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Münchausen's syndrome by proxy as a form of child abuse

B C Yorker1, B B Kahan

  • 1Department of Psychiatric/Mental Health Nursing, Georgia State University, Atlanta 30303.

Munchausen's syndrome by proxy (MSBP) is an emotional disorder in which the parent, almost always the mother, induces or fabricates illness in her child in order to gain medical attention. Although numerous case studies exist in pediatric and medical literature, most nurses are unaware of the warning signs of this disorder. Psychiatric consultation liaison nurses are in an ideal position to identify and intervene in MSBP situations and can also support the pediatric nursing staff through feelings of denial, shock, and guilt as they recognize the syndrome and its danger to the child.

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