slide1
Download
Skip this Video
Download Presentation
Gender bias in the conceptualisation and operationalisation of the diagnosis of Munchausen syndrome by proxy

Loading in 2 Seconds...

play fullscreen
1 / 11

Gender bias in the conceptualisation and operationalisation of the diagnosis of Munchausen syndrome by proxy - PowerPoint PPT Presentation


  • 166 Views
  • Uploaded on

Gender bias in the conceptualisation and operationalisation of the diagnosis of Munchausen syndrome by proxy. Clive Baldwin Senior Lecturer Social Sciences and Humanities University of Bradford. Gender and Child Welfare Conference 22 nd April 2009.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Gender bias in the conceptualisation and operationalisation of the diagnosis of Munchausen syndrome by proxy' - kyran


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Gender bias in the conceptualisation and operationalisation of the diagnosis of Munchausen syndrome by proxy

Clive Baldwin

Senior Lecturer

Social Sciences and Humanities

University of Bradford

Gender and Child Welfare Conference 22nd April 2009

slide2
Munchausen syndrome by proxy (MSbP) is an alleged form of child abuse in which the perpetrator (usually the mother) fabricates or induces illness in another (usually a child).
slide3
Term used by Meadow 1977 to describe cases of two children being presented for medical investigation and treatment who failed to respond to treatment and in which it was thought that the mothers were harming their children in order to seek medical attention.
slide4
According to Meadow (1995):

90% of cases involve the mother

5% a female caregiver

5% father

gender bias
Gender bias

In conceptualisation

Indications of MSbP

Deviancy from idealised motherhood

Perpetrator characteristics

Theories of motivation

In operationalisation

A-symmetry

Profiling

In research and the literature

Absence of analysis

Absence of research

bias in conceptualisation
Bias in conceptualisation

Indicators of MSbP

Symptoms start in the presence of the mother

One parent (usually the father) absent from hospital

A parent constantly at the child’s bedside

Norms of motherhood as benchmark against which to identify deviancy

Seen in language: e.g ‘the perversion of mothering’

Concern for child’s health

Appears as the ‘perfect parent’: nurturing, loving, caring

slide7
Perpetrator characteristics – more likely to ‘identify’ women
      • Poor intellectual relationship with the husband
      • Comes from a higher social background than her husband
      • Fragmented employment history
      • History of eating disorders
      • Previously worked with children
      • Appears loving, caring and nurturing (female characteristics)
slide8
Theories of causation

Attention of (male) paediatricians (Schreier and Libow 1993)

Links to other ‘mental illnesses’ (e.g. depression, generalised anxiety, ‘hysterical illnesses’ etc) in which women predominate

Nurturance cast in an evil light (Bergeron 1996)

MSbP mothers are over-socialised into caretaking and traditionally female roles and such behaviour is a means of gaining recognition through the exaggeration of these, often undervalued, competencies (Leeder 1990).

slide9
A-symmetry: treating/interpreting the same behaviour on the part of father/mother differently

‘Diagnostic overshadowing’

In treatment: even if social factors are acknowledged (e.g. Yorker, Leeder) the response is individual therapy

Profiling – of mother, no corresponding profile of father

In operationalisation

slide10
Meadow (1995) was sceptical about the masculinity of the first few male perpetrators he came across to the extent of taking steps to find out if they had male chromosomes and glands

Randall (1997) in answering a question about why he and his co-author did not address gender issues in their article about social work and MSBP replied: “we didn't want to distract the intended SW [social work] audience from the core issues “

In literature and research

slide11
Gender-power issues as marginal or irrelevant to the development, diagnosis, treatment and management of MSbP as evidenced by absence of discussion, contextualisation and research
ad