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Child Maltreatment
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Munchausen by Proxy: Presentations in Special Education

Catherine C. Ayoub

Harvard University

Herbert A. Schreier

Children's Hospital Oakland

Carol Keller

Antioch, Illinois

Munchausen by proxy is a disorder in which a child is victimized through a formof child abuse called pediatric condition falsification (PCF). PCF has been documented for psychological and psychiatric conditions including one such formpresented here in which educational disabilities are the focus of falsification. Parents meet their own self-serving needs through "impostering" as good mothers. This maternal mental disorder is called factitious disorder by proxy. This article presents a series of cases in which children have PCF that primarily consists of educational disabilities. Characteristics of the children, their mothers, and their families are outlined and outcomes for the 9 children in the sample are discussed. Guidelines for identification of children with PCF in educational settings are provided, and special guidance is offered in differential diagnosis.

Child Maltreatment, Vol. 7, No. 2, 149-159 (2002)
DOI: 10.1177/1077559502007002007
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 PediatricsHome page
J. Stirling Jr and and the Committee on Child Abuse and Neglect
Beyond Munchausen Syndrome by Proxy: Identification and Treatment of Child Abuse in a Medical Setting
Pediatrics, May 1, 2007; 119(5): 1026 - 1030.
[Abstract] [Full Text] [PDF]

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 PediatricsHome page
H. Schreier
Munchausen by Proxy Defined
Pediatrics, November 1, 2002; 110(5): 985 - 988.
[Full Text] [PDF]