Fabricated or induced illness in children

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7329.114/a (Published 12 January 2002) Cite this as: BMJ 2002;324:114

Open mind is needed regarding origins of childhood symptoms and illnesses

  1. Charles Pragnell, social care management consultant
  1. Social Care Consultants, Redcar and Cleveland TS10 2JN
  2. Kingston NHS Trust, Kingston KT2 7AZ

    EDITOR—I do not agree with Wilson that guidance issued by the Department of Health for consultation is excellent.1 Wilson admits that the origins of Munchausen syndrome by proxy were based in the personal experience of Roy Meadows.

    Is this how paediatric diagnoses are made, simply on the basis of an individual's subjective experience? Especially when such a “diagnosis” has had such a devastating and damaging effect on many hundreds of children and families in the United Kingdom and around the world. Emotional damage is caused to children, their parents, and siblings from being separated and placed into state care; or where …

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