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Wednesday, 19 April 2017 10:08

CHILD ABUSE IN A MEDICAL SETTING: CASE ILLUSTRATIONS OF TWO VARIANTS OF MUNCHAUSEN SINDROME BY PROXY.

Written by Antonietta Lanzarone et al.
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Munchausen syndrome is a complex type of abuse, which is often underdiagnosed or misdiagnosed in

clinical practice, and has harmful consequences for children. Its relationship with child abuse, of which it

is a variety, must be recognized in clinical and forensic practice. The authors report herein two observed

cases of different types of Münchausen syndrome by proxy (MSbP). The first, is the most severe form of

MSbP, with induced, true illness and related pathological symptoms into victim. The second case is a

moderate form, much more complex to detect, in which a perpetrator parent simulates and aggravates the

child‘s illness. Adequate training of health professionals and investigators is essential in revealing cases of

MSbP. Diagnosis must be based on the study of the different forms of "abuse" and the knowledge of

clinical protocols used to validate any suspected behaviour which could be potentially harmful to the

child. Moreover, a lack of training may lead to misleading interpretations of medical history interpretation

and fallacious conclusions. Our study aims to review the features that are to be considered in a suspected

case of MSbP, in accordance with a recently updated consensus statement by the Committee on Child

Abuse and Neglect from the American Academy of Pediatrics.

Read 81 times Last modified on Wednesday, 19 April 2017 11:23
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