Munchausen’s Syndrome by Proxy: Current Issues in Assessment, Treatment, and Research

254 Pages·2001·10.083 MB·English

by  Gwen, B.D.A.;Adshead, G.;Brooke, D.

MUNCHAUSEN'S
SYNDROME BY PROXY
Current Issues in Assessment,
Treatment and Research
Editors
Gwen Adshead
Deborah Brooke
Imperial College Press
MUNCHAUSEN'S
SYNDROME BY PROXY

MUNCHAUSEN'S
SYNDROME BY PROXY
Current Issues in Assessment,
Treatment and Research
Editors
Gwen Adshead & Deborah Brooke
Imperial College Press
Published by
Imperial College Press
57 Shelton Street
Covent Garden
London WC2H 9HE
Distributed by
World Scientific Publishing Co. Pte. Ltd.
P O Box 128, Fairer Road, Singapore 912805
USA office: Suite IB, 1060 Main Street, River Edge, NJ 07661
UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library.
MUNCHAUSEN'S SYNDROME BY PROXY
Copyright © 2001 by Imperial College Press
All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means,
electronic or mechanical, including photocopying, recording or any information storage and retrieval
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For photocopying of material in this volume, please pay a copying fee through the Copyright
Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to
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ISBN 1-86094-134-6
Printed in Singapore.
Contents
List of Contributors vii
Introduction xi
Chapter 1. A 20-Year Overview 1
Arnon Bentovim
Chapter 2. International Perspectives on
Munchausen Syndrome by Proxy 13
Rachel Brown, Marc D. Feldman
Chapter 3. Child Abuse Specific to the Medical System 39
Jon Jureidini, Terry Donald
Chapter 4. The Extraordinary Case of Mrs H. 49
Estela V. Welldon
Chapter 5. Munchausen's Syndrome by Proxy: A
Perspective from Primary Care 61
Michael J. Bannon, Yvonne H. Carter
Chapter 6. The Presentation and Natural History of
Munchausen Syndrome by Proxy 77
Michael C.B. Plunkett, David P. Southall
Chapter 7. The Detection of Munchausen Syndrome
by Proxy 89
Martin P. Samuels
Chapter 8. Assessment of Abusing Families 109
David P.H. Jones, Caroline Newbold
Chapter 9. The Role of the Guardian Ad Litem 121
Stephen Pizzey
v
vi Munchausen's Syndrome by Proxy
Chapter 10. The Social Work Role in
Munchausen Syndrome by Proxy 129
Jenny Gray
Chapter 11. Munchausen's Syndrome by
Proxy — The Legal Perspective 149
Debbie Taylor, Michael Nicholls
Chapter 12. Risk Assessment 159
Mary Eminson
Chapter 13. Treatment of Perpetrators 175
Kerry Bluglass
Chapter 14. Treatment and Outcome for Victims 185
Ian Mitchell
Chapter 15. Ethical and Public Policy Issues in the
Management of Munchausen's Syndrome
by Proxy (MSBP) 197
Gwen Adshead
Chapter 16. Current Challenges in the Management of
Perpetrators 209
Deborah Brooke, Gwen Adshead
Chapter 17. New Directions in Research and
Service Development 219
Christopher Bools
Index 235
List of Contributors
Introduction
Gwen Adshead, Honorary Senior Lecturer/Consultant in Forensic Psycho
therapy. Broadmoor Hospital, St George's Hospital Medical School and
Traumatic Stress Clinic, Middlesex Hospital. Deborah Brooke, Consultant
Forensic Psychiatrist, Bracton Clinic, Bexley Hospital, Kent.
1 A 20-Year Overview
Arnon Bentovim, Consultant Child & Adolescent Psycho-Analyst &
Family Therapist. London Child & Family Consultation Service.
2 International Perspectives on Munchausen Syndrome by Proxy
Rachel Brown, Associate Professor University School of Medicine,
Macon, G. A. Marc Feldman, Chair for Clinical Services & Associate
Professor, Department of Psychiatry, University of Alabama.
3 Child Abuse Specific to the Medical System
Jon Jureidini, Head, Department of Psychological Medicine, Women's
& Children's Hospital, Adelaide. Terence Donald, Head, Child Protection
Service, Women's & Children's Hospital, Adelaide.
4 The Extraordinary Case of Mrs H.
Estela Welldon, Consultant Psychiatrist, Portman Clinic and Honorary
Senior Lecturer in Psychotherapy, University of London.
5 Munchausen's Syndrome by Proxy: A Perspective from Primary
Care
Michael Bannon, Consultant Paediatrician, Northwick Park & St Marks
NHS Trust, London. Yvonne Carter, Professor of General Practice &
Primary Case, Queen Mary & Westfield College, London.
vii
viii Munchausen's Syndrome by Proxy
6 Presentation and Natural History of Munchausen's Syndrome by
Proxy
Michael Plunkett, Specialist Registrar in Paediatrics, North Staffordshire
Hospital. David Southall, Consultant Paediatrician/Professor of Paediatrics
and Director of Child Advocy International. North Staffordshire Hospital.
7 The Detection of Munchausen's Syndrome by Proxy
Martin Samuels, Consultant Paediatrician/Senior Lecturer in Paediatrics,
North Staffordshire Hospital.
8 Assessment of Abusing Families
David Jones, Consultant Child Psychiatrist, The Park Hospital for
Children, Oxford. Caroline Newbold, Senior Social Work Practitioner,
The Park Hospital for Children, Oxford.
9 The Role of the Guardian Ad Litem
Stephen Pizzey, Guardian Ad Litem and Social Work Consultant.
10 The Social Work Role in Munchausen Syndrome by Proxy
Jenny Gray, Formerly Social Work Department, Great Ormond Street
Hospital for Children. Now Department of Health.
11 The Legal Perspective
Debbie Taylor, Barrister at Law, Hardwick Building, Lincoln's Inn.
Michael Nicholls, Barrister at Law, Grays Inn, London.
12 Risk Assessment
Mary Eminson, Consultant Child & Adolescent Psychiatrist, Bolton
Hospitals NHS Trust.
13 Treatment of Perpetrators
Kerry Bluglass, Consultant Psychiatrist, Woodbourne Priory Hospital,
Birmingham. Senior Clinical Lecturer, University of London.
List of Contributors ix
14 Treatment and Outcome for Victims
Ian Mitchell, Professor, Department of Paediatrics & Head of Paediatric
Respirology. University of Calgary.
15 Ethical and Public Policy Issues in the Management of Munchausen's
Syndrome by Proxy
Gwen Adshead, Honorary Senior Lecturer/Consultant in Forensic
Psychotherapy. Broadmoor Hospital, St George's Hospital Medical School
and Traumatic Stress Clinic, Middlesex Hospital.
16 Current Challenges in the Management of Perpetrators
Deborah Brooke, Consultant Forensic Psychiatrist, Bracton Clinic, Bexley
Hospital, Kent. Gwen Adshead, Honorary Senior Lecturer/Consultant
in Forensic Psychotherapy. Broadmoor Hospital, St George's Hospital
Medical School and Traumatic Stress Clinic, Middlesex Hospital.
17 New Directions in Research and Development
Christopher Bools, Consultant Child, Adolescent and Family Psychiatrist,
Child & Family Therapy Service, St Aldhelm's Hospital Frome.