Schreier H A
Department of Psychiatry, Children's Hospital Oakland, CA 94609, USA.
Child Abuse Negl. 1996 Oct;20(10):985-91. doi: 10.1016/0145-2134(96)00089-0.
Munchausen by proxy syndrome, wherein a caretaker (most often a mother) simulates or fabricates illness in a child in order to assume the sick role through another has now been described involving a variety of psychiatric problems and false allegations of sexual abuse. Given that a proposed dynamic appears to be a need in a dependent and/or hostile relationship with powerful transferential people from the past, it was expected that professionals (school psychologists, social workers, lawyers) other than doctors would be involved. A case involving law enforcement agents as a primary "target" is described and its significance discussed.
代理型孟乔森综合征,即照料者(通常是母亲)为了通过他人来扮演患病角色而在孩子身上模拟或编造疾病,如今已被描述为涉及多种精神问题以及性虐待的虚假指控。鉴于一种假定的心理动力似乎是与过去有强大移情作用的人建立依赖和/或敌对关系的需求,预计除医生之外的专业人员(学校心理学家、社会工作者、律师)也会参与其中。本文描述了一个以执法人员作为主要“目标”的案例,并讨论了其意义。