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[Times of childhood. Clinic of urgency and helplessness].
Vertex
January 2017
Programa "Mirar y Prevenir", Ministerio de Salud, Ciudad Autónoma de Buenos Aires.
In this paper we discuss the "times of childhood", the relevance of what is "urgent" in the construction of psychological subjectivity, the symptoms leading to the identifcation of an early distress in children up to the age of 2, and some other mental health emergencies, such as abuse, violence and Münchausen syndrome. We consider the infant-mother relationship the cornerstone of this clinic of helplessness. We discuss the notion of emergency beyond the classic psychiatric emergency.
View Article and Find Full Text PDFThe role of nonperpetrating fathers in Munchausen syndrome by proxy: a review of the literature.
J Pediatr Nurs
August 2012
Texas Woman's University, Denton, TX, USA.
Munchausen syndrome by proxy (MSBP) is a psychiatric condition and form of child abuse in which a caregiver, usually a mother, induces illness in a child to gain attention for herself. Because children that are abused by a MSBP perpetrator are likely to be hospitalized multiple times, it is important for the nurse to know warning signs and symptoms of MSBP. Of particular interest is the role of the child's parent that is not involved in the abuse, usually the father.
View Article and Find Full Text PDFMunchausen Syndrome by Proxy: a pediatrician's observations.
Fam Syst Health
March 2009
Department of Pediatrics, Rochester General Hospital, 1425 Portlan Avenue, Rochester, NY 14621, USA.
Munchausen Syndrome by Proxy (MSP) is a disturbing diagnosis that should be considered when persistent signs and symptoms defy adequate explanation despite extensive testing. Insistence by a parent (often mother) that more, and particularly invasive investigations be pursued, should serve as a warning sign that MSP might be present. The primary care provider who has an existing, over-time, relationship with the child and family is in an important position to raise the question of MSP because this professional may be able to recognize larger dynamics at play between child and family that are less apparent to subspecialists who are focused on a narrow aspect of the evaluation.
View Article and Find Full Text PDFMunchausen syndrome by proxy caused by ipecac poisoning.
Pediatr Emerg Care
September 2006
The University of Toledo College of Medicine, Toledo, OH 43614, USA.
Objective: To present a case of Munchausen syndrome by proxy caused by ipecac poisoning to increase the awareness of their warning signs and symptoms so that they may be recognized and diagnosed earlier.
Case: Report of one case of a child who was determined to be a victim of Munchausen syndrome by proxy by ipecac poisoning who was hospitalized multiple times over a 4-year period at 2 different hospitals before an accurate diagnosis was made.
Persistent problems with the Munchausen syndrome by proxy label.
J Am Acad Psychiatry Law
September 2006
Department of Psychiatry, Oregon Health and Sciences University, Portland, OR, USA.
After nearly 30 years of clinical and legal experience, the definition of Munchausen syndrome by proxy remains controversial. As a result, mothers who present the problems of their children in ways perceived as unusual or problematic have become entangled in legal battles that should have been resolved clinically. Re-labeling the disorder as Pediatric Condition Falsification misdirects the focus onto mistakes and misunderstandings while avoiding the more crucial issue of intentions.
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