Medical Child Abuse


Book Description

Thomas A. Roesler, MD, FAAP and Carole Jenny, MD, MBA, FAAP make the case that the term Munchausen syndrome by proxy should be retired permanently and replaced with a commonsense appreciation that children can be abused by their parents in the medical environment. Physicians who find themselves providing unnecessary and harmful medical care can see the abuse for what it is, another way parents can harm children. the book offers the first detailed and comprehensive description of treatment for this form of child maltreatment.




Proxy


Book Description

"Privileged Knox and and his proxy, Syd, are thrown together to overthrow the system"--




Munchausen Syndrome by Proxy Abuse


Book Description

The aim of this book is to help all professionals who work with children to recognise, to understand and, if possible, to prevent 'Munchausen Syndrome by Proxy' abuse. This headline title encompasses many different situations in which children are presented as 'sick' but where the 'illness' has arisen as a result of the parent's actions in producing a factitious illness either directly (induced illness) or by telling a story of symptoms which lead health professionals to believe the child has an illness. A practical staged approach to this problem is described. This book is a practical guide written by professionals with current experience in this field. It covers all aspects of this form of abuse from mild to life threatening presentations and is structured around case scenarios. It should be of interest to paediatricians both hospital based and community, child mental health professionals, nurses and health visitors, social workers and legal experts.




Munchausen by Proxy


Book Description

This step-by-step guide will help you identify and manage cases of this unique form of child maltreatment! Munchausen by proxy (MBP) is a dangerous kind of maltreatment in which a caretaker deliberately and repeatedly exaggerates, fabricates, and/or induces a health problem or problems in someone under his or her care. Munchausen by Proxy: Identification, Intervention, and Case Management is the first book to walk you step-by-step through a suspected MBP maltreatment case from suspicion onward. This skills-based, practical book contains a thorough, up-to-date overview of MBP and includes suggestions for identifying and reporting to child protection agencies, investigating and gathering evidence, and legal and court procedures. Its easy readability and immediate applicability make this text a valuable tool in identifying and preventing this form of child abuse. Munchausen by Proxy is divided into three parts. The first covers the definition of MBP, the role of the perpetrator and victim, and the ethical issues affecting professionals, patients, and family. Part two addresses case work from initial suspicions through the investigative and confirmation/disconfirmation process. The third section is dedicated to case planning and case management once MBP has been confirmed, including intervention, immediate child protection, and legal activities. Those involved in a suspected or confirmed MBP case will learn about: the limits of the DSM-IV as applied to MBP perpetrator-consistent characteristics the MBP situational suspicion indicators the inappropriateness of risk assessment tools developed for other forms of maltreatment the danger when MBP perpetrators realize they are under suspicion and more! This volume is generously enhanced with case examples, sample forms, figures, and representative management plans. In Munchausen by Proxy, authors Lasher and Sheridan—experts in MBP and child protection—have come together to fill the gap in the libraries of anyone who may become involved with a MBP case. This includes child welfare professionals and staff, law enforcement, school personnel, health care practitioners, judges and lawyers, and social workers.




Proxy Wars


Book Description

The most common image of world politics involves states negotiating, cooperating, or sometimes fighting with one another; billiard balls in motion on a global pool table. Yet working through local proxies or agents, through what Eli Berman and David A. Lake call a strategy of "indirect control," has always been a central tool of foreign policy. Understanding how countries motivate local allies to act in sometimes costly ways, and when and how that strategy succeeds, is essential to effective foreign policy in today's world. In this splendid collection, Berman and Lake apply a variant of principal-agent theory in which the alignment of interests or objectives between a powerful state and a local proxy is central. Through analysis of nine detailed cases, Proxy Wars finds that: when principals use rewards and punishments tailored to the agent's domestic politics, proxies typically comply with their wishes; when the threat to the principal or the costs to the agent increase, the principal responds with higher-powered incentives and the proxy responds with greater effort; if interests diverge too much, the principal must either take direct action or admit that indirect control is unworkable. Covering events from Denmark under the Nazis to the Korean War to contemporary Afghanistan, and much in between, the chapters in Proxy Wars engage many disciplines and will suit classes taught in political science, economics, international relations, security studies, and much more.




Parenthood by Proxy


Book Description

Parenthood by Proxy is a passionate and provocative summation of the perils of parenting and a road map to safety for America's families. Never one to shy away from tough truths, Dr. Laura marshals compelling evidence for the widespread neglect of America's children and condemns the numerous rationalizations to excuse it. Parents, special interest groups, and professionals in education and psychology all contribute to a dangerous trend that places adult fulfillment above obligation to children. Parenthood by Proxy addresses the causes and effects of this national crisis, among them the high rate of divorce, serial marriages, single parenting, the premature sexualization of children, dual-career families, disdain for religion, the redefinition of immoral behavior as lifestyle choices, and societal intolerance for the concept of judgment. In Parenthood by Proxy, Dr. Laura exhorts parents to make their own children their top priority and, if necessary, to change their lives to do so. In her straight-shooting style, Dr. Laura entreats parents to involve themselves in their children's hearts, minds, and souls, to cherish and protect them, and to commit to the essential task of teaching them right from wrong. She acknowledges that parents no longer get much support from neighbors or public and private institutions, but she urges mothers and fathers to work even harder to counteract the prevailing culture of selfishness and irresponsibility. Parenthood by Proxy covers all aspects of parenting, from childbearing to discipline, from multiple families to being role models.




Munchausen by Proxy and Other Factitious Abuse


Book Description

This book covers Munchausen and Munchausen by Proxy (MBP) though the terms have recently changed. The 2013 DSM-V—the update to the American Psychiatric Association's (APA) diagnostic and classification tool—has classified both Munchausen and MBP as "Factitious Systematic Abuse." While thought to have occurred primarily with children and their caregivers, recent research shows a more widespread problem: such medical abuse to spouses, the disabled, the elderly—even pets. Many involve repeat and long-term instances of hospital and medical fraud. This book covers the syndrome itself, interviewing and investigative aspects, victimology, as well indicators in the event of homicide and death.




Munchausen by Proxy Syndrome


Book Description

Munchausen by Proxy Syndrome (MBPS), a form of child abuse in which a caretaker--usually a mother--fabricates and/or induces illness in a child, is one of the least understood forms of child abuse and mental illness. Examining the current knowledge about the manifestations and consequences of this perplexing behavior, Munchausen by Proxy Syndrome assists all professionals working with chronically ill children in identifying and intervening with this bizarre and often deadly form of abuse. Drawing from their firsthand experience with the complexities of such cases, the editors and contributors address critical issues of not only identification and assessment but also longterm psychotherapy. Therapy with the mother/perpetrator has traditionally been markedly unsuccessful, but this book provides a much-needed framework for the successful treatment of acknowledged perpetrators. Emphasizing the important role of efficient multidisciplinary cooperation in handling MBPS cases, Munchausen by Proxy Syndrome also features perspectives from experts in the fields of medicine, child protection, education, social work, hospital administration, and law. Munchausen by Proxy Syndrome demystifies the mother/perpetrator′s deception and gives professionals the knowledge to save children from induced life-threatening illnesses and consequent medical procedures. Professionals, academics, researchers, and students in a variety of fields, including clinical/counseling psychology, social work, nursing/health sciences, criminal justice, and law, will need the information presented in this book to help stop this form of abuse.




Conservation by Proxy


Book Description

The vast scope of conservation problems has forced biologists and managers to rely on "surrogate" species to serve as shortcuts to guide their decision making. These species-known by a host of different terms, including indicator, umbrella, and flagship species-act as proxies to represent larger conservation issues, such as the location of biodiversity hotspots or general ecosystem health. Synthesizing an immense body of literature, conservation biologist and field researcher Tim Caro offers systematic definitions of surrogate species concepts, explores biological theories that underlie them, considers how surrogate species are chosen, critically examines evidence for and against their utility, and makes recommendations for their continued use. The book clarifies terminology and contrasts how different terms are used in the real world considers the ecological, taxonomic, and political underpinnings of these shortcuts identifies criteria that make for good surrogate species outlines the circumstances where the application of the surrogate species concept shows promise Conservation by Proxy is a benchmark reference that provides clear definitions and common understanding of the evidence and theory behind surrogate species. It is the first book to review and bring together literature on more than fifteen types of surrogate species, enabling us to assess their role in conservation and offering guidelines on how they can be used most effectively.