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.
Munchausen by Proxy Syndrome (MBPS), a form of child abuse in which a caretaker--usually a mother--fabricates and/or induces illness in a child, is one of the least understood forms of child abuse and mental illness. Examining the current knowledge about the manifestations and consequences of this perplexing behavior, Munchausen by Proxy Syndrome assists all professionals working with chronically ill children in identifying and intervening with this bizarre and often deadly form of abuse. Drawing from their firsthand experience with the complexities of such cases, the editors and contributors address critical issues of not only identification and assessment but also longterm psychotherapy. Therapy with the mother/perpetrator has traditionally been markedly unsuccessful, but this book provides a much-needed framework for the successful treatment of acknowledged perpetrators. Emphasizing the important role of efficient multidisciplinary cooperation in handling MBPS cases, Munchausen by Proxy Syndrome also features perspectives from experts in the fields of medicine, child protection, education, social work, hospital administration, and law. Munchausen by Proxy Syndrome demystifies the mother/perpetrator′s deception and gives professionals the knowledge to save children from induced life-threatening illnesses and consequent medical procedures. Professionals, academics, researchers, and students in a variety of fields, including clinical/counseling psychology, social work, nursing/health sciences, criminal justice, and law, will need the information presented in this book to help stop this form of abuse.
The aim of this book is to help all professionals who work with children to recognise, to understand and, if possible, to prevent 'Munchausen Syndrome by Proxy' abuse. This headline title encompasses many different situations in which children are presented as 'sick' but where the 'illness' has arisen as a result of the parent's actions in producing a factitious illness either directly (induced illness) or by telling a story of symptoms which lead health professionals to believe the child has an illness. A practical staged approach to this problem is described. This book is a practical guide written by professionals with current experience in this field. It covers all aspects of this form of abuse from mild to life threatening presentations and is structured around case scenarios. It should be of interest to paediatricians both hospital based and community, child mental health professionals, nurses and health visitors, social workers and legal experts.
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.
A dark, shocking, bestselling thriller debut about a mother and daughter—and the lengths to which a daughter will go to find independence. “Nobody wants to hear the truth from a liar.” For the first eighteen years of her life, Rose Gold Watts believed she was seriously ill. She was allergic to everything, used a wheelchair, and practically lived at the hospital. Neighbors did all they could, holding fundraisers and offering shoulders to cry on, but no matter how many doctors, tests, or surgeries, no one could figure out what was wrong with her. Turns out her mom, Patty Watts, was just a really good liar. After serving five years in prison, Patty gets out with nowhere to go and begs her daughter to take her in. The entire community is shocked when Rose Gold says yes. Patty insists all she wants is to reconcile their differences. She says she’s forgiven Rose Gold for turning her in and testifying against her. But Rose Gold knows her mother. Patty Watts always settles a score. Unfortunately for Patty, Rose Gold is no longer her weak little darling… And she’s waited such a long time for her mother to come home.
Most of us can recall a time when we pretended to be sick to reap the benefits that go along with illness. By playing sick, we gained sympathy, care, and attention, and were excused from our responsibilities. Though doing so on occasion is considered normal, there are those who carry their deceptions to the extreme. In this book, Dr. Marc Feldman describes people’s strange motivations to fabricate or induce illness or injury to satisfy deep emotional needs. Doctors, family members, and friends are lured into a costly, frustrating, and potentially deadly web of deceit. From the mother who shaves her child’s head and tells her community he has cancer, to the co-worker who suffers from a string of incomprehensible "tragedies," to the false epilepsy victim who monopolizes her online support group, "disease forgery" is ever-present in the media and in many people’s lives. In Dying to be Ill: True Stories of Medical Deception, Dr. Feldman, with the assistance of Gregory Yates, has chronicled this fascinating world as well as the paths to healing. With insight developed from 25 years of hands-on experience, Dying to be Ill is sure to stand as a classic in the field.
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.
This important book reviews the current state of knowledge of Munchausen''s syndrome by proxy, a type of child abuse which causes wide concern. Two main areas are covered, which will be of particular interest: new directions in research, and treatment of the perpetrator in and outside the family. The book also considers the ethical and legal issues raised by this problematic behaviour, which involves many different types of professionals and has a heavy cost not only for services but also for victims and perpetrators. Unlike other books, this volume provides a multidisciplinary perspective, with input from social workers, paediatricians, child-psychiatrists and lawyers, among others. It also offers an international perspective, with contributors from the USA, Canada and Australia. Contents: A 20-Year Overview (A Bentovim); International Perspectives on Munchausen Syndrome by Proxy (R Brown & M D Feldman); Child Abuse Specific to the Medical System (J Jureidini & T Donald); The Extraordinary Case of Mrs H (E V Welldon); Munchausen''s Syndrome by Proxy: A Perspective from Primary Care (M J Bannon & Y H Carter); The Presentation and Natural History of Munchausen Syndrome by Proxy (M C B Plunkett & D P Southall); The Detection of Munchausen Syndrome by Proxy (M P Samuels); Assessment of Abusing Families (D P H Jones & C Newbold); The Role of the Guardian Ad Litem (S Pizzey); The Social Work Role in Munchausen Syndrome by Proxy (J Gray); Munchausen''s Syndrome by Proxy OCo The Legal Perspective (D Taylor & M Nicholls); Risk Assessment (M Eminson); Treatment of Perpetrators (K Bluglass); Treatment and Outcome for Victims (I Mitchell); Ethical and Public Policy Issues in the Management of Munchausen''s Syndrome by Proxy (MSBP) (G Adshead); Current Challenges in the Management of Perpetrators (D Brooke & G Adshead); New Directions in Research and Service Development (C Bools). Readership: Paediatricians, psychiatrists, nurses and social workers."
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.
