[Münchhausen syndrome by proxy between two adults]

Area of Science:

• Psychiatry
• Medical Psychology

Background:

• Münchhausen syndrome by proxy typically involves a mother feigning illness in a child.
• Adult-onset Münchhausen syndrome by proxy is rarely documented, especially in spousal relationships.

Observation:

• A unique case of Münchhausen syndrome by proxy within a married couple is presented.
• The wife administered tranquilizers to her husband, causing recurrent comatose episodes.

Findings:

• The couple exhibited complex psychopathological interactions.
• The wife displayed narcissistic deficiency, fragile defenses, and depressive symptoms.

Implications:

• Highlights the need for clinicians to recognize this unusual pathology to prevent diagnostic delays.
• Emphasizes the necessity of integrated medical, psychiatric, and legal interventions for affected individuals.