Parent Salvage and Parent Sabotage in the Care of Chronically Ill Children

Krener, Penelope; Adelman, Raymond D.

doi:10.1001/archpedi.1988.02150090043020

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…Krener and Adelman 26 have suggested that FDP represents the extreme end of a spectrum of parental behavior surrounding chronic illness of their children. There are numerous conditions other than FDP in which caretakers falsify physical or psychological symptoms in their children.…”

Section: Diagnosismentioning

confidence: 99%

Factitious Disorder by Proxy: Pediatric Condition Falsification

Shaw

Dayal

Hartman

et al. 2008

Harvard Review of Psychiatry

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We present a comprehensive overview of the condition factitious disorder by proxy, also known as Munchausen syndrome by proxy. The review begins by highlighting essential definitions and the etiology and epidemiology of the disorder. It then analyzes relevant clinical issues such as assessment and diagnostic methods. The final section is a detailed discussion of the complex issues facing the clinician, including the process of confronting the perpetrator, relevant legal issues, and the treatment of the caretaker, child, and family through a multidisciplinary, team approach.

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Section: Diagnosismentioning

confidence: 99%

Factitious Disorder by Proxy: Pediatric Condition Falsification

Shaw

Dayal

Hartman

et al. 2008

Harvard Review of Psychiatry

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“…Krener and Adelman draw attention to ' brutalization of chronic illness ' and how parental adaptive responses may be viewed as pathological and have much in common with typical presentations of MSBP (Krener & Adelman, 1988). Parents caring for chronically ill children by necessity become well informed on medical matters, may be overprotective, even ' symbiosed ' with the child, may fight for investigations and treatments in an authoritative fashion, and may become socially isolated.…”

Section: Discussionmentioning

confidence: 99%

Exaggeration of Symptoms or Psychiatric Munchausen's Syndrome by Proxy?

McNicholas

Slonims

Cass

2000

Child psychol. psychiatr. rev.

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Prompt and accurate diagnosis of Munchausen's syndrome by proxy is essential in order to minimise the risk of iatrogenic and parentally-induced harm to the child. However, inaccurate diagnosis of MSBP may have devastating consequences for the child, family and professionals involved. ' Psychiatric ' Munchausen's syndrome by proxy, which involves the presentation of signs and symptoms suggestive of a psychiatric disorder in the child, is even more difficult to diagnose and requires an unbiased and full assessment by the appropriate multidisciplinary team.

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“…Adaptive parental behaviors resulting from coping with the prolonged illness may sabotage medical care of the chronically ill pediatric patient. Such parental behaviors may be the result of unsuccessful interpersonal salvage mechanisms in the response to the strains resulting from illness in their child [22].…”

Section: Characteristics Of a Perpetratormentioning

confidence: 99%