Abstract
Munchausen by Proxy syndrome (MBPS) is a condition that represents abusive parenting and involves a pattern of pathological health-seeking behaviors that jeopardize a child's health and safety. MBPS is one of the least understood forms of child maltreatment, frequently goes unrecognized, and is difficult to detect and confirm. Intervention often fails to protect the child victims, and perpetrators are frequently resistant to treatment. This article provides the current definition of the behaviors associated with this form of abuse, describes the factors that interfere with recognition, and reviews the circumstances that complicate confirmation and obstruct intervention. We offer an overview of the warning signs of MBPS and describe a procedural framework to guide confirmation efforts in the context of shared responsibility. A multidisciplinary approach to case management that protects the child victim and considers the rights of parents also is discussed.
