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Stockholm Syndrome Munchausen Syndrome by Proxy

Tra le varie forme di abuso all'infanzia distinguiamo il maltrattamento (fisico e psicologico), l'abuso sessuale (intrafamiliare ed extrafamiliare) e la patologia delle cure (incuria, discuria and ipercuria). Within this category we find the Munchausen syndrome by proxy, the most serious form of ipercura for which the child is subjected to continuous and unnecessary clinical tests and treatments resulting from the inappropriate and delusional misconception of the parent that their child is sick. In DSM-IV syndrome of Munchausen by proxy is defined as "Factitious Disorder with Predominantly Physical Signs and Symptoms (300.19). This is a serious personality disorder with voluntary control by the party that mimics the disease, sometimes with a clear delusional belief. When these people have children, moving them up to their conviction of illness, coming to subject them to continue investigations as well as unnecessary and inappropriate medical care, justified only by the imagination of a parent (usually the mother) and her medical knowledge. In these situations, the child tends to collude with the parent, simulating a state of illness just to have guaranteed care and attention. In essence, the disease becomes for the child a way to overcome the fear of being abandoned or rejected, because the parent will continue to look after him until the present physical symptoms, while the recovery would coincide with abandonment. Munchausen syndrome in the baby comes to lose the ability to perceive correctly the feelings that come from the body, until it no longer able to distinguish whether the symptoms are real, imagined or induced by him from the others, with the structuring as a consequence of a fragile and poorly differentiated. The most serious consequences of this type of abuse emerge when the child grows into a teenager, entering a phase of life, which by definition carries with it a number of issues related to the body. The risk to the boy Munchausizzato is to continue to receive his body as the patient and move to facilities in which both central and psychotic delusion dismorphophobias and the hypochondriac, or develop anorexia nervosa in an attempt to distance themselves from the messages received disabling and denying and mortifying his body until then regarded as an object ill parent.
by Dr. Irene Parascosso