Patient-Centered Medicine and Prevention of Munchausen Syndrome by Proxy

  title={Patient-Centered Medicine and Prevention of Munchausen Syndrome by Proxy},
  author={M. Wahi and Kenton V. Stone and Mariel Chance and Cynthia E.Miller},
Munchausen syndrome by proxy (MSbP) is known by many names and is considered the deadliest form of child abuse. Although the condition was named in 1976 and there is now a substantial body of scientific literature about this type of abuse, to date, patient‐ centered approaches to early identification, intervention, and prevention have been absent from this literature. The purpose of this chapter is to recommend patient‐centered approaches to identifying MSbP in the clinical setting to… Expand
1 Citations
Don't Judge a Book by Its Cover: Factitious Disorder Imposed on Children-Report on 2 Cases
A 9-year-old boy with a history of convulsive episodes, reduced verbal production, mild psychomotor disorder and urological problems who underwent several invasive procedures and hospitalizations before a diagnosis of FDIA was made and a 12 year-old girl with headache, abdominal pain, lipothymic episodes, seizures and a gait impairment is reported. Expand


The patient under discussion was a 6 year old male brought to the hospital by his mother with complaints of repetitive and unceasing passing of stones per urethra, leading to the suspicion of Münchausen Syndrome by Proxy. Expand
Munchausen Syndrome by Proxy: An Alarming Face of Child Abuse
Munchausen syndrome by proxy (MSBP) is emerging as a serious form of child abuse. It is an intentional production of illness in another, usually children by mothers, to assume sick role by proxy. ItExpand
[Münchausen syndrome by proxy].
About 30 years from the first attempt to precisely point the signalling symptoms for a proper diagnosis, the current knowledge on epidemiology, aetiology, diagnostic criteria, advised management and psychological portrait of the mother with the syndrome and her child, the syndrome's victim is presented. Expand
Munchausen syndrome by proxy: an adult dyad.
It is believed that MSBP with an adult victim is underrecognized and should be considered in adult dyads when a patient’s medical problems do not respond as expected to therapy, and a caretaker appears overly involved or attention-seeking. Expand
Munchausen syndrome by proxy (MSBP): an extreme form of child abuse with a special forensic challenge.
Two cases of poisoning with different substances (clozapine and clonidine) detected by toxicological investigations at the Department of Legal Medicine are reported, with relevance of the problem for the medicolegal expert and the importance of an interdisciplinary co-operation. Expand
A case of Munchausen syndrome by proxy with subsequent suicide of the mother.
This case shows a number of manipulation forms with the maintenance of a chronic skin and soft tissue infection belonging to the rarer forms of inflicting damage to the child and illustrates that confrontation with the allegation of Munchausen syndrome by proxy creates a very stressful emotional situation that may lead to a suicidal act. Expand
Munchausen syndrome by proxy.
The diagnosis of Munchausen syndrome by proxy can be made when medical and social histories are characteristic of the syndrome and clinical findings are absent, suggestive of induced illness, or resolve upon separation of the child and parent. Expand
Munchausen's syndrome by proxy and its professional participants.
Five patients with MSP are described, emphasizing a variety of presentations, and features in the family unit are identified to aid in early recognition of the disorder. Expand
Munchausen syndrome by proxy presented as recurrent respiratory arrest and thigh abscess: a case study and overview.
A 16-month-old girl who admitted to Hacettepe University İhsan Doğramacı Children's Hospital with the complaint of seizure, recurrent apnea and thigh abscess, who was later diagnosed as Munchausen syndrome by proxy is presented. Expand
My mother caused my illness: the story of a survivor of Münchausen by proxy syndrome.
This article chronicles the actual experiences of an MBPS victim through 8 years of medical abuse at the hands of her mother, reveals the victim's account of what happened to her, and details the long-term consequences on emotional and physical development. Expand