Münchausen Syndrome by powers. High risk for the life of children and adolescents
DOI:
https://doi.org/10.24215/2422572Xe082Keywords:
Munchausen by proxy syndrome, child abuse, perpetrator, early diagnosis, hospitalizationAbstract
The objective of this article was to carry out a review of the Münchausen syndrome to contribute to the early diagnosis of this type of high-risk child abuse. One of the goals was to disseminate it among the professionals of health teams, organizations that protect the rights of children and adolescents, the justice system and school institutions. The historical journey of the concept was described and its characteristics, clinical manifestations and indicators were addressed. An unpublished data collection model for health care providers was presented. An epidemiological registry was prepared with data obtained from the Family Violence Unit of the Pedro de Elizalde Children's Hospital, from the period 2001-2017, the result of which was 24 confirmed cases. The diagnostic strategy during the hospitalization of children and adolescents, the behaviour of the perpetrator, the counter-transference aspects of the treating team, the discharge and the psychological treatment of the child were described.
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Asociación Americana de Psiquiatría (1994). Manual diagnóstico y estadístico de los trastornos mentales. DSM-4. Masson.
Asociación Americana de Psiquiatría (2002). Manual diagnóstico y estadístico de los transtornos mentales. DSM-4 TR. Masson.
Asociación Americana de Psiquiatría (2014). Manual diagnóstico y estadístico de los trastornos mentales. DSM-5. Arlington.
Del Bagge, P. Lovaglio, G. Perez, R. y Stabilito, L. (26-29 de abril de 2017). Enfermedad inducida por cuidador. Registro epidemiológico 2001-2017. [Mesa redonda]. XXXII Congreso Argentino de Psiquiatría, Mar del Plata, Argentina.
Flaherty, E. y Mac Millan, H. (2013). Caregiver-fabricated illness in a child: A manifestation of child maltreatment. Pediatrics, 132, 590–597. https://doi.org/10.1542/peds.2013-20145
Garrote, N. Indart, J. Puentes, A. Smith, M. Del Bagge, P. y Pérez Colombier, M. (2008). Síndrome de Münchausen por poder y manifestaciones de supuesto evento de aparente amenaza a la vida. Archivos Argentinos de Pediatría, 106 (1), 47-53.
Glaser, D. y Davis, P. (2019). For debate: Forty years of fabricated or induced illness (FII): Where next for paediatricians? Paper 2: Management of perplexing presentations in-cluding FII. Archives of Disease in Childhood, 104, 7-11. doi:10.1136/archdischild-2016-311326. https://www.researchgate.net/publication/324239235
Indart, J. (2018). Enfermedad inducida o fabricada por cuidadores o síndrome de Münchausen por poderes. En N. Garrote (Eds.), Maltrato infantil. Aportes para su detección, abordaje y prevención (pp. 134-139). Journal.
Jiménez Hernández, J.L. (2015). Síndrome de Münchausen por poderes. Un tipo sutil de niños maltratados. Tesis doctoral inédita. Facultad de Medicina, Universidad Complutense de Madrid. https://eprints.ucm.es/54630/1/5331023885.pdf
Meadow, R. (1993). False allegations of abuse and Munchausen syndrome by proxy. Archives Disease Childhood, 68 (4), 444-447. http://dx.doi.org/10.1136/adc.68.4.444
Meadow, R. (2002). Different interpretation of Munchausen syndrome by proxy. Child Abuse and Neglect, 26, 501-508. https://doi.org/10.1016/50145-2134(2)00326-5
Rodríguez Cely, L. Gómez Rátiva, M. Mesa Bayona, A. (2003). Estado del arte sobre el síndrome de Münchausen por poderes. Universitas Psychologica 2, (2), 187-198.
Schwalb, V. (2012). Todos somos resilientes. Paidós.
Síndrome de Munchausen por poder. (4 de abril de 2019). Infomed. https//artículos.sld.cu/prevemi/tag/síndrome-de-munchausen-porpoder/
Trejo Hernandez, J. Loredo Abdala, A. Orozco Garibay, J. (2011). Munchausen. syndrome by proxy in mexican children: Medical, social, psychological and legal aspects. Revista de Investigación Clínica, 63(3), 253-262.
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