Culture and Munchausen-by-proxy syndrome: the case of an 11-year-old boy presenting with hyperactivity
1998
Objectives:To discuss some of the challenges presented to the clinician who deals with a possible Munchausen-by-proxy (MBP) syndrome.Method:The case of an 11-year-old boy presenting with hyperactivity is discussed. Information from the initial assessment and the 9-month follow-up period is presented. We highlight some cultural considerations as they apply to this immigrant family. A commentary by Dr H Schrier follows the presentation.Results:The positive outcome is discussed in relation to the validation of the diagnosis as well as to cultural issues.Conclusion:Cultural issues and dynamic factors may be important when we consider the diagnosis of MBP syndrome in an immigrant family with different expectations from our health care system.
Keywords:
- Psychiatry
- Factitious disorder
- Suicide prevention
- Psychology
- Clinical psychology
- Injury prevention
- Munchausen syndrome
- Health care
- Human factors and ergonomics
- Occupational safety and health
- Social environment
- injury control
- Developmental psychology
- poison control
- school age child
- Humanities
- cultural environment
- follow up studies
- accident prevention
- munchausen by proxy
- Correction
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- Cite
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