehensive chart review and autopsy findings revealed a non-SIDS diagnosis in 54% and confirmed or suspicious child abuse in 37% of deaths. Reports to child protective services were made in 6% of cases. Offers recommendations for assessment of children including attention to risk indicators, involvement of child protection teams, mandatory autopsies, and death scene investigations. Part of the focus section 'Munchausen by proxy'.
Fabricated or induced illness by carers
- Author:
- WORKING PARTY OF THE ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH
- Publisher:
- Royal College of Paediatrics and Child Health
- Publication year:
- 2002
- Pagination:
- 78p.,bibliog.
- Place of publication:
- London
This report outlines the role of the paediatrician and the child health services when dealing with fabricated or induced illness (also known as FII). Issues on FII covered by this report include history, definition, epidemiology, signs and symptoms, medical evaluation, procedures and management, collaboration with statutory services, training, and complaint procedures. A list of 18 recommendations for good practice is provided.
Beyond collusion: active illness falsification
- Author:
- LIBOW Judith A.
- Journal article citation:
- Child Abuse and Neglect, 26(5), May 2002, pp.525-536.
- Publisher:
- Elsevier
Explores the relationship between factitious disorder by proxy victimisation and the genesis of factitious disorder in young people. Considers the literature on illness falsification in adults and finds support for the possibility that adult factitious disorder may have its origins in adolescence or earlier. Several cases are identified which suggest that some young people falsifying illness may have had earlier experiences of Munchausen by Proxy victimisation of experienced the encouragement of illness falsification by a caregiver.