A practitioner's complaint and proposed direction: Munchausen syndrome by proxy, factitious disorder by proxy, and fabricated and/or induced illness in children.

Bütz, Michael R.; Evans, F. Barton; Webber-Dereszynski, Rebecca L.

doi:10.1037/a0012324

Cited by 8 publications

(26 citation statements)

References 35 publications

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“…In 1951, Richard Asher applied the term Munchausen syndrome (MS) to adults who fabricated illnesses to obtain medical attention thereby adopting an illness role through unnecessary medical procedures and treatments (Butz, Evans, & Webber-Dereszynski, 2009). British pediatrician Roy Meadow applied Ashers term to characterize the intentional inducing of the sickness role by an adult as in MS; however, the child is a surrogate (Ayoub et al, 2002).…”

Section: ▪ Background Literaturementioning

confidence: 99%

Caregiver-Fabricated Illness in a Child

Koetting

2015

Journal of Forensic Nursing

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In October 2004, a case of caregiver-fabricated illness in a child was identified in a children's hospital in the Midwest. This case report begins with a discussion and explanation of the various nomenclatures that have been used by the healthcare community such as Munchausen syndrome by proxy, factitious disorder by proxy, medical child abuse, and caregiver-fabricated illness in a child. A discussion of case facts is then presented, which includes key concepts that nurses should know regarding a diagnosis of caregiver-fabricated illness in a child and the interventions that should be taken.

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Section: ▪ Background Literaturementioning

confidence: 99%

Caregiver-Fabricated Illness in a Child

Koetting

2015

Journal of Forensic Nursing

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“…Following this new perspective, PA was considered a serious childhood mental health condition [7]. More recently, using a systemic framework, some researchers proposed that PA must be considered a problem of the family system rather than a disorder of any of its members [8,9]. There has been a movement among academics to introduce PA as a diagnostic entity on the Diagnostic and Statistical Manual of Mental Disorders (DSM) with the belief that it would facilitate the admission of PA by family courts and therefore would lead to prescribing measures to protect the best interest of the child.…”

Section: Introductionmentioning

confidence: 99%

Parental Alienation: In the Child’s Worst Interest

Silva¹

2022

Parenting - Challenges of Child Rearing in a Changing Society

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Parental alienation (PA) is a form of childhood emotional abuse in which one parent instrumentally uses the child to inflict psychological harm on the other parent for revenge. The consequences of parental alienating behaviours range from mild (e.g., the child shows a certain resistance towards visiting the targeted parent but warm parenting is still possible) to severe, where the positive affective parent–child bond is severed and extremely difficult to reinstate under family therapy. In PA processes, parenting is disrupted with the targeted parent and dysfunctional with the alienating parent. Consequently, the child is at a high risk of developing internalising (e.g., depression, anxiety) and externalising (e.g., use of drugs/alcohol, violence) problems during later developmental stages and through the lifespan. Although the prevalence and severity of PA cases in our societies are largely unknown, in part because the construct is still an ongoing debate among academics, practitioners and family justice professionals, different authors defend that it should be treated as a public health problem. Early prevention should be the primary objective and family justice, child protection and mental health services must coordinate efforts to support the families and promote the best conditions for the development of affected children.

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“…Bütz et al (2009) addressed diagnostic conceptualizations of Munchausen syndrome by proxy (MSBP), factitious disorder by proxy (FDBP) or fabricated and/or induced illness in children. The authors posited that these three diagnostic conceptualizations had a checkered history and were especially problematic to clinicians attempting to make use of these diagnoses in forensic and clinical settings.…”

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confidence: 99%

Factitious disorder by proxy, parent alienation, and the argument for interrelated multidimensional diagnoses.

Bütz¹,

Evans

2019

Professional Psychology: Research and Practice

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Bütz, Evans, and Webber-Dereszynski (2009) proposed that disorders such as factitious disorder by proxy (FDBP) “. . . may collectively be a forerunner of the more sophisticated practice of wedding individual diagnoses and group, social, family, and legal dynamics together into an integrated, coded conceptualization” (p. 37). This article expands this recommendation, offering the term interrelated multidimensional diagnoses (IMDs) to better describe phenomenon such as FDBP and parental alienation (PA). In turn, this article articulates a definition for IMDs and makes the argument that FDBP and PA are examples of more sophisticated next generation diagnoses, which integrate the characteristics, interactions, and symptoms of individuals and systems dimensionally with greater explanatory power than other diagnoses alone. Implications for clinical and forensic identification and practice are discussed.

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A practitioner's complaint and proposed direction: Munchausen syndrome by proxy, factitious disorder by proxy, and fabricated and/or induced illness in children.

Cited by 8 publications

References 35 publications

Caregiver-Fabricated Illness in a Child

Caregiver-Fabricated Illness in a Child

Parental Alienation: In the Child’s Worst Interest

Factitious disorder by proxy, parent alienation, and the argument for interrelated multidimensional diagnoses.

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