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OtherANALYSIS AND COMMENTARY

Persistent Problems With the Munchausen Syndrome by Proxy Label

Loren Pankratz
Journal of the American Academy of Psychiatry and the Law Online January 2006, 34 (1) 90-95;
Loren Pankratz
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Abstract

After nearly 30 years of clinical and legal experience, the definition of Munchausen syndrome by proxy remains controversial. As a result, mothers who present the problems of their children in ways perceived as unusual or problematic have become entangled in legal battles that should have been resolved clinically. Re-labeling the disorder as Pediatric Condition Falsification misdirects the focus onto mistakes and misunderstandings while avoiding the more crucial issue of intentions. Experts have enflamed the fears of harm by confusing warning signs with diagnostic signs and by citing retrospective studies instead of the more optimistic outcome studies. Accused mothers need the support of multidisciplinary teams but are often forced into contentious struggles with legal professionals and child protection services.

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Journal of the American Academy of Psychiatry and the Law Online: 34 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 34, Issue 1
January 2006
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Persistent Problems With the Munchausen Syndrome by Proxy Label
Loren Pankratz
Journal of the American Academy of Psychiatry and the Law Online Jan 2006, 34 (1) 90-95;

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Persistent Problems With the Munchausen Syndrome by Proxy Label
Loren Pankratz
Journal of the American Academy of Psychiatry and the Law Online Jan 2006, 34 (1) 90-95;
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    • Abstract
    • Defining the Disorder and the Confusion of Warning Signs
    • Pediatric Condition Falsification and the Assessment Process
    • Working With Mothers in Need
    • Risk and Harm
    • Court Guidelines
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