Eminson D M, Postlethwaite R J
Royal Manchester Children's Hospital, Pendlebury.
Arch Dis Child. 1992 Dec;67(12):1510-6. doi: 10.1136/adc.67.12.1510.
An analysis of Munchausen syndrome by proxy is proposed, which involves a categorisation of parental behaviour in terms of desire to consult and ability to distinguish the child's needs from parents' own needs. The Munchausen syndrome by proxy case is proposed as one extreme of a much broader and commoner group for which the term factitious illness is used. An outline of assessment and investigation is given, applicable to all degrees of factitious illness, together with a model of collaboration between paediatrician and child psychiatrist. The role of the child psychiatrist is described. Collaboration results in a broader analysis of the situation which facilitates understanding and points the way to appropriate intervention.
本文提出了对代理型孟乔森综合征的分析，其中涉及根据咨询意愿以及区分孩子需求与父母自身需求的能力对父母行为进行分类。代理型孟乔森综合征病例被视为一个更广泛且更常见群体的极端情况，该群体使用虚构性疾病这一术语。文中给出了适用于所有程度虚构性疾病的评估和调查概述，以及儿科医生与儿童精神科医生合作的模式。描述了儿童精神科医生的角色。合作能对情况进行更广泛的分析，有助于理解并指明适当干预的方向。
