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Clinical Child Psychology and Psychiatry, Vol. 1, No. 1, 89-98 (1996)
DOI: 10.1177/1359104596011008

Psychiatric Treatment of Factitious Illness in an Infant (Munchausen by Proxy Syndrome)

Dora Black

Traumatic Stress Clinic, London, chtrauma{at}ptsdclin.demon.co.uk

Peter Hollis

Child and Adolescent Psychiatry Service, Bromley

Child psychiatric evaluation and treatment is described for a single case of Munchausen by proxy syndrome with a good outcome. The literature is reviewed, and the medical management of the case summarized. With careful case selection and preparation and with modifications to existing treatment approaches, we conclude that the generally poor prognosis for this condition may be improved. Safe rehabilitation of the child to the family can be a reasonable treatment goal in selected cases.

Key Words: factitious illness • induced illness • Munchausen syndrome by proxy • treatment


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M. J. Sanders
Hospital Protocol for the Evaluation of Munchausen by Proxy
Clinical Child Psychology and Psychiatry, July 1, 1999; 4(3): 379 - 391.
[Abstract] [PDF]