Munchausen’s Syndrome by Proxy: Current Issues in Assessment, Treatment, and Research PDF
Preview Munchausen’s Syndrome by Proxy: Current Issues in Assessment, Treatment, and Research
MUNCHAUSEN'S SYNDROME BY PROXY Current Issues in Assessment, Treatment and Research Editors Gwen Adshead Deborah Brooke Imperial College Press MUNCHAUSEN'S SYNDROME BY PROXY MUNCHAUSEN'S SYNDROME BY PROXY Current Issues in Assessment, Treatment and Research Editors Gwen Adshead & Deborah Brooke Imperial College Press Published by Imperial College Press 57 Shelton Street Covent Garden London WC2H 9HE Distributed by World Scientific Publishing Co. Pte. Ltd. P O Box 128, Fairer Road, Singapore 912805 USA office: Suite IB, 1060 Main Street, River Edge, NJ 07661 UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. MUNCHAUSEN'S SYNDROME BY PROXY Copyright © 2001 by Imperial College Press All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. ISBN 1-86094-134-6 Printed in Singapore. Contents List of Contributors vii Introduction xi Chapter 1. A 20-Year Overview 1 Arnon Bentovim Chapter 2. International Perspectives on Munchausen Syndrome by Proxy 13 Rachel Brown, Marc D. Feldman Chapter 3. Child Abuse Specific to the Medical System 39 Jon Jureidini, Terry Donald Chapter 4. The Extraordinary Case of Mrs H. 49 Estela V. Welldon Chapter 5. Munchausen's Syndrome by Proxy: A Perspective from Primary Care 61 Michael J. Bannon, Yvonne H. Carter Chapter 6. The Presentation and Natural History of Munchausen Syndrome by Proxy 77 Michael C.B. Plunkett, David P. Southall Chapter 7. The Detection of Munchausen Syndrome by Proxy 89 Martin P. Samuels Chapter 8. Assessment of Abusing Families 109 David P.H. Jones, Caroline Newbold Chapter 9. The Role of the Guardian Ad Litem 121 Stephen Pizzey v vi Munchausen's Syndrome by Proxy Chapter 10. The Social Work Role in Munchausen Syndrome by Proxy 129 Jenny Gray Chapter 11. Munchausen's Syndrome by Proxy — The Legal Perspective 149 Debbie Taylor, Michael Nicholls Chapter 12. Risk Assessment 159 Mary Eminson Chapter 13. Treatment of Perpetrators 175 Kerry Bluglass Chapter 14. Treatment and Outcome for Victims 185 Ian Mitchell Chapter 15. Ethical and Public Policy Issues in the Management of Munchausen's Syndrome by Proxy (MSBP) 197 Gwen Adshead Chapter 16. Current Challenges in the Management of Perpetrators 209 Deborah Brooke, Gwen Adshead Chapter 17. New Directions in Research and Service Development 219 Christopher Bools Index 235 List of Contributors Introduction Gwen Adshead, Honorary Senior Lecturer/Consultant in Forensic Psycho therapy. Broadmoor Hospital, St George's Hospital Medical School and Traumatic Stress Clinic, Middlesex Hospital. Deborah Brooke, Consultant Forensic Psychiatrist, Bracton Clinic, Bexley Hospital, Kent. 1 A 20-Year Overview Arnon Bentovim, Consultant Child & Adolescent Psycho-Analyst & Family Therapist. London Child & Family Consultation Service. 2 International Perspectives on Munchausen Syndrome by Proxy Rachel Brown, Associate Professor University School of Medicine, Macon, G. A. Marc Feldman, Chair for Clinical Services & Associate Professor, Department of Psychiatry, University of Alabama. 3 Child Abuse Specific to the Medical System Jon Jureidini, Head, Department of Psychological Medicine, Women's & Children's Hospital, Adelaide. Terence Donald, Head, Child Protection Service, Women's & Children's Hospital, Adelaide. 4 The Extraordinary Case of Mrs H. Estela Welldon, Consultant Psychiatrist, Portman Clinic and Honorary Senior Lecturer in Psychotherapy, University of London. 5 Munchausen's Syndrome by Proxy: A Perspective from Primary Care Michael Bannon, Consultant Paediatrician, Northwick Park & St Marks NHS Trust, London. Yvonne Carter, Professor of General Practice & Primary Case, Queen Mary & Westfield College, London. vii viii Munchausen's Syndrome by Proxy 6 Presentation and Natural History of Munchausen's Syndrome by Proxy Michael Plunkett, Specialist Registrar in Paediatrics, North Staffordshire Hospital. David Southall, Consultant Paediatrician/Professor of Paediatrics and Director of Child Advocy International. North Staffordshire Hospital. 7 The Detection of Munchausen's Syndrome by Proxy Martin Samuels, Consultant Paediatrician/Senior Lecturer in Paediatrics, North Staffordshire Hospital. 8 Assessment of Abusing Families David Jones, Consultant Child Psychiatrist, The Park Hospital for Children, Oxford. Caroline Newbold, Senior Social Work Practitioner, The Park Hospital for Children, Oxford. 9 The Role of the Guardian Ad Litem Stephen Pizzey, Guardian Ad Litem and Social Work Consultant. 10 The Social Work Role in Munchausen Syndrome by Proxy Jenny Gray, Formerly Social Work Department, Great Ormond Street Hospital for Children. Now Department of Health. 11 The Legal Perspective Debbie Taylor, Barrister at Law, Hardwick Building, Lincoln's Inn. Michael Nicholls, Barrister at Law, Grays Inn, London. 12 Risk Assessment Mary Eminson, Consultant Child & Adolescent Psychiatrist, Bolton Hospitals NHS Trust. 13 Treatment of Perpetrators Kerry Bluglass, Consultant Psychiatrist, Woodbourne Priory Hospital, Birmingham. Senior Clinical Lecturer, University of London. List of Contributors ix 14 Treatment and Outcome for Victims Ian Mitchell, Professor, Department of Paediatrics & Head of Paediatric Respirology. University of Calgary. 15 Ethical and Public Policy Issues in the Management of Munchausen's Syndrome by Proxy Gwen Adshead, Honorary Senior Lecturer/Consultant in Forensic Psychotherapy. Broadmoor Hospital, St George's Hospital Medical School and Traumatic Stress Clinic, Middlesex Hospital. 16 Current Challenges in the Management of Perpetrators Deborah Brooke, Consultant Forensic Psychiatrist, Bracton Clinic, Bexley Hospital, Kent. Gwen Adshead, Honorary Senior Lecturer/Consultant in Forensic Psychotherapy. Broadmoor Hospital, St George's Hospital Medical School and Traumatic Stress Clinic, Middlesex Hospital. 17 New Directions in Research and Development Christopher Bools, Consultant Child, Adolescent and Family Psychiatrist, Child & Family Therapy Service, St Aldhelm's Hospital Frome.
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