Medical Child Abuse: What Have We Learned in 40 Years?
| Autor: | Thomas A. Roesler |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Child abuse
medicine.medical_specialty Organizing principle Munchausen by proxy Policy guidelines Mental health Medical care law.invention 03 medical and health sciences 0302 clinical medicine Harm law 030225 pediatrics Pediatrics Perinatology and Child Health medicine CLARITY 030212 general & internal medicine Psychiatry Psychology |
| Zdroj: | Current Treatment Options in Pediatrics. 4:363-372 |
| ISSN: | 2198-6088 |
| Popis: | The realization that caretakers could harm children by getting unnecessary and harmful or potentially harmful medical care began 40 years ago with the first paper on what Meadow called Munchausen by proxy. This article reviews the evolving understanding of this form of child abuse and discusses ongoing controversies including as follows: what to call it, whether it is rare or common, who gets the diagnosis, is there a profile of a perpetrator, is the motivation of the perpetrator important, and how treatable is the condition. Several recent policy guidelines are available detailing current recommendations for evaluation and treatment. Pediatricians tend to conceptualize this phenomenon in child abuse terms and refer to it as medical child abuse (MCA). Mental health professionals continue to use the deceptive behavior of the perpetrator as the organizing principle. Medical and mental health professionals are working together to develop treatment strategies. Clarity regarding the ongoing controversies suggests avenues for future research. |
| Databáze: | OpenAIRE |
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