Culture and Munchausen-by-proxy syndrome: the case of an 11-year-old boy presenting with hyperactivity

Can J Psychiatry. 1998 Aug;43(6):632-5; discussion 635-7. doi: 10.1177/070674379804300614.

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.

Publication types

  • Case Reports

MeSH terms

  • Attention Deficit and Disruptive Behavior Disorders / diagnosis*
  • Attention Deficit and Disruptive Behavior Disorders / ethnology
  • Canada
  • Child
  • Culture*
  • Family Health / ethnology*
  • Family Therapy
  • Follow-Up Studies
  • Health Services Misuse
  • Humans
  • Male
  • Munchausen Syndrome by Proxy / diagnosis*
  • Munchausen Syndrome by Proxy / ethnology
  • Munchausen Syndrome by Proxy / therapy
  • Psychomotor Agitation / diagnosis
  • Psychomotor Agitation / etiology
  • Republic of Belarus / ethnology
  • Treatment Outcome