Lindahl Mary W
Marymount University, Arlington, Virginia 22207, USA.
J Child Sex Abus. 2009 Mar-Apr;18(2):206-20. doi: 10.1080/10538710902758576.
In the emerging literature, cases involving recurring, unsubstantiated allegations of child sexual abuse have generally been categorized as Munchausen by proxy. Recent scholars have recommended restricting the label to the original conceptualization, involving purposeful deception motivated by psychological needs for medical attention. This leaves many cases unclassified that do not fit the Munchausen by proxy criteria, involve significant risks to the child, and ultimately fall outside of existing structures for Child Protective Services/legal intervention. This paper presents a reconceptualization of such cases, proposing to label them "recurring sexual abuse allegation" cases. Defining the set of cases more clearly can aid child protection workers in their management and encourage research on prevalence, consequences to children, treatment strategies, and needed legal reforms.
在新兴文献中，涉及反复出现的、未经证实的儿童性虐待指控的案例通常被归类为代理型孟乔森综合征。最近的学者建议将该标签限制在最初的概念范围内，即由对医疗关注的心理需求所驱动的蓄意欺骗。这使得许多不符合代理型孟乔森综合征标准、对儿童构成重大风险且最终不属于儿童保护服务/法律干预现有框架的案例无法归类。本文提出了对此类案例的重新概念化，建议将其标记为“反复性性虐待指控”案例。更清晰地界定这类案例集有助于儿童保护工作者进行管理，并鼓励对其发生率、对儿童的影响、治疗策略以及所需的法律改革进行研究。
