아동학대의 원인으로서의 ‘대리인에 의한 뮌하우젠 증후군’ = Munchausen syndrome by Proxy as a Cause of Child Abuse

다국어 초록 (Multilingual Abstract)

Munchausen syndrome by proxy (MSBP) is a very rare form of mental disorder and also is known as a peculiar type of child abuse. MSBP has been described since 1977 as a serious form of abuse with illness falsification or intentional harming by guardians, mostly mothers. The perpetrator of MSBP may inflict damage to the child directly, or indirectly through medical procedures. The perpetrator's motive is reported allegedly to satisfy her psychological needs, who has some mental illness history which are mostly factitious disorder, personality disorder, and somatic disorder. As little known about the pathology, it is difficult for medical personnels to detect it early. In addition, it is hard to be handled effectively by the police and child welfare agencies because of scarcity of evidence. Therefore, authors attempt to examine the essential information from the perspective of early detection and prevention of child abuse by analyzing its clinical characteristics and the characteristics of the perpetrator, including alerting signs of MSBP. For this purpose, we focus on the role of nursing staff to detect this unusual cause of child abuse.

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