Munchausen syndrome by proxy: Unusual manifestations and disturbing sequelae

Porter, Gerald E.; Heitsch, Grace M.; Miller, Michael D.

doi:10.1016/0145-2134(94)00045-x

Cited by 19 publications

(13 citation statements)

References 22 publications

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“…Most reported mechanisms are a fall from height, 4,5,6,7,10,21,22 gunshot injuries, stab wounds, sexual abuse, unusual sexual acts and iatrogenic injury (endoscopy, thermometers, etc.). 1,8,9,14,15,18,20 The self-introduction of foreign bodies into the rectum is however, not rare, although fortunately this seldom results in a perforation. The most striking report noted in the literature of self induced rectal perforation involved a 50-year-old man who inserted a live eel in his rectum to relieve constipation.…”

Section: Discussionmentioning

confidence: 95%

Rectal impalement by pirate ship: A case report

Bemelman

Hammacher

2005

Injury Extra

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Section: Discussionmentioning

confidence: 95%

Rectal impalement by pirate ship: A case report

Bemelman

Hammacher

2005

Injury Extra

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“…reported tooth loss in a 2.5-year-old boy [24]. In this case Histiocitosis X and Type IV Ehlers-Danlos syndrome were initially considered.…”

Section: Publication Reviewmentioning

confidence: 99%

Fabricated or induced illness in the oral cavity in children. A systematic review and personal experience

Olczak‐Kowalczyk

Wolska-Kuśnierz

Bernatowska

2015

cejoi

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IntroductionMünchausen syndrome by proxy (MSBP) describes a pattern in which a caregiver induces a disease in a child. The symptoms may manifest in the oral cavity.Material and methodsPubMed was researched for articles between 1990-2014, presenting manifestations of MSPB, following PRISMA 2009 guidelines, and an in-house case of MSBP with oral manifestations was presented.ReviewAmong 66 articles presenting MSBP symptoms, four included descriptions of oral lesions in five children. They included: tooth loss, ulcerations and ulcers on oral mucosa, scars due to old, healed lesions, bleeding, black tongue, polysialia, and discolouration and swelling in the lips. Münchausen syndrome by proxy with participation of the mother was diagnosed in four cases.CaseA 13-year-old girl was hospitalised because of a non-healing ulcer of the septum, loose and lost mandibular teeth, skin lesions, and suspected immunodeficiency. She had been hospitalised numerous times at other facilities. Consultations and diagnostic tests did not confirm an organic disease. The patient and her mother agreed to undergo all examinations, and some symptoms ‘went away’ during the examinations. The behaviour of the patient and her mother during hospital stays, ambulatory care, and the psychiatric observations all pointed towards MPSB. They refused further treatment at the present facility.ConclusionsA dentist should take into account the potential ‘fabrication’ of symptoms in a child by the latter or by a caregiver. Consultations with a paediatrician or psychiatrist enable a diagnosis and treatment.

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“…Such a deconstruction would also render comprehensible a rather dramatic report on a mother suspected of inducing the deliveries of two of her children voluntarily so that they died shortly after, and having injured her third child repeatedly, both before attending hospitals and while staying there with him. 292 In a recent study, the family situation of children admitted to hospital with induced symptoms was studied in a total of 56 families. Of the 47 mothers in this group, 19 were interviewed as to lifetime psychiatric problems.…”

Section: Morbidity Productionmentioning

confidence: 99%

“…(Kvale 1983:190) 107 . 108 Frank 1985 Fausto-Sterling, 37, 411 female fertility, 321 feminist theory, 1 fibromyalgy, 226,228,285,427 figure,291,292,333 Fink,[381][382][383][384][385]390 Finkelhor,220,221,364,366,368,377 flashback,102,115,135 Flitcraft,222,230 focused interview,41,118 Foucault,6,33,34,40,196,199 frame,5,9,13,25,[27][28][29]35,43,50,53,[55][56][57]59,60,62,65,66,73,…”

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confidence: 99%

Inscribed Bodies

Kirkengen

2001

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AcknowledgmentsChapter 1 APPROACHING LIFE-WORLD EXPERIENCES INTRODUCTIONThe present study represents an investigation into three aspects of the human life-world and their inter-relationship. 1 The first of these is integrity violation, explored within the framework specific to sexual abuse in childhood. The second aspect is the impact of sexual violation on health, explored within an epistemology of embodiment. The third aspect is biomedical intervention into illness stemming from sexual violation, explored within the frameworks of critical medical anthropology, feminist theory and a phenomenology of the lived body. 1. ETHICAL CONSIDERATIONSThe study's tripartite exploration problematizes central ethical issues. These issues concern: the theory of current western biomedicine, the methodology and practice of biomedical knowledge production, and the normative impact of valid biomedical knowledge on both research focus and clinical practice. My considerations are based on the empirical material and the results of this study. Biomedical knowledge production is grounded, almost exclusively, in a naturalist cosmology. In such a philosophical framework, ethics is deemed separable from that which is regarded as nature. Since nature and natural matter is what biomedicine seeks to investigate, ethical dimensions of human life are defined as separate from the issues of interest. Thus definitionally subordinated, ethical considerations are not seen as influencing biomedical theory. They are not part of the groundwork of biomedical research. They do not inform the criteria for the choices of research issues. Issues regarding ethics are raised only to address the etiquette of research practice. Applied to 1 2 INSCRIBED BODIESresearch as rules of form, ethics are intended to secure correct conduct on the part of the scientists and their proper performance of research activities. They are addressed explicitly whenever research funds are allocated, study results published, or participants' consent requested. Ethics thus are seen to concern social or legal questions only. They form an addendum to the research design, ergo are of only decorative, or at best marginal, relevance to research. They are, of course, acknowledged as being of central relevance to issues of values. However, because issues of human values are seen as a principal source of contamination, and subjectivity is deemed a general source of mistake, the theoretical framework excludes them and sophisticated methodologies are developed in an attempt to avoid them.The present study provides evidence that it is precisely these measures, those intending to secure a value-neutral production of knowledge in biomedicine, which obstruct the disclosure of social pathology and its impact. Consequently and implicitly, valid biomedical knowledge actually contributes to maintaining a culturally constituted silence concerning certain practices, certain abuses of power. When measures taken in order to help or cure do not result in healing the people who ask for help, there are two...

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Munchausen syndrome by proxy: Unusual manifestations and disturbing sequelae

Cited by 19 publications

References 22 publications

Rectal impalement by pirate ship: A case report

Rectal impalement by pirate ship: A case report

Fabricated or induced illness in the oral cavity in children. A systematic review and personal experience

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