Repper J
Department of Nursing and Midwifery Studies, Faculty of Medicine, Queens Medical Centre, Nottingham, England.
J Adv Nurs. 1995 Feb;21(2):299-304. doi: 10.1111/j.1365-2648.1995.tb02526.x.
The literature on Munchausen Syndrome by Proxy (MSP) is reviewed to assess the extent of existing knowledge and the incidence of this syndrome among health care workers. Although use of this diagnosis appears to be increasing and broadening, it was not until the Beverly Allitt case in the United Kingdom in 1993 that this syndrome was used to explain the behaviour of a health care worker who harmed people in his/her care. However, a review of available details of previous health care workers accused of murder reveals that five shared some of the distinctive features of MSP. Although care must be taken when applying diagnoses, in view of the risk of morbidity and mortality which MSP poses for the people involved, it is important that health care workers become more informed and involved in understanding and detecting MSP.
对代理型孟乔森综合征（MSP）的文献进行综述，以评估现有知识的范围以及该综合征在医护人员中的发病率。尽管这种诊断的使用似乎在增加且范围在扩大，但直到1993年英国的贝弗利·阿利特案，这种综合征才被用于解释一名医护人员伤害其护理对象的行为。然而，对之前被指控谋杀的医护人员的现有细节进行回顾发现，其中五人具有MSP的一些显著特征。鉴于MSP给相关人员带来发病和死亡风险，在应用诊断时必须谨慎，但医护人员更深入了解并参与到对MSP的理解和检测中很重要。
