Munchhausen Syndrome by Proxy with Psychiatric FeaturesYann auxemery*
Department of Psychiatry and Clinical Psychology, Hospital of Instruction of Armees-Legouest, 27, avenue de Plantières, France
- *Corresponding Author:
- Yann auxemery
Department of Psychiatry and Clinical Psychology
Hospital of Instruction of Armees-Legouest
27, avenue de Plantières, BP 90001
57077 Metz Cedex 3, France
E-mail: [email protected]
Received Date: May 25, 2014; Accepted Date: July 28, 2014; Published Date: July 31, 2014
Citation: Yann auxemery (2014) Munchhausen Syndrome by Proxy with Psychiatric Features. J Child Adolesc Behav 2:151. doi:10.4172/2375-4494.1000151
Copyright: © 2014 Auxemery Y, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Although Munchhausen syndrome by proxy (MSP) with somatic expression is a familiar diagnosis to paediatricians and psychiatrists, the psychiatric form has remained more confined to the literature. This clinical form is distinguished by the allegation of artificial psychiatric disorders to convince others that a child suffers from these disorders. After an update on the classic form of MSP via somatic expression and its diagnostic issues, we present a brief review of the literature to explain the peculiarities of MSP with psychiatric expression. We detail the psychological complications for the child through a case report and analysis that illustrate the difficulty of identifying this particular disorder, the treatment of which is complex. The delay in diagnosis is several years, during which time the symptoms can be recast to mask a psychiatric reaction to this particular form of abuse. The suffering of the child and his parents will be shortened if the diagnosis is quickly established and the appropriate treatment is instituted.