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Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse
Mary J Sanders1, Brenda Bursch2
1Department of Psychiatry & Behavioral Sciences, Stanford University Medical School, Stanford, CA, USA.
Abstract:
The purpose of this article is to propose management and treatment protocols for family members impacted by MBP abuse. A brief review of psychopathology, co-morbidities, MBP risk level, treatment outcomes, and rationale for treatment is presented, followed by detailed guidance regarding psychological treatment and management. We propose five components of psychotherapy for abusers, best remembered by using the acronym of ACCEPTS: ACknowledgement, Coping, Empathy, Parenting, Taking charge, and Support. Guidance for the treatment of spouses/partners of the abuser, other involved family members/friends, and child victims are also provided.
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