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[Münchhausen syndrome].

J C Robert1, D Cremniter, J L Lejonc

  • 1Département des Urgences Médicales, Hôpital Henri-Mondor, Créteil.

Presse Medicale (Paris, France : 1983)
|April 20, 1991
PubMed
Summary

Münchhausen's syndrome involves patients feigning illness and seeking medical attention, often with complex fabricated symptoms. Münchhausen syndrome by proxy affects children harmed by caregivers, presenting a diagnostic challenge with poor treatment outcomes.

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Area of Science:

  • Psychiatry
  • Medical Psychology

Context:

  • Münchhausen's syndrome is a complex factitious disorder.
  • Characterized by fictitious illnesses, hospital peregrination, and pseudologia fantastica.
  • Münchhausen syndrome by proxy (Meadow's syndrome) involves caregiver-induced illness in children.

Purpose:

  • To describe the characteristics and diagnostic features of Münchhausen's syndrome.
  • To differentiate Münchhausen's syndrome from Münchhausen syndrome by proxy.
  • To discuss the nosological position and treatment challenges of these conditions.

Summary:

  • Münchhausen's syndrome presents with fabricated illnesses, elaborate medical narratives, and specific behavioral patterns.
  • The syndrome is often recognizable due to its typical presentation.
  • Münchhausen syndrome by proxy involves severe child abuse, akin to the battered child syndrome.

Impact:

  • Highlights the diagnostic difficulty and poor prognosis associated with Münchhausen's syndrome.
  • Underscores the critical need for recognizing Münchhausen syndrome by proxy to protect vulnerable children.
  • Positions Münchhausen's syndrome as a borderline state within pathomimias, complicating therapeutic relationships.

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