Munchausen Syndrome by Proxy: A Review and Case Study

Abstract
This paper reviews for the psychology community a life-threatening form of child abuse. Munchausen Syndrome by Proxy describes a situation in which a parent creates or fabricates an illness in his or her child as a result of the parent's own psychopathology. The sparse literature on Munchausen syndrome by proxy suggests that these children often die and typically suffer unnecessary intrusive and dangerous medical treatments. The presented case illustrates several of the difficulties in working with and identifying Munchausen syndrome by proxy cases. The role of the pediatric psychologist is discussed in terms of teaching, liaison work, and psychotherapy.

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