Wojaczyńska-Stanek K, Skubacz M, Marszał E
Kliniki Neurologii Wieku Rozwojowego Sl. AM w Katowicach.
Pol Merkur Lekarski. 2000 Nov;9(53):799-802.
Munchhausen syndrome by proxy is a malignant form of child abuse in which illness in a child is fabricated and/or induced by a parent. It can result in serious illness and even death of the child and it is difficult to detect. The authors give a significant amount of literature examples. They try to find out the difference in ways of hurting by perpetrators. Various types of personalities and emotional disturbances in Munchhausen on proxy syndrome are shown. Child maltreatment and Munchhausen by proxy syndrome need to be part of the differential diagnosis when the clinical picture is atypical or does not appear medically plausible.
代理型孟乔森综合征是一种虐待儿童的恶性形式,即儿童的疾病是由父母编造和/或诱发的。它可能导致儿童重病甚至死亡,而且很难被察觉。作者列举了大量文献实例。他们试图找出施虐者伤害方式的差异。文中展示了代理型孟乔森综合征患者的各种性格类型和情绪障碍。当临床表现不典型或从医学角度看不合理时,虐待儿童和代理型孟乔森综合征都需要纳入鉴别诊断。