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Munchausen's syndrome essay
Munchausen's syndrome essay
Munchausen's syndrome essay
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The term Munchausen syndrome by Proxy was originally coined by Meadow in (1977), to describe a situation in which a caregiver "creates factitious symptoms or signs in order to mislead the physician into believing the child is ill" (Blumenthal, 106). Meadow (2002) further defines Munchausen Syndrome by Proxy,
The children had incurred numerous needles and painful hospital admissions, investigations, and procedures because of a false story and factitious signs...the falsification was not by the patient themselves but by another person "acting on their behalf" which is a proxy (502).
Under the law, Munchausen's by proxy is considered a form of child maltreatment, as it "entails having inflicted harm upon a child by a caretaker and thus meets the criteria for child maltreatment established by the child abuse and neglect laws" (Perry & Joy, 151). An editorial in The Journal of Child Abuse &
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For someone to feel so isolated proves that we do not have enough social programs and resources to prevent this from happening, or that people are unaware of these resources. I very much agree with Eminson & Jureidini (2003)'s prevention program, which detects somatization in parents and their children.
Works Cited
Blumenthal, Ivan (1994). Child Abuse: A handbook for healthcare practitioners. Great Britain: Edward Arnold Press.
Elsevier Science Ltd. (2003) (E.d.) Munchausen by Proxy maltreatment: an international challenge. Child Abuse & Neglect 27 p. 409-411.
Eminson, Mary & Jureidini, Jon (2003). Concerns about research and prevention strategies in Munchausen Syndrome by Proxy (MSBP abuse). Child Abuse & Neglect 27 p.413-420.
Goodman, Berney (1994). When the body speaks its mind. New York: G.P Putnam's sons Publishing.
Meadow, Roy (2002). Different interpretations of Munchausen Syndrome by Proxy. Child Abuse & Neglect, 26 p.
“Cullen and Flein Concede that in rare cases, it is permissible for doctors to deceive a patient but only if the deception is for a short while and if the potential gain from the deception is probable and significant. (Cullen Klein
Artingstall, Kathryn.. Practical Aspects of Munchausen by Proxy and Munchausen Syndrome Investigation.. FL: CRC Press, 1999. Print. (tags: none | edit tags)
McCoy, M. L., & Keen, S. M., (2009). Child abuse and neglect. New York: Psychology Press.
Child abuse and neglect are “social” issues that were addressed by the author. While children are in foster care, they may become victims of maltreatment: child neglect, child emotional, physical and sexual abuse. The terms neglect refers to when parents fail to provide a child’s basic needs and provide satisfactory level of care (Downs, Moore and McFadden, 2009). An example of a child being neglected is when parents or c...
“Help, my daughter has stopped breathing!” she cried out entering the emergency room. In Sickened the autobiography written by Julie Gregory shares her abusive childhood to enlighten her readers about Munchausen Syndrome by proxy. With all the attention to protect children from abuse, how can child abuse not be recognized?
Siegel, D. (2009). Munchausen Syndrome by Proxy: A Pediatrician’s Observations. Families, Systems, & Health, 27(1), 113-115.
McGuire Tl., Feldman KW. Psychologic morbidity of children subjected to Munchausen syndrome by proxy. Pediatrics. 1989;83:289-292. 5. Waller DA. Obstacles to the treatment of Munchausen syndrome by proxy. JAm Acad Child Psychiatry. 1983;22:8085.
McCulloch, Lisa. "The California Child Abuse & Neglect Reporting Http://www.dominican.edu. Rady Children's Hospital, n.d. Web. 17 Apr. 2014.
In “Should Doctors Tell the Truth?” Joseph Collins argues for paternalistic deception, declaring that it is permissible for physicians to deceive their patients when it is in their best interests. Collins considers his argument from a “pragmatic” standpoint, rather than a moral one, and uses his experience with the sick to justify paternalistic deception. Collins argues that in his years of practicing, he has encountered four types of patients who want to know the truth: those that want to know so they know how much time they have left, those who do not want to know and may suffer if told the truth, those who are incapable of hearing the truth, and those who do not have a serious diagnosis (605). Collins follows with the assertion that the more serious the condition is, the less likely the patient is to seek information about their health (606).
Münchausen syndrome is a psychiatric disorder that is distinguished by the patient causing or faking physical or psychological ailments for the sole purpose of being admitted to the hospital. A psychiatric consult nurse sees about one or two Münchausen cases a month (Interview with John Hauber, RN). Out of the entire United States population, only half to two percent of people have the disorder (medicinenet.com), but the number is probably higher than that because the statistic shown only represents the number of people diagnosed, and not everybody that has Münchausen is properly identified as having the disorder. (Interview with John Hauber, RN). The numbers are higher in certain subpopulations, such as people who have been diagnosed as having psychosis or fever of unknown source (medicinenet.com). It is also extremely difficult to get accurate statistics due to dishonesty and the tendency of patients to hop from one healthcare facility to the other (my.clevelandclinic.org).
Munchausen syndrome by proxy is a rare type of disorder. It primarily affects the caregiver who in most cases is the mother. As such, the caregiver may fake illness for a child to get medical attention. As health care strives to know what causes the child 's symptoms, the deliberate action of the caregiver or mother could worsen the situation. In the recent years, many people have been diagnosed with this syndrome and it is associated with various reasons (Fisher, 2006). To avoid being persecuted, some caregivers tend to fake, once they have realized their evil intentions have been discovered. The actions of the caregiver are not motivated by material gains, in most cases; they may want to seek more attention from the health care. In fact,
The article, The Long- Term Impact of Emotional Abuse in Childhood: Identifying Mediating and Moderating Processes by Margaret O’Doughterty Wright, addresses the impacts of emotional abuse in childhood and its long-term consequences. This type of abuse has not received much attention in comparison to other forms of mistreatment such as physical or sexual abuse (Wright, 2007). Now that we are taking into account the severity of this form of maltreatment, we recognize that emotional abuse plays a significant role and is involved in all other types of neglect as well (Wright, 2007). Since it has been difficult to define exactly what emotional abuse entails, determining what constitutes a case of maltreatment has
Dong, M. (2004). The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse & Neglect, 28(7), 771-784.
Zieve, David, Juhn, Greg, and Eltz, David R. "Child Abuse-Sexual." New York Times. N.p., 13 Oct. 2008. Web. 12 Jan. 2014.
The Center of Disease Control and prevention defines child abuse as any act or series of events that results in harm, potential harm or threatens the child’s safety (Webb, 2007). While many people believe that child maltreatment is simply physical many other forms of maltreatment occur; sexual abuse, neglect and abandonment are also common forms of abuse. Domestic Violence is also included in the definition of child maltre...