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Journal of Pediatric Psychology 11(1) pp. 71-80, 1986
© 1986 Society of Pediatric Psychology

other

Munchausen Syndrome by Proxy: A Review and Case Study

Darrow A. Chan1,, Jose R. Salcedo, Darlene M. Atkins2 and Edward J. Ruley

1Children's Hospital National Medical Center Washington, DC, 2Children's Hospital National Medical Center, and George Washington University School of Medicine

2All correspondence should be sent to Darlene M. Atkins, Department of Adolescent Medicine, CHNMC, 111 Michigan Avenue, N.W., Washington, DC 20010

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.

Key words: child abuse; factitious illness; Munchausen syndrome.


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