Munchausen syndrome/Munchausen syndrome by proxy
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Updated: Nov 2, 2026

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Published on: January 10, 2025
1Department of Psychology, St. John's University, Jamaica, NY 11439, USA.
Abstract:
Munchausen syndrome (MS) is characterized by patients' chronic and relentless pursuit of medical treatment for combinations of symptoms of consciously self-inflicted injury and falsely reported symptomatology. MS patients are adults, as are perpetrators of Munchausen syndrome by proxy (MSBP). MSBP is an unusual form of child abuse in which a parent, usually the mother, brings a child for medical attention with symptoms falsified or directly induced by the mother. Most reports of MSBP have been of a few cases appearing in medical and pediatric literature. Motivation in both disorders is unclear, and diagnosis and treatment present difficult problems that require more research.
Insights
Munchausen syndrome (MS) involves adults feigning illness for treatment. Munchausen syndrome by proxy (MSBP) is child abuse where a caregiver fabricates or induces a child's illness, requiring further research.
Area of Science:
- Psychiatry
- Pediatrics
- Child Abuse
Background:
- Munchausen syndrome (MS) is a disorder where individuals consciously self-inflict symptoms or feign illness to seek medical attention.
- Munchausen syndrome by proxy (MSBP) is a rare form of child abuse where a caregiver, typically a mother, falsifies or induces illness in a child.
- Both conditions present diagnostic and treatment challenges, with unclear underlying motivations.
Purpose of the Study:
- To review the characteristics of Munchausen syndrome and Munchausen syndrome by proxy.
- To highlight the difficulties in diagnosing and treating these complex disorders.
- To emphasize the need for further research into the motivations and management of MS and MSBP.
Main Methods:
- Literature review of reported cases of Munchausen syndrome and Munchausen syndrome by proxy.
- Analysis of clinical presentations and diagnostic challenges.
- Discussion of treatment complexities and etiological factors.
Main Results:
- Munchausen syndrome involves adults feigning illness or self-inducing symptoms.
- Munchausen syndrome by proxy is a severe form of child abuse perpetrated by caregivers.
- Limited case reports exist, primarily in medical and pediatric literature.
- The motivations behind MS and MSBP remain largely unknown.
Conclusions:
- Munchausen syndrome and Munchausen syndrome by proxy are complex conditions requiring specialized medical and psychiatric attention.
- Diagnosis is challenging due to the deceptive nature of the patients and perpetrators.
- Further research is crucial to understand the etiology, improve diagnostic accuracy, and develop effective treatment strategies for both disorders.
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