Citation

Amirali EL, Bezonsky R, McDonough R. Can. J. Psychiatry 1998; 43(6): 632-5; discussion 635-7.

Affiliation

Department of Psychiatry, Montreal Children's Hospital, Quebec.

Copyright

(Copyright © 1998, Canadian Psychiatric Association, Publisher SAGE Publications)

DOI

unavailable

PMID

9729693

Abstract

OBJECTIVES: To discuss some of the challenges presented to the clinician who deals with a possible Munchausen-by-proxy (MBP) syndrome. METHOD: The case of an 11-year-old boy presenting with hyperactivity is discussed. Information from the initial assessment and the 9-month follow-up period is presented. We highlight some cultural considerations as they apply to this immigrant family. A commentary by Dr H Schrier follows the presentation. RESULTS: The positive outcome is discussed in relation to the validation of the diagnosis as well as to cultural issues. CONCLUSION: Cultural issues and dynamic factors may be important when we consider the diagnosis of MBP syndrome in an immigrant family with different expectations from our health care system.

Language: en