The co-occurrence of obsessive-compulsive symptoms (OCS) and psychotic illness has been a challenge for clinicians and investigators for more than a century.… Read More
Deep brain stimulation (DBS) may hold promise for patients with treatment-resistant and severe major depression and obsessive-compulsive disorder (OCD)… Read More
Munchausen by Internet: Current Research and Future Directions|Background: The Internet has revolutionized the health world, enabling self-diagnosis and online support to take place irrespective of time or location. Alongside the positive aspects for an individuals health from making use of the Internet, debate has intensified on how the increasing use of Web technology might have a negative impact on patients, caregivers, and practitioners. One such negative health-related behavior is Munchausen by Int
Munchausensyndrome by proxy (MSBP) is a psychiatric condition and form of child abuse in which a caregiver, usually a mother, induces illness in a child to gain attention for herself. Because children that are abused by a MSBP perpetrator are likely to be hospitalized multiple times, it is important for the nurse to know warning signs and symptoms of MSBP. Of particular interest is the role of the child's parent that is not involved in the abuse, usually the father. This article presents a review of literature on MSBP, focusing on the role of the nonperpetrating fathers.
A young woman hospitalized herself for a picture resembling Stockholm syndrome (becoming a willing captive in a cult, sympathetic to the leader). After a short period of time, it became clear that she had used a false identity and
Clinical studies have shown that children of parents with mental health problems are most likely to develop psychiatric problems themselves when their parents have a Personality Disorder characterized by hostility. The Personality Disorders that appear most associated with hostility, with the potential to affect children, are Borderline Personality Disorder, Antisocial Personality Disorder and Narcissistic Personality Disorder. The question addressed in this study is whether the risk to childrens menta
What went wrong?Southalls problems date back to the mid-1980s when, as a specialist in babies breathing problems at the Royal Brompton in London, he couldnt fathom why some babies would stop breathing for no apparent reason. With the cooperation of police and social services, he set up a system of covert video surveillance, which proved that some parents were deliberately suffocating their children. He was hailed by the profession for his pioneering papers, but he became the target of a vitriolic
21377205 2011 03 15 2011 07 19 1873-7757 35 2 Feb Child Abuse Negl 87-8 10.1016/j.chiabu.2010.10.005 Shapiro Michael M Nguyen Mathew M eng Case Reports Comment Letter 2011 03 04 England Child Abuse Negl 7801702 0145-2134 IM Child Abuse Negl. 1995 Sep
Patients with physical signs and symptoms for which no adequate organic cause can be found may receive any one of a large range of diagnostic labels, including functional illness, functional overlay, hysteria, hysterical overlay, conversion reaction, psychophysiological reaction, somatization reaction, hypochondriasis, invalid reaction, neurasthenia, psychogenic reaction, psychosomatic illness, malingering, and Mnchausen syndrome. In this chapter, we describe both common and uncommon "functional" ocular symptoms and signs, including visual loss in one or both eyes, constricted visual fields and other field defects, various types of ocular motor dysfunction, including disorders of ocular motility and alignment, disorders of pupillary size and reactivity, and abnormalities of eyelid position and function. We also discuss and illustrate the methods by which the nonorganic nature of these manifestations can be determined. In many cases simple techniques performed in the clinic are
Pediatric condition falsification (PCF), also known as Munchausensyndrome by Proxy or Medical Child Abuse, is a somewhat rare form of child abuse and neglect. Its association with a history of adult factitious disorder (AFD) or Munchausensyndrome in the perpetrator is also well known. Exogenous insulin injection to cause hypoglycemia both in the context of PCF and AFD has been reported in the literature. However, the coexistence of both conditions via insulin injection in the same family has not been reported in the literature. This paper presents a family, in which the mother was diagnosed with AFD and her three children with PCF perpetrated by their mother via exogenous insulin injection.
21123232 2010 12 02 2011 04 01 1940-8250 30 6 Dec Crit Care Nurse 46-55; quiz 56 10.4037/ccn2010737 The Laurelwood Group in Scappoose, Oregan 97056, USA. criddlel@ohsu.edu Criddle Laura L eng Journal Article United States Crit Care Nurse 8207799 0279
The parental investment hypothesis provides a parsimonious explanation for a wide range of sexually dimorphic traits and behaviors across countless species. In the human context, the hypothesis posits that in light of the differentially greater parental investment that human females provide to their offspring, they should be much more vested in the wellbeing of their children. MunchausenSyndrome by Proxy (MSbP) occurs when a caregiver feigns or causes a medical condition in a dependent (typically a child). In the great majority of cases, the biological mother is the perpetrator, which is thus deeply surprising from an evolutionary perspective. I propose that for a small sample of women (e.g., those suffering from specific personality disorders and who do not possess the necessary support from their husbands/partners), the parental investment hypothesis is usurped or subverted in the service of their narcissistic need for attention (especially from high-status male physicians). Hence,
Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the Pediatric Gastroenterology, H ( NASPGHAN) and the Europ Gastroenterology, Hepatology, Co-Chairs: Yvan Vandenplas renz An rs, a of Ped sin, M rsity,
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.