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[Munchausen syndrome by proxy]
M Krupinski1, E Tutsch-Bauer, R Frank
1Psychiatrische Klinik und Poliklinik, Universität München.
Der Nervenarzt
|January 1, 1995
Abstract:
The term "Munchausen by proxy" denotes a special form of factitious disorder and a rare kind of child abuse. We present the case of a 12-year-old boy, whose mother's manipulations culminated in his immobilization in a wheelchair and the implantation of a pacemaker. Problems of diagnosis and clinical management of Munchausen by proxy are discussed.
Insights
Munchausen by proxy, a form of child abuse and factitious disorder, involves a mother
Area of Science:
- Child Psychology
- Pediatric Health
- Medical Ethics
Background:
- Factitious disorder imposed on another, commonly known as Munchausen by proxy, is a rare form of child abuse.
- This disorder involves a caregiver fabricating or inducing illness in a child under their care.
- It presents significant diagnostic and management challenges for healthcare professionals.
Observation:
- A case study of a 12-year-old boy is presented.
- The boy's mother engaged in severe manipulations, leading to his unnecessary wheelchair immobilization.
- The mother also orchestrated the implantation of a pacemaker in the child.
Findings:
- The case highlights the extreme manifestations of Munchausen by proxy.
- Diagnostic difficulties arise due to the deceptive nature of the disorder.
- Effective clinical management requires a multidisciplinary approach.
Implications:
- Increased awareness and recognition of Munchausen by proxy are crucial for early intervention.
- Healthcare providers must be vigilant for signs of fabricated or induced illness in children.
- Protecting child welfare necessitates robust diagnostic protocols and collaborative care strategies.