Munchausen syndrome by proxy
Munchausen’s by proxy (MSBP), now known as Fabricated or Induced Illness (FII) and Factitious disorder imposed on another (FDIA or FDIoA) is a controversial and relatively rare mental health diagnosis, in which a caregiver or spouse fabricates, exaggerates, or induces mental or physical health problems in those who are in their care to draw attention, sympathy, or reassurance for themselves.
It is both physical abuse and medical neglect and is also a form of psychological maltreatment.
Fabricated induced illness and children with ME/CFS[edit | edit source]
Some children with ME/CFS have found their parents accused of "fabricating" their illness, sometimes resulting in child protection/safeguarding measures being taken to separate the ill child from parents or carers. In some cases children with ME/CFS have been removed from parents and spent considerable time in a psychiatric unit, without parental contact. This has happened in a number of countries, including the UK, Denmark and Belgium.
Notable studies[edit | edit source]
Articles, letters and videos[edit | edit source]
- 2004, False allegations of Child Abuse in Cases of Childhood Myalgic Encephalomyelitis (ME) - Jane Colby, Tymes Trust
- 2015, Munchausen’s Syndrome by Proxy, Factitious Disorders in Children and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome(Full text)
News coverage[edit | edit source]
- 2015, M.E. parents' fury at child abuse claims - Sunday Times newspaper, UK
See also[edit | edit source]
- Ethical issues
- Sick and Tired - BBC documentary
- Stigma and discrimination
- Pediatric myalgic encephalomyelitis/chronic fatigue syndrome
- Severe and very severe ME
Learn more[edit | edit source]
References[edit | edit source]
- Neglect, and the Committee on Child Abuse and; Stirling, John (May 1, 2007). "Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting". Pediatrics. 119 (5): 1026–1030. doi:10.1542/peds.2007-0563. ISSN 0031-4005. PMID 17473106.
- Colby, Jane (2014). "False Allegations of Child Abuse in Cases of Childhood Myalgic Encephalomyelitis (ME)" (PDF). Tymes Trust.
- BBC news (Nov 8, 1999). "Panorama | Sick and Tired". news.bbc.co.uk. Retrieved Feb 12, 2019.
- Van Hoof, E.; De Becker, P.; De Meirleir, K. (Jan 2006). "Pediatric Chronic Fatigue Syndrome and Munchausen-By-Proxy: A Case Study". Journal of Chronic Fatigue Syndrome. 13 (2-3): 45–53. doi:10.1300/J092v13n02_02. ISSN 1057-3321.
- Bell, David (Dec 2015). "Proxy, Factitious Disorders in Children and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome". International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis. IACFSME newsletter Dec 2015. IACFS. Retrieved Mar 3, 2019.
- "Fabricated or induced illness". nhs.uk. Oct 23, 2017. Retrieved Feb 14, 2019.
myalgic encephalomyelitis (ME) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.
chronic fatigue syndrome (CFS) - A controversial term, invented by the U.S. Centers for Disease Control, that generally refers to a collection of symptoms as “fatigue”. There have been multiple attempts to come up with a set of diagnostic criteria to define this term, but few of those diagnostic criteria are currently in use. Previous attempts to define this term include the Fukuda criteria and the Oxford criteria. Some view the term as a useful diagnostic category for people with long-term fatigue of unexplained origin. Others view the term as a derogatory term borne out of animus towards patients. Some view the term as a synonym of myalgic encephalomyelitis, while others view myalgic encephalomyelitis as a distinct disease.