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Munchausen by Proxy Syndrome
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Munchausen by Proxy Syndrome
Misunderstood Child Abuse

Edited by:

July 1997 | 328 pages | SAGE Publications, Inc
Munchausen by Proxy Syndrome (MBPS), a form of child abuse in which a caretaker--usually a mother--fabricates and/or induces illness in a child, is one of the least understood forms of child abuse and mental illness. Examining the current knowledge about the manifestations and consequences of this perplexing behavior, Munchausen by Proxy Syndrome assists all professionals working with chronically ill children in identifying and intervening with this bizarre and often deadly form of abuse. Drawing from their firsthand experience with the complexities of such cases, the editors and contributors address critical issues of not only identification and assessment but also longterm psychotherapy. Therapy with the mother/perpetrator has traditionally been markedly unsuccessful, but this book provides a much-needed framework for the successful treatment of acknowledged perpetrators. Emphasizing the important role of efficient multidisciplinary cooperation in handling MBPS cases, Munchausen by Proxy Syndrome also features perspectives from experts in the fields of medicine, child protection, education, social work, hospital administration, and law. Munchausen by Proxy Syndrome demystifies the mother/perpetrator's deception and gives professionals the knowledge to save children from induced life-threatening illnesses and consequent medical procedures. Professionals, academics, researchers, and students in a variety of fields, including clinical/counseling psychology, social work, nursing/health sciences, criminal justice, and law, will need the information presented in this book to help stop this form of abuse.

Judith A Libow and Herbert A Schreier
Foreword
 
PART ONE: IDENTIFYING AND MANAGING THE MUNCHAUSEN BY PROXY SYNDROME CASE
Teresa F Parnell
An Overview
Teresa F Parnell
Defining Munchausen by Proxy Syndrome
Teresa F Parnell
Guidelines for Identifying Cases
Matthew A Seibel and Teresa F Parnell
The Physician's Role in Confirming the Diagnosis
Teresa F Parnell
Coordinated Case Management through the Child Protection System
 
PART TWO: INTERVENTION WITH THE PERPETRATOR AND FAMILY
Deborah O Day
Interviewing the Perpetrator after Medical Diagnosis
Teresa F Parnell
The Use of Psychological Evaluation
Deborah O Day and Teresa F Parnell
Setting the Treatment Framework
Deborah O Day
The Initial Therapeutic Stage
Trust  
Deborah O Day
The Middle Therapeutic Stage
The Secrets  
Deborah O Day
Later Therapeutic Stage
Identity Reformation  
Deborah O Day and Mercedes D Ojeda-Castro
Therapy with Family Members
 
PART THREE: EMERGING ISSUES
Robin Wilkinson and Teresa F Parnell
The Criminal Prosecutor's Perspective
Sue Whelan-Williams and Toni D Baker
A Multidisciplinary Hospital Response Protocol
Karen O Palladino
The School System Perspective
Ralph V Hadley III
The Guardian Ad Litem

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ISBN: 9780803958128
$76.00