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©1991-2008
Deb Lee Gould & FODSupport.org

Munchausen Syndrome by Proxy

EDITORIAL

I have been meaning to write these comments for several issues now ~ but now after yet another Family's tragic situation I am compelled to do it now! In the field of Metabolic and Mitochondrial Disorders, Families are not immune to having to withstand FALSE ACCUSATIONS of hurting their own child (aka Munchausen's Syndrome by Proxy) ~ especially when Drs have not been able to determine a diagnosis ~ they sometimes give the MOM the 'diagnosis' of child abuser due to an 'insatiable need for attention from medical practitioners!'

It's quite ironic that on one hand we have some professionals/states/companies trying to DELAY the expanded nbs process (thus more babies die and go undiagnosed and experience possible CHRONIC medical complications AND Drs' visits ) and on another hand we have some professionals BLAMING PARENTS for MAKING THEIR OWN CHILDREN SICK and constantly taking them in for medical care. Children that should have been DIAGNOSED AT BIRTH instead of after YEARS of going from Dr to Dr with MANY not knowing what these disorders are, let alone what diagnostic tests to order (Refer to http://www.fodsupport.org/dx_fod.htm)! These kids ARE SICK ~ because they AREN'T DIAGNOSED EARLY BEFORE CRISES OCCUR ~ so why wouldn't the parents take them into the Drs? RESPONSIBLE PARENTS DO!!

And THEN all because these Families have a child's medical record 4+ inches thick with past Drs' visits and lab tests etc, they are ACCUSED (many times by someone that hasn't even SEEN the child clinically and based on some ridiculous 'perpetrator profile' of perceived psychological and behavioral characteristics!) of deliberately making them sick to get the attention. Some professionals have made the jump from so-called observations to psychiatric diagnosis without even having a 'well-defined criteria for determining what IS and IS NOT a case of MSBP' as well as that 'profile' not being 'subjected to controlled empirical studies.'

There probably ARE real cases of this 'syndrome' ~ and there ARE WAYS to TRULY investigate the CRIMINAL ACTS (ie., cameras in the hospital room, etc) if this is going on. Yet, ALL of the Families I have spoken with are THRUST into the 'YOU ARE GUILTY' realm before any TRUE investigation may occur! And before you know it family services is in there threatening to take the child ALL BASED on the constant Dr visits and the child chronically being sick!

Metabolic and mitochondrial disorders are relatively 'young' disorders and they ARE COMPLICATED ~ not only in the diagnosis but in some cases the treatment. It has taken some of our Families YEARS to FINALLY get a correct diagnosis and I would take a guess that many have medical professionals' 'suspicions' written up in their child's medical files ~ some of our Families have SEEN them! And fighting to clear those records is ANOTHER NIGHTMARE for Families!

There was an August 9, 2004 EXCELLENT article in The New Yorker, by Margaret Talbot, that addressed this very issue (the above quotes are taken from that article) ~ how FALSE ALLEGATIONS can SHAMEFULLY destroy a Family and also place the children in even more danger by delaying what they REALLY NEED ~ a CORRECT DIAGNOSIS and TREATMENT!

Without going into a lot of detail, the article describes several Families that sought medical care for their children yet some professionals felt they were seeking TOO MUCH care, 'almost addictively' (despite some of the children's Drs telling them to see these other Drs for tests etc!). It also discusses results from recent systematic studies, that the 'profile' being used IS FLAWED yet still being used ~ and SHAMEFULLY still carries weight in the judicial and more recently in the educational system!

I strongly suggest you read this article ~ I have it in a word document if anyone would like to read it. It will make you BOIL as it did me!

Our Families have enough to be concerned about ~ they don't need some person 'diagnosing' how they are trying to help (although to them, it's HURT) their child/children. What they need, as I stated at the beginning of this piece, is a CORRECT DIAGNOSIS and TREATMENT ~ not medical and legal authorities and family services wrongfully breathing down their necks!!!

Deb Lee Gould, Director
deb@fodsupport.org
July 2005 issue
FOD Communication Network

 


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