Pathophysiology Symptoms Diagnosis

Asher, 1951: “Munchausen Syndrome”

Kempe, 1975: “Uncommon manifestations of Battered Child Syndrome”

Meadow, 1977: “Munchausen Syndrome by Proxy: The hinterland of child abuse”

Rosenberg, 1987: “The web of deceit”

Rosenberg (1987):

• Rosenberg (1987):

• Illness in a child which is simulated and/or produced by someone in loco parentis

• Presentation of the child for medical assessment and care, usually persistently, often resulting in multiple medical procedures

• Denial of knowledge by the perpetrator

• Acute symptoms abate with separation

DSM-IV (1994) “Factitious Disorder by Proxy”:

• DSM-IV (1994) “Factitious Disorder by Proxy”:

• (A) Intentional production or feigning of physical or psychological signs or symptoms in another person who is under the individual's care.

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