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Munchausen Syndrome By Proxy

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Thomas Schiel

on 5 August 2014

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Transcript of Munchausen Syndrome By Proxy

Munchausen Syndrome By Proxy
Deadly Care taking
What is Munchausen Syndrome by Proxy?
- Munchausen and Munchausen by Proxy are both labeled as fictitious disorders by the DSM V
-There are no true physical symptoms that are present in the patients
-The caregiver of the patient either falsifies or creates the illusion of an illness in order for the attention of the medical staff
-recently it has been suspected that the attention from social media may also cause MSBP
What causes MSBP?
-MSBP is thought to be brought on by the need for attention
-Those that are afflicted with this disorder are driven to receive the attention of the medical staff
- Attention from peers and social media are new contributors to this disorder
-New York, 26 year old mother sickened and eventually killed her 5 year old son
-used salt and a feeding tube in order to keep her son sick
-was posting on social media while son was slowly dying in hospital
-MSBP destroys all lives that is touches and has a high morality rate, morbidity, abuse, family disruption, and harm to siblings
-
Active inducers
- individuals that actually make child sick
-most dangerous
-suffocation, poisoning, and injection of substances
-
Help seekers
- individuals that seemed overwhelmed and exhausted from dealing with their child's illness
-looking for sympathy and attention
-symptoms are all fictitious
-exaggerations and lies causes child stress and unneeded and sometimes painful tests
-
Doctor addicts
- obsessed with the diagnostic end of the medical field
-falsify and change symptoms and signs of sickness so never can be diagnosed
Siblings and MSBP
-Usually siblings are also affected by MSBP
-In case study done on MSBP after one child died the mother started on the second
-2 year old admitted to hospital for persistent conjunctivitis discharge
-diagnosed with Stevens-Johnson syndrome
-hospitalized for two months
-when the patient was going to be discharges had a sudden flair up
-mother was administering medicine and food
-child finally recovered and was released
Adults and MBSP
-Rare that adults will be diagnosed with MSBP
-Two case studies showed MSBP in adults
- Both were females
-both were in their early 20s
-both wore child like pajamas, had stuffed animals, and allowed their mothers to answer their medical question
-both mothers never left hospital rooms and insisted on caring for their adult child
-both had treatable illnesses but never responded to treatment
-a syringe was found in one of the patients rooms and that patient eventually died, when tested ear wax bacteria was found in her blood
-second case was that of a bad rash in the patients genital region. Yeast infection was suspected and treatments were successful. After a sudden flair up the girls rash had a skin irritant on her skin. Left hospital on own and later revisited other hospitals with same condition.
-Patients were thought to also suffer from Stockholm syndrome
How common is MSBP ?
-research was done at the Department of Pediatrics of Catholic University Medical School to find the prevalence of fictitious disorders
-Rome, Italy
-went from November 2007-March 2010
-patients were aged 11 months to 16 years
-a team of child specialists reviewed 751 patients cases
Results:
-14 out of 751 were found to have fictitious disorders
-4 were MSBP
-all 4 were female and 3 the caretakers were their mothers and the 1 other was the grandmother
-symptoms went from 1 to 18 months and included fever, walking impairments, and abdominal pain
What are the symptoms of MSBP
Mother/care taker
-not concerned with what the illness may be
-child is constantly ill
-never leave hospital room
-overly friendly with hospital staff
Child/patient
-signs of illness are inappropriate or incongruent
-symptoms only arise when parents are around
-treatments that should work, do not
-food and drug allergies
-family history of sudden infant death
-family history of various serious medical disorders

Conclusion
-MSBP is a serious mental condition that can impact the whole dynamic of a family. Due to the deadly nature of MSBP further research is needed, so that lives can be saved. The medical staff needs to look for all the signs that a person may be suffering from MSBP and separate them from the person that they are caring for.

-Parents and caretakers will actually make the patient sick to continue with the facade
-this can include poisoning, suffocation, over-medication, allergens, chart changing, specimen tampering, and any other method to make the patient exhibit symptoms
-this can actually lead to the death of the child or the person that is being cared for
Three types of MSBP
4 Months Later
-2 year old readmitted for fever, vomiting, and purulent discharge
-child passed away
-family refused autopsy
NOT THE END OF THE STORY.....
Three months after death of 2 year old
-
-6 year old sibling admitted to hospital with oral lesions
-within 10 days lesions were healed and boy was to be discharged
-sudden flair up after eating breakfast
-second relapse after using mouthwash
-child said it burned
-mother insisted that he use it
-hospital staff found drain cleaner bottle in bathroom of patient, would cause same symptoms boy was exhibiting
-MSBP was diagnosed and child services were called

References:
Deimel, G. W., Burton, M., Raza, S. S., Lehman, J. S., Lapid, M. I., & Bostwick, J. (2012). Munchausen syndrome by proxy: An adult dyad. Psychosomatics: Journal Of Consultation And Liaison Psychiatry, 53(3), 294-299.
Ferrara, P., Vittelli, O., Bottaro, G., Gatto, A., Liberatore, P., Binetti, P., & Stabile, A. (2013). Factitious disorders and Munchausen syndrome: The tip of the iceberg. Journal of Child Care 17(4), 366-374.
Lyons-Ruth, K., Kaufman, M., Masters, N., & Jenai, W. (1991). Issues in the identification and long-term management of Munchausen by proxy syndrome within a clinical infant service. Infant Mental Health Journal, 12(4), 309-320.
Munchausen Syndrome by Proxy. (2010, December 22). Retrieved from Cleveland Clinic: http://my.clevelandclinic.org/disorders/factitious_disorders/hic_munchausen_syndrome_by_proxy.aspx
Press, A. (2014, July 21). Social media fuels Munchausen by proxy, experts say. Retrieved from CBSNEWS.com: http://www.cbsnews.com/news/social-media-fuels-munchausen-by-proxy/
Tamay, Z. Z., Akcay, A. A., Kilic, G. G., Peykerli, G. G., Devecioglu, E. E., Ones, U. U., & Guler, N. N. (2007). Corrosive poisoning mimicking cicatricial pemphigoid: Munchausen by proxy. Child: Care, Health And Development, 33(4), 496-499.

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