Child mal.

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Author:
faulkebr
ID:
113377
Filename:
Child mal.
Updated:
2011-10-31 09:53:46
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Chapter9
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Description:
Munchausen by Proxy Syndrome
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  1. Munchausen by proxy disorder
    term coined in 1977 by Sir Row meadow (18th century German baron and russian soldier
  2. Factitious disorder
    "false" disorder (way that it is said in the DSM
  3. Methods of perpetration
    • 1. Exaggeration
    • 2. Fabrication
    • 3. Inducement
  4. 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
  5. 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
  6. Methods of perpetration
    3. Inducement
    • Parent actually creates problem (causes it)
    • Example: mix poison in kids food so that they do get sick
  7. 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
  8. Usually done by
    mothers
  9. 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
  10. 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
  11. Fatality in about
    6-10% of cases
  12. Adulthood effects
    • Dont really know the long term effects/or the extent
    • Longterm physical problems; depression, eating disorders, and PTSD
  13. 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
  14. 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
  15. Contraversies
    • Meadows Law
    • Lack of empirical research
    • Diagnostic issues
    • Subjective nature of criteria
    • False positives
  16. 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
  17. Lack of empirical research
    there arent many cases
  18. 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
  19. Subjective nature of criteria
    what is the motivation
  20. 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.
  21. 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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