Munchausen syndrome by proxy: child abuse in the medical system

Article Abstract:

Current concepts of Munchausen syndrome by proxy (MSBP) mislead and distract from the real issues and prevent medical staff from addressing them. MSBP is when parents deliberately make their child ill. The term's use distracts from the recognition that MSBP is a form of child abuse. Its usage also focuses attention away from the role medical staff play in perpetrating the abuse through their lack of suspicion and their drive to achieve diagnosis. Recognizing these two factors would lead to a more systematic approach to identifying possible victims and referral to and consultation with the appropriate agencies.

Care and treatment

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Munchausen Syndrome By Proxy

Article Abstract:

Investigation into a baby's failure to gain weight posed ethical problems for nurses. Nurses discovered the mother was preparing diluted feeds. Samples had to be taken surrepticiously as proof of abuse. However, staff realised the baby's condition would deteriorate while evidence was collected. The situation also compromised their policy of honesty with families. The mother agreed to psychological help when confronted with proof of abuse. In most cases of Munchausen-by-proxy syndrome the child is removed from the abuser. However, the relationship was maintained by the mother's agreement to treatment.

Child abuse, Portrayals, Nursing ethics

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