Münchausen syndrome by proxy (MSbP or MBP) is a controversial term that is used to describe a behavior pattern in which a caregiver deliberately exaggerates, fabricates, and/or induces physical, psychological, behavioral, and/or mental health problems in those who are in their care.[1] Within the United States, factitious disorder by proxy (FDP or FDbP) is the leading alternative of this term, while in the United Kingdom, it is known as fabricated or induced illness by carers (FII).[2] In DSM-5, the diagnostic manual published by the American Psychiatric Association in 2013, this disorder is listed under 300.19 Factitious disorder, specifically Factitious disorder imposed by another; the perpetrator is given the diagnosis.[3] With deception at its core, this behavior is an elusive, potentially lethal, and frequently misunderstood form of child abuse[4] or medical neglect[5] that has been difficult to define, detect and confirm. The name Münchausen syndrome by proxy is derived from Münchausen syndrome, but it is important to distinguish one from the other, as they describe very different (but related) conditions. People with Münchausen syndrome have a profound need to assume the sick role, and will exaggerate complaints, falsify tests, and/or self-inflict illnesses.[6] MSbP perpetrators, by contrast, are willing to fulfill their need for positive attention by hurting their own child, thereby assuming the sick role by proxy. At times, they are also able to assume the hero role and garner still more positive attention, by appearing to care for and save their child.[7] Münchausen syndrome by proxy has evoked much confusion and controversy within medical and mental health communities since its initial description in the late 1970s. There is still no clear consensus between experts on the very definition of the condition; some consider MSbP a mental disorder, others, an abusive behavior. Even the name remains unsettled — Münchausen syndrome by proxy is the most common laymans term, but a host of alternative names have either been used or proposed. MSbP has also spawned much heated controversy within the legal and social services communities. In a handful of high-profile cases, mothers who have had multiple children die from sudden infant death syndrome have been declared to have MSbP. Based on MSbP testimony of an expert witness, they were tried for murder, convicted, and imprisoned for several years. In some cases, that testimony was later impeached, resulting in acquittal of those defendants.[8]. My first day in PSY class was about this problem Munchausen Syndrome by Proxy what an eye opener. Why did I wait so long, I could have used what I am about to learn in this class on the job.
Posted on: Thu, 16 Jan 2014 02:58:07 +0000
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