Search results for ‘Subject term:"fabricated or induced illness"’ Sort:
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Attachment representations in mothers with abnormal illness behaviour by proxy
- Authors:
- ADSHEAD Gwen, BLUGLASS Kerry
- Journal article citation:
- British Journal of Psychiatry, 187(4), October 2005, pp.328-333.
- Publisher:
- Cambridge University Press
Abnormal illness behaviour by proxy (also known as factitious illness by proxy or Munchhausen syndrome by proxy) is a type of child maltreatment, the origins of which are poorly understood. This article describes attachment representations in a cohort of mothers demonstrating abnormal illness behaviour by proxy. Sixty-seven mothers who had shown this behaviour took part in a semistructured interview assessing their attachment representations. Only 12 mothers (18%) were rated secure in terms of their own childhood attachments. There was evidence of unresolved trauma or loss reactions in 40 mothers (60%). Eighteen mothers (27%) gave unusually disorganised and incoherent accounts of attachment relationships in their own childhoods. The frequency of these attachment categories is higher than in normal non-clinical samples. Insecure attachment is a risk factor for this type of child maltreatment. Therapeutic interventions could be offered in relation to unresolved traumatic stress or bereavement responses. Further study of similar groups, such as mothers with sick children or mothers with histories of traumatic experience, would be a useful next step.
Playing sick? Untangling the web of Munchausen Syndrome, Munchausen by Proxy, malingering and factitious disorder
- Author:
- FELDMAN Marc D.
- Publisher:
- Brunner Routledge
- Publication year:
- 2004
- Pagination:
- 288p.
- Place of publication:
- New York
This book reviews epidemiology, presentation, course, motivations, and treatment for each of the disorders. Most chapters include case descriptions of individuals with the various disorders. Some cases are expressed in the patient's own voice. In addition, the book presents many cases from the perspective of friends and family members, who describe their experiences with the disorders. The case descriptions provide an insight into the lives of individuals with these disorders. The book is divided into chapters based on the individual disorders. The book concludes with a discussion of how to diagnose a disorder of simulation, the issues of malpractice and patients' rights, and treatment interventions. The chapter on malpractice and patients' rights provides useful information for clinicians who work with this patient population. The book uses DSM-IV definitions of the various disorders of simulation.
Safeguarding children in whom illness is fabricated or induced: All Wales ACPC protocol
- Author:
- ALL WALES UNIT
- Publisher:
- All Wales Unit
- Publication year:
- 2004
- Pagination:
- 13p.
- Place of publication:
- Cardiff
The guidance provides a framework for all agencies and recommends that more specific and detailed guidance is available locally. In addition in 2001-2 The Royal College of Paediatrics and Child Health (RCPCH)introduced their own working party report. The guidance gives a comprehensive overview of Fabricated Illness, and in particular the complex issues of working with families.
Munchausen by proxy: identification, intervention, and case management
- Authors:
- LASHER Louisa J., SHERIDAN Mary S
- Publisher:
- Haworth Maltreatment and Trauma Press
- Publication year:
- 2004
- Pagination:
- 353p.,bibliog.
- Place of publication:
- London
Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. The book is divided into three parts. The first covers the definition of MBP, the role of the perpetrator and victim, and the ethical issues affecting professionals, patients, and family. Part two addresses case work from initial suspicions through the investigative and confirmation/disconfirmation process. The third section is dedicated to case planning and case management once MBP has been confirmed, including intervention, immediate child protection, and legal activities. Topics covered include: the limits of the DSM-IV as applied to MBP; perpetrator-consistent characteristics; the MBP situational suspicion indicators; the inappropriateness of risk assessment tools developed for other forms of maltreatment; and the danger when MBP perpetrators realize they are under suspicion.
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.
ABC of child abuse
- Editor:
- MEADOW Roy
- Publisher:
- British Medical Journal Publishing
- Publication year:
- 1993
- Pagination:
- 75p.,illus.,bibliog.
- Place of publication:
- London
Gives clear guidance on how to recognise the different forms of child abuse, and advises on what to do when you suspect or confirm it. Includes chapters on: epidemiology; non accidental injury; fractures; head injuries; ophthalmic presentations; burns and scalds; poisoning; fatal abuse and smothering; abuse and short stature; sexual abuse; Munchausen Syndrome by Proxy; dilemmas; the role of the child psychiatry team; social workers and child protection; case conferences; child care law; medical reports; and the courts.