Identifying and Responding to Munchausen Syndrome by Proxy

Pearl, Peggy

doi:10.1080/0300443951060114

Cited by 5 publications

(7 citation statements)

References 21 publications

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“…Resolution of the acute symptoms and signs of the child when the child is separated from the perpetrator Most of the definitions and explanations for MBP since 1987 have agreed with these four criteria and elaborated on them. The first indicator of intentionally falsifying illness in or injury to a child by a parent is critical to the identification of FDP (Ayoub et al 2000;Pearl 1995;Sheridan 2003). The second sign, repeatedly taking the child to different hospital emergency rooms or clinics for medical treatment, is commonly noted in the literature and is referred to as "doctor shopping" or "hospital shopping" (Lasher and Sheridan 2004;Ostfeld and Feldman 1996).…”

Section: Review Of Symptoms Of Mbp/fdpmentioning

confidence: 97%

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: 97%

Factitious Disorder by Proxy in Educational Settings: A Review

Frye

Feldman

2011

Educ Psychol Rev

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“…Loader and Kelly (1996) present a compelling case study narrative approach, indicating that a key antecedent is the relationship between the mother and the child's doctors. In general, however, it is the mother who is the perpetrator in the majority of cases and the father is seldom involved (Pearl, 1995). Bools et al (1992) studied the case of 56 children and examined co-morbidity associated with illness fabricated by mothers and discovered that this was a repeated pattern.…”

Section: Factitious Disorder By Proxymentioning

confidence: 97%

Factitious Disorder by Proxy and the Abuse of a Child with Autism

Randall¹,

Parker²

1997

Educational Psychology in Practice

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This paper presents a case study of a child with autism as the victim of a devious form of abuse, factitious disorder by proxy, in which a primary carer sought to gain vicarious gratification through medical services by fabricating symptoms in the victim. The paper introduces this disorder as parasitic upon vulnerable victims with autism and reviews the prospects for intervention. Comment is made that educational psychologists (EPs) should be aware of this rare form of abuse of children with very poor communications skills.

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“…'The criteria have been heavily criticised because they are perceived to be subjective and have poor diagnostic reliability (e.g. Jonas & Pope, 1985;Rogers et al, 1989). Freyberger and Schneider (1 994) also challenged the validity of the diagnostic criteria on the grounds of subjectivity and poor inter-rater reliability and stated that the relationship of factitious disorder to psychotic disorders should be included in the diagnostic symptoms.…”

Section: Background and Descriptionmentioning

confidence: 98%

“…Other carers have been involved, however, and health workers have been implicated in several incidences (e.g. Repper, 1995), including at least one apparently dedicated paediatric nurse whose case has received considerable media attention (e.g. Spinks, 1994).…”

Section: Factitious Disorder By Proxymentioning

confidence: 98%

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Factitious disorders by proxy: A trap for the unwary

Randall¹,

Parker²

1997

Journal of Social Work Practice

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S u m m a r y This paper reviews the literature on Factitious Disorders by fioxy; one of the most insidious forms of chiM abuse known to practitioners. It provides a description of the disorder and its place relative to other similar disorders. The epidemiology and course of the disorder are examined and the symptoms by which it may be recognised are identzjied. A case study illustrates the main features of this disorder and demonstrates how easy it is for practitioners to be misled by the abuser. Finally, the paper examines the prospect for successful intervention and details the criteria that are associated with success.

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Identifying and Responding to Munchausen Syndrome by Proxy

Cited by 5 publications

References 21 publications

Factitious Disorder by Proxy in Educational Settings: A Review

Factitious Disorder by Proxy in Educational Settings: A Review

Factitious Disorder by Proxy and the Abuse of a Child with Autism

Factitious disorders by proxy: A trap for the unwary

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