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Munchausen by proxy disorder
term coined in 1977 by Sir Row meadow (18th century German baron and russian soldier
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Factitious disorder
"false" disorder (way that it is said in the DSM
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Methods of perpetration
- 1. Exaggeration
- 2. Fabrication
- 3. Inducement
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Methods ofperpetration
1. Exaggeration
- parent isnt actually doing anything but maybe exaggerating what the kid has.
- Example: calling the dr and saying child needs to be seen now..., throwing up non stop for weeks, but erally only thrown up once.
- -Embellishes a genuine problem
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Methods of perpetration
2. Fabrication
- Nothing is wrong wit hthe kid, but parent just makes up a problem.
- Example: bring in urine and add blood to it
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Methods of perpetration
3. Inducement
- Parent actually creates problem (causes it)
- Example: mix poison in kids food so that they do get sick
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Victims of MPS
- Typically infants and toddlers-older siblings may help with the deception and/or falsify their own illnesses
- Often affects mult. siblings
- --Kids get older so parent stops and moves to younger siblings. Sometimes kid "continues" to be sick" to still get that attention
- lasts usually 1-2 years
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Causes or risk factors
- Attention seeking behavior (primary)
- Devotion to/martyr for their child
- **Poor sally she is so good with child
- Relief from other responsibilities
- **more secondary motivation
- **People will do things for you, cook clean
- **Bolster a failing relationship
- **help with parenting
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Effects on child
- unnecessary pain, medications, surgeries, and hospitalization
- Reduced opportunities--not socializing in a normal way
- Feeding disorders--can even persist after problem is gone, opperant conditioning
- Long term physical/developmental damage
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Fatality in about
6-10% of cases
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Adulthood effects
- Dont really know the long term effects/or the extent
- Longterm physical problems; depression, eating disorders, and PTSD
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Definitional issues
- child abuse or psychiciatric disorder?
- Who gets the label, the perp or victim?
- Suspicion exists on continuum of parents concern for childs health
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Diagnostic process
- Failure to consider diagnosis
- Review medical record
- **easier to do now because everything is electronic
- Covert video surveillance
- Separation from suspected parent
- psych evaluation
- Testing
- Hospitalization
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Contraversies
- Meadows Law
- Lack of empirical research
- Diagnostic issues
- Subjective nature of criteria
- False positives
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Meadows Law
- instrumental in bringing these cases to trial
- "1 death is a tragedy, 2 is suspicious, and 3 is murder until proven otherwise"
- became the basis for Meadows law
- 73 million to 1-chances 2 infants die in a family (more likely its genetic, familial
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Lack of empirical research
there arent many cases
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Diagnostic issues
- Dr.s arent looking for this right away
- **they dont want to ignore a childs health-once they see MPS, that is all that they see
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Subjective nature of criteria
what is the motivation
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False positives
- Cases where child dies, parent is accused, convicted and then later found out that child dies from other causes
- MAMA-mothers against munch. allegaations ass.
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Pediatictric Condition Falsification (PCF)
refers to any child who is described as ill when they are not, regardless of parental motivation
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