Thomas A. Roesler, MD, FAAP and Carole Jenny, MD, MBA, FAAP make the case that the term Munchausen syndrome by proxy should be retired permanently and replaced with a commonsense appreciation that children can be abused by their parents in the medical environment. Physicians who find themselves providing unnecessary and harmful medical care can see the abuse for what it is, another way parents can harm children. the book offers the first detailed and comprehensive description of treatment for this form of child maltreatment.
The vast scope of conservation problems has forced biologists and managers to rely on "surrogate" species to serve as shortcuts to guide their decision making. These species-known by a host of different terms, including indicator, umbrella, and flagship species-act as proxies to represent larger conservation issues, such as the location of biodiversity hotspots or general ecosystem health. Synthesizing an immense body of literature, conservation biologist and field researcher Tim Caro offers systematic definitions of surrogate species concepts, explores biological theories that underlie them, considers how surrogate species are chosen, critically examines evidence for and against their utility, and makes recommendations for their continued use. The book clarifies terminology and contrasts how different terms are used in the real world considers the ecological, taxonomic, and political underpinnings of these shortcuts identifies criteria that make for good surrogate species outlines the circumstances where the application of the surrogate species concept shows promise Conservation by Proxy is a benchmark reference that provides clear definitions and common understanding of the evidence and theory behind surrogate species. It is the first book to review and bring together literature on more than fifteen types of surrogate species, enabling us to assess their role in conservation and offering guidelines on how they can be used most effectively.
How those with the power to design technology, in the very moment of design, are allowed to imagine who is included--and who is excluded--in the future. Our world is built on an array of standards we are compelled to share. In Proxies, Dylan Mulvin examines how we arrive at those standards, asking, "To whom and to what do we delegate the power to stand in for the world?" Mulvin shows how those with the power to design technology, in the very moment of design, are allowed to imagine who is included--and who is excluded--in the future. For designers of technology, some bits of the world end up standing in for other bits, standards with which they build and calibrate. These "proxies" carry specific values, even as they disappear from view. Mulvin explores the ways technologies, standards, and infrastructures inescapably reflect the cultural milieus of their bureaucratic homes. Drawing on archival research, he investigates some of the basic building-blocks of our shared infrastructures. He tells the history of technology through the labor and communal practices of, among others, the people who clean kilograms to make the metric system run, the women who pose as test images, and the actors who embody disease and disability for medical students. Each case maps the ways standards and infrastructure rely on prototypical ideas of whiteness, able-bodiedness, and purity to control and contain the messiness of reality. Standards and infrastructures, Mulvin argues, shape and distort the possibilities of representation, the meaning of difference, and the levers of change and social justice.
Entreats parents to involve themselves in their children's hearts, minds, and souls, to cherish and protect them, and to commit to the essential task of teaching them right from wrong.
Moses E. Ochonu explores a rare system of colonialism in Middle Belt Nigeria, where the British outsourced the business of the empire to Hausa-Fulani subcolonials because they considered the area too uncivilized for Indirect Rule. Ochonu reveals that the outsiders ruled with an iron fist and imagined themselves as bearers of Muslim civilization rather than carriers of the white man's burden. Stressing that this type of Indirect Rule violated its primary rationale, Colonialism by Proxy traces contemporary violent struggles to the legacy of the dynamics of power and the charged atmosphere of religious difference.
This book offers a comprehensive, detailed examination of MBPS. Written by leading authorities, it covers all known clinical, medical, psychological, social and legal aspects of the disorder, including detection, dynamics, treatment, and clinical management. Based on their own experiences evaluating and treating these patients, the authors present an innovative theory of the disorder as a form of imposturing. Detailed psychological test data on a group of MBPS mothers are presented for the first time to enhance our understanding of the cognitive and psychological makeup of parents who fabricate illness in their children. The text also contains a thoughtful discussion of the larger social context of women in our society and in our medical institutions--a discussion crucial to our understanding of why MBPS is predominantly a disorder of women.
It is essential for anyone involved in the investigation and prosecution of child abuse cases to be aware of the often hidden and subtle warning signs of Munchausen by Proxy. Munchausen syndrome, classified as a mental illness, occurs when a person inflicts or fabricates illness upon themselves, often as an attention-getting device. Munchausen by Proxy (MBP) is an even more insidious disorder in that such illness or injury is inflicted upon a victim-usually a child. Awareness can stop the vicious cycle of abuse Practical Aspects of Munchausen by Proxy and Munchausen Syndrome Investigation is the most comprehensive law enforcement handbook written on MBP, which is now considered an index factor in child abuse investigations and as a suspicion factor in the deaths of young children. This book offers detailed insight into the dynamics of MBP abuse and the Munchausen offender. The text chronicles real cases of MBP and Munchausen in the dominion of law enforcement and relates them to general principles of criminal investigations. With this practical guide, readers will be able to readily identify Munchausen-related behavior, apply that recognition in all types of investigations, improve the ability to detect covert or falsified crimes, have the basic knowledge to effectively combat MBP child victimization, or to successfully proscecute MBP cases.
This step-by-step guide will help you identify and manage cases of this unique form of child maltreatment! Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. Munchausen by Proxy: Identification, Intervention, and Case Management is the first book to walk you step-by-step through a suspected MBP maltreatment case from suspicion onward. This skills-based, practical book contains a thorough, up-to-date overview of MBP and includes suggestions for identifying and reporting to child protection agencies, investigating and gathering evidence, and legal and court procedures. Its easy readability and immediate applicability make this text a valuable tool in identifying and preventing this form of child abuse. Munchausen by Proxy is divided into three parts. The first covers the definition of MBP, the role of the perpetrator and victim, and the ethical issues affecting professionals, patients, and family. Part two addresses case work from initial suspicions through the investigative and confirmation/disconfirmation process. The third section is dedicated to case planning and case management once MBP has been confirmed, including intervention, immediate child protection, and legal activities. Those involved in a suspected or confirmed MBP case will learn about: the limits of the DSM-IV as applied to MBP perpetrator-consistent characteristics the MBP situational suspicion indicators the inappropriateness of risk assessment tools developed for other forms of maltreatment the danger when MBP perpetrators realize they are under suspicion and more! This volume is generously enhanced with case examples, sample forms, figures, and representative management plans. In Munchausen by Proxy, authors Lasher and Sheridan—experts in MBP and child protection—have come together to fill the gap in the libraries of anyone who may become involved with a MBP case. This includes child welfare professionals and staff, law enforcement, school personnel, health care practitioners, judges and lawyers, and social workers.
This book covers Munchausen and Munchausen by Proxy (MBP) though the terms have recently changed. The 2013 DSM-V—the update to the American Psychiatric Association's (APA) diagnostic and classification tool—has classified both Munchausen and MBP as "Factitious Systematic Abuse." While thought to have occurred primarily with children and their caregivers, recent research shows a more widespread problem: such medical abuse to spouses, the disabled, the elderly—even pets. Many involve repeat and long-term instances of hospital and medical fraud. This book covers the syndrome itself, interviewing and investigative aspects, victimology, as well indicators in the event of homicide and death.
