Search results for ‘Subject term:"fabricated or induced illness"’ Sort:
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Munchausen Syndrome by Proxy: medical diagnostic criteria
- Author:
- ROSENBERG Donna Andrea
- Journal article citation:
- Child Abuse and Neglect, 27(4), April 2003, pp.421-430.
- Publisher:
- Elsevier
Medical diagnostic criteria for Munchausen Syndrome by Proxy are presented. The strength of the known facts may vary from case to case, and thus there may be different degrees of diagnostic conviction. Therefore, diagnostic criteria for a definitive diagnosis, and a possible diagnosis of Munchausen Syndrome by Proxy are provided. Because the gathering of evidence in a case may, ultimately, diminish or exclude the diagnosis of Munchausen Syndrome by Proxy, diagnostic criteria for the inconclusive determination and the definitely excluded diagnosis are also enunciated.
The deceit continues: an updated literature review of Munchausen Syndrome by Proxy
- Author:
- SHERIDAN Mary S.
- Journal article citation:
- Child Abuse and Neglect, 27(4), April 2003, pp.431-451.
- Publisher:
- Elsevier
This article presents an updated review of the literature of Munchausen Syndrome by Proxy (Factitious Disorder by Proxy, MBP). Four hundred fifty-one cases of MBP were analyzed from 154 medical and psychosocial journal articles. Typical victims may be either males or females, usually 4 years of age or under. Victims averaged 21.8 months from onset of symptoms to diagnosis. Six percent of victims were dead, and 7.3% were judged to have suffered long-term or permanent injury. Twenty-five percent of victims' known siblings are dead, and 61.3% of siblings had illnesses similar to those of the victim or which raised suspicions of MBP. Mothers were perpetrators in 76.5% of cases, but as knowledge of MBP grows a wider range of perpetrators is identified. In a small number of cases, MBP was found to co-exist with secondary gain or other inflicted injury. Although published cases form a non-random sample, they add to knowledge about MBP and validate claims that it occurs. More knowledge about non-medical aspects of MBP, and more pooling of data, is desirable.
Concerns about research and prevention strategies in Munchausen Syndrome by Proxy (MSBP) abuse
- Authors:
- EMINSON Mary, JUREIDINI Jon
- Journal article citation:
- Child Abuse and Neglect, 27(4), April 2003, pp.413-420.
- Publisher:
- Elsevier
There would seem to be three motives for research into Munchausen Syndrome by Proxy (MSBP) abuse; first to enhance treatment; second to enhance our understanding of the psychopathology of those who carry out the abuse; and third to find interventions to prevent its occurrence. The authors will argue that only the first justification is valid. The second and third should be questioned for several reasons including: MSBP abuse is the wrong kind of event to think of in terms of categorical diagnosis; rare events are inherently difficult to predict; and better research targets are available. It is proposed that research energy would be more productively directed towards furthering our understanding of somatization and certain problematic aspects of modern pediatric practice.
Developing good practice in cases of fabricated and induced illness by carers: new guidance and the training implications
- Author:
- HOWARTH Jan
- Journal article citation:
- Child Abuse Review, 12(1), January 2003, pp.58-63.
- Publisher:
- Wiley
This article argues that although guidance is useful it is important to recognise that processes and procedures are not ends in themselves. Training for those in contact with parents or children should alert staff to the ways in which fabricated and induced illness can present itself in children and how practitioners should manage their concerns in line with local Area Child Protection Committee procedures.