Schreier H A, Libow J A
Department of Psychiatry, Children's Hospital Oakland, California.
J Pediatr. 1994 Dec;125(6 Pt 2):S110-5. doi: 10.1016/s0022-3476(05)82934-8.
Munchausen by proxy syndrome is a condition in which a mother pretends her infant or child is ill or causes the infant or child to be ill in order to engage in an intensely ambivalent but often destructive relationships with a physician. Despite appearances to the contrary, evidence indicates that the infant serves as little more than an object to regulate this relationship. The harming of the child takes place in a fully conscious nonpsychotic state and is a by-product of the dynamics of this relationship. We see the mother's actions as an example of imposturing good mothering. Physicians are susceptible to these mothers in ways that lead them to delays in uncovering these dynamics that can have disastrous consequences for the infant. Social and interpersonal forces that contribute to the unfolding of this syndrome are worthy of our study.
代理孟乔森综合征是一种母亲假装其婴儿或儿童生病或致使婴儿或儿童生病，以便与医生建立一种高度矛盾但往往具有破坏性的关系的病症。尽管表面情况相反，但有证据表明，婴儿在这种关系中不过是调节关系的一个工具而已。对儿童的伤害是在完全清醒的非精神病状态下发生的，并且是这种关系动态变化的一个副产品。我们将母亲的行为视为伪装成好母亲的一个例子。医生容易受到这些母亲的影响，从而导致他们迟迟未能发现这些动态变化，而这可能会给婴儿带来灾难性后果。促成这种综合征显现的社会和人际力量值得我们研究。
