• Child abuse & neglect · Apr 2003

    Concerns about research and prevention strategies in Munchausen Syndrome by Proxy (MSBP) abuse.

    • Mary Eminson and Jon Jureidini.
    • Bolton Hospitals NHS Trust, Minerva Road, Bolton BL4 OJR, UK.
    • Child Abuse Negl. 2003 Apr 1; 27 (4): 413-20.

    AbstractThere would seem to be three motives for research into Munchausen Syndrome by Proxy (MSBP) abuse; first to enhance treatment; second to enhance our understanding of the psychopathology of those who carry out the abuse; and third to find interventions to prevent its occurrence. We will argue that only the first justification is valid. The second and third should be questioned for several reasons including: MSBP abuse is the wrong kind of event to think of in terms of categorical diagnosis; rare events are inherently difficult to predict; and better research targets are available. We propose that research energy would be more productively directed towards furthering our understanding of somatization and certain problematic aspects of modern pediatric practice. We offer suggestions as to appropriate areas for research.

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