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Type: Journal article
Title: Munchausen Syndrome by Proxy: Child Abuse in the Medical System
Author: Donald, T.
Jureidini, J.
Citation: JAMA Pediatrics, 1996; 150(7):753-758
Issue Date: 1996
ISSN: 1072-4710
Statement of
Terence Donald and Jon Jureidini
Abstract: Munchausen syndrome by proxy often is managed differently from other forms of child maltreatment, although it is differentiated from them only by the active engagement with the medical profession in the production of morbidity. We suggest a more rigorous approach to Munchausen syndrome by proxy, with explicit acknowledgment that it is abuse and that the medical system is critical to its genesis. This leads us to question the broadness with which the label is applied (eg, in cases of imposed upper airway obstruction) and to argue for management strategies closer to those accepted for other forms of child maltreatment.
Keywords: Humans
Parent-Child Relations
Physician's Role
Child Abuse
Munchausen Syndrome by Proxy
Terminology as Topic
Description: Copyright © 1996 American Medical Association
DOI: 10.1001/archpedi.1996.02170320099017
Published version:
Appears in Collections:Aurora harvest 5
Psychiatry publications

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