Update on Munchausen syndrome by proxy

Galvin, Hannah K.; Newton, Alice W.; Vandeven, Andrea M.

doi:10.1097/01.mop.0000158729.18551.dd

Cited by 56 publications

(49 citation statements)

References 19 publications

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“…4,36 MSbP abusers are usually very knowledgeable about medical treatment options through experience as a patient, through training as a child care provider or health care provider, or through library and Internet research. 12 Hall et al 37 reported that in 85% of their 41 video-documented cases of MSbP, one or both parents had training in a field related to health care or in day care.…”

Section: Perpetrators: It's All About Me!mentioning

confidence: 99%

“…However, covert www.ccnonline.org videotapes have repeatedly recorded that these same parents generally ignore or even mistreat the child when convinced no one is there to observe their performance (Table 3). 12,31,37 …”

Section: Perpetrators: It's All About Me!mentioning

confidence: 99%

“…4 Older children can be coerced into feigning symptoms. 12 Tragically, child victims learn that they are most likely to receive the positive maternal attention they crave when they are playing the sick role in front of health care providers. Many case reports describe MSbP victims who grow into Munchausen syndrome patients or continue the pattern of abuse in their own children.…”

Section: Msbp Victimsmentioning

confidence: 99%

“…31 • Abusers become angry and hostile when confronted with their behavior. 8,12 • Abusers do not accept responsibility for the child's health status.…”

Section: Msbp Versus Typical Physical Child Abusementioning

confidence: 99%

“…4 Expert estimates range from 1 in a million children to 2.8 in 100 000 children. 12 32-year period. 13 In a series of 250 Parisian children with a diagnosis of hyperinsulinemic hypoglycemia, 2 cases were found to be MSbP cases.…”

Section: Incidence Who Knows?mentioning

confidence: 99%

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Monsters in the Closet: Munchausen Syndrome by Proxy

Criddle

2010

Critical Care Nurse

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Section: Perpetrators: It's All About Me!mentioning

confidence: 99%

Section: Perpetrators: It's All About Me!mentioning

confidence: 99%

Section: Msbp Victimsmentioning

confidence: 99%

“…31 • Abusers become angry and hostile when confronted with their behavior. 8,12 • Abusers do not accept responsibility for the child's health status.…”

Section: Msbp Versus Typical Physical Child Abusementioning

confidence: 99%

Section: Incidence Who Knows?mentioning

confidence: 99%

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Monsters in the Closet: Munchausen Syndrome by Proxy

Criddle

2010

Critical Care Nurse

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Psychodermatology and Psychocutaneous Disease

Bewley

Taylor

2016

Rook's Textbook of Dermatology, Ninth Edition

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Psychodermatology is an emerging branch of dermatology. Patients with pyschodermatological disease are very common. They largely fall into two categories: patients with primarily psychiatric disease who present to dermatology health care professionals (e.g. delusional infestation and body dysmorphic disorder) and patients with skin disease (e.g. psoriasis, atopic eczema, vitiligo and acne) for whom there are large psychosocial co‐morbidities (e.g. anxiety and/or depression and suicide). Management of patients with psychodermatological disease requires a multidisciplinary team (MDT) approach, where possible in speicialist clinics. Such clinics are relatively rare, perceived to be expensive, but increasing globally. There is increasing evidence that management of patients with psychodermatological disease in MDT clinics is both cost effective and produces the best clinical outcome for patients. In this chapter a comprehensive list of psychodermatological disorders is covered; diagnosis, assessment and management of psychodermatological disease is discussed alongside (where possible) current theories about aetiology and psychoneurology. It is widely recognized that patients with psychodermatological disease present to dermatology health care professionals (HCPs) rather than psychiatric/psychology services. It is essential, then, that dermatology HCPs are familiar with the management of these common but complex patients, albeit with the support of a psychodermatology MDT.

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Medical Child Abuse/Munchausen by Proxy

Roesler

2015

The Encyclopedia of Clinical Psychology

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Medical child abuse ( MCA ) is the form of child maltreatment characterized by a child receiving unnecessary and harmful or potentially harmful medical care as the result of actions of a parent or caregiver. Previously known as Munchausen syndrome by proxy, pediatric condition falsification, or factitious disorder by proxy, MCA is similar to other forms of child maltreatment in many ways but differs in having the parent inflict harm by inserting false information in the medical treatment process. A parent can cause his or her child to have a symptom and then lie about it, falsify or exaggerate a symptom, or otherwise induce medical care providers to give care that is not necessary. Perpetrators may have many different motivations. Treatment consists of stopping the unnecessary care, reversing the harmful effects, and inducing the offending parent to interact with the medical care community in a healthy way.

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Update on Munchausen syndrome by proxy

Abstract: In spite of these challenges, the high mortality and recidivism rates associated with MBP make it imperative that pediatricians be familiar with the condition, the subtle signs and symptoms with which it may present, and methods to best protect the children in their care.

Cited by 56 publications

References 19 publications

Monsters in the Closet: Munchausen Syndrome by Proxy

Monsters in the Closet: Munchausen Syndrome by Proxy

Psychodermatology and Psychocutaneous Disease

Medical Child Abuse/Munchausen by Proxy

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