Munchausen Syndrome by Proxy: Child Abuse in the Medical System
Date
1996
Authors
Donald, T.
Jureidini, J.
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Journal article
Citation
JAMA Pediatrics, 1996; 150(7):753-758
Statement of Responsibility
Terence Donald and Jon Jureidini
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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.
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Copyright © 1996 American Medical Association