Munchausen’s Syndrome by Proxy. Marcy Rhodes Stephen F. Austin State University April 17, 2008. What is factitious disorder?. Diagnostic Criteria (DSM-IV-TR) Intentional production or feigning of physical or psychological signs and symptoms
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Stephen F. Austin State University
April 17, 2008
Baron Von Munchhausen
Name given by Asher (1951)
Coined by Roy Meadow, 1977
Pediatrician in Leeds, England
Became convinced that many apparent “cot deaths” were in fact the result of child abuse brought on by MSbP
First to describe this
disorder & recognize
it as a fatal form
of child abuse.
Signs and symptoms that occur ONLY in the presence of the caretaker
Mother who is extremely attentive and always in the hospital
Mothers who do not seem worried about their child's illness but are constantly at the child's side while in the hospital
Mothers who have an unusually close relationship with the hospital's medical staff
A family history of sudden infant death syndrome
Mothers with previous medical or nursing experience or with an extensive history of illness
A parent who welcomes medical testing of the child, even if painful
May become angry and demand further procedures, second opinions, further intervention
Attempts to convince the staff that the child is still ill when advised that the child will be released from the hospital
A caregiver with a previous history of Munchausen Syndrome
A caregiver who adamantly refuses to accept the suggestion that the diagnosis is nonmedical.
Increasingly urgent visits to the same hospital or clinic.