Position Paper: Definitional Issues in Munchausen by Proxy

Ayoub, Catherine; Alexander, Randell; Beck, David; Bursch, Brenda; Feldman, Kenneth W.; Libow, Judith A.; Sanders, Mary J.; Schreier, Herbert A.; Yorker, Beatrice Crofts

doi:10.1177/1077559502007002002

Cited by 67 publications

(53 citation statements)

References 15 publications

(14 reference statements)

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“…The first incentive is gaining attention for being the devoted parent of a child who is constantly sick (Atoynatan et al 1988;Meadow 2000;Shaw et al 2008). The second is deceiving and manipulating physicians and other medical staff who are usually respected for their knowledge and influence (Ayoub and Alexander 1998;Feldman 2004;Shaw et al 2008). In addition to doctors and school personnel, the targets of manipulation can include judges, media representatives, and law enforcement personnel (Ayoub et al 2002b).…”

Section: Review Of Symptoms Of Mbp/fdpmentioning

confidence: 98%

“…The task force's report recommended that the term "pediatric condition falsification" (PCF) be used when a parent or other caregiving adult "falsifies physical and/or psychological signs and/or symptoms in a victim, causing the victim to be regarded as ill or impaired by others" (Ayoub and Alexander 1998). The task force believed that only when perpetrators deliberately fabricate a medical history or symptoms in a child to satisfy their own psychological needs should the diagnosis of "MBP" per se be made.…”

Section: Review Of Symptoms Of Mbp/fdpmentioning

confidence: 99%

“…Usually recognized as a form of child maltreatment, the typical motivation for a parent to harm a child in this way is to assume the "sick role" vicariously and get attention and nurturance for being a longsuffering parent of a chronically ill child (Ayoub and Alexander 1998;Ayoub et al 2002a;Schreier 2002a;Schreier and Libow 1993). In the USA, Schreier (2002b), Feldman (2004), and Ayoub et al (2002b) have suggested that, indeed, schools are prime settings for FDP to occur.…”

mentioning

confidence: 98%

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Factitious Disorder by Proxy in Educational Settings: A Review

Frye

Feldman

2011

Educ Psychol Rev

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Factitious disorder by proxy (FDP), historically known as Munchausen syndrome by proxy, is a diagnosis applied to parents and other caregivers who intentionally feign, exaggerate, and/or induce illness or injury in a child to get attention from health professionals and others. A review of the recent literature and our experience as consultants indicate clearly that FDP has emerged in educational settings as well. Variants of educational FDP include parents of children with real or fabricated physical disabilities who request excessive or unneeded school health services and parents who request extensive education-related evaluations for children who do not demonstrate any educational need. If such cases continue to emerge, school districts will be asked to test more students who do not have disabilities under the Individuals with Disabilities Education Act. Also, special educational directors will be weighing the cost of providing unneeded testing and educational services against the cost of defending themselves in litigation to prove that the testing and services are unnecessary. A table of guidelines is provided for school and other personnel confronted with repeated requests for unwarranted special education services. Suggestions for future research are included. "I think my child has a disability I read about on the Internet. I want to request a medical and psychological evaluation for it. Don't you think it would help my child if he had additional services and accommodations?" Teachers, special education administrators, Educ Psychol Rev (2012) 24:47-61

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Section: Review Of Symptoms Of Mbp/fdpmentioning

confidence: 98%

Section: Review Of Symptoms Of Mbp/fdpmentioning

confidence: 99%

mentioning

confidence: 98%

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Factitious Disorder by Proxy in Educational Settings: A Review

Frye

Feldman

2011

Educ Psychol Rev

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“…Medical child abuse (MCA), formerly Munchausen syndrome by proxy (MSBP), is a serious and potentially fatal form of child abuse [1] Since its initial description as Munchausen Syndrome by Proxy [2], this particular form of child maltreatment has been described over the years by many proposed and controversial nomenclatures, including pediatric condition falsification [3], child abuse in a medical setting [4], medical child abuse, and caregiver-fabricated illness in a child [5]. The terms medical child abuse and caregiver-fabricated illness in a child attempt to bring the focus of the diagnosis back on the child patient as a victim.…”

Section: Introductionmentioning

confidence: 99%

The Deconstruction of a Complex Case of Medical Child Abuse

Isaac¹,

Creamer²,

Trent³

2016

MEDJ

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“…There has been considerable debate about the proper terminology to be used for this form of abuse (Ayoub et al, 2004): potential for confusion exists because the behaviour results in fabricated or induced illness in the child, but may be associated with various types of disorder in the abuser. The Depart ment of Health (2002) uses 'fabrication or induction of illness in children', although 'Munchhausen syndrome by proxy' is probably the most common popular description.…”

mentioning

confidence: 99%

Fabrication and induction of illness in children: the psychopathology of abuse

Bass¹,

Adshead²

2007

Adv. psychiatr. treat

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Fabricating or inducing illness in children (previously called Munchhausen syndrome by proxy) is a form of child abuse in which a caregiver falsifies illness in a child by fabricating or producing symptoms and presenting the child for medical care disclaiming knowledge of the cause of the problem. The behaviour has attracted considerable interest and controversy, and some have questioned its existence. In this article, we assess the prevalence of the behaviour, describing behaviours that have been reported and identified, and discuss its psychopathology. We consider the role of psychiatric expertise in the investigation of such behaviour and in the assessment of those who carry it out, based on what is known to date about their psychopathology. We also outline an approach to management with special reference to the characteristics in the mother that may allow for reunification with the child after the abuse has been established.

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Position Paper: Definitional Issues in Munchausen by Proxy

Cited by 67 publications

References 15 publications

Factitious Disorder by Proxy in Educational Settings: A Review

Factitious Disorder by Proxy in Educational Settings: A Review

The Deconstruction of a Complex Case of Medical Child Abuse

Fabrication and induction of illness in children: the psychopathology of abuse

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