Munchausen syndrome by PROXY

Hippokratia 2006, 10(2):90-91

V Kola, E Kola, A Koroshi
Dpt Psychiatry, Dpt Pediatrics, Dpt Nephrology, University Hospital Centre “Mother Teresa”, Tirana, Albania


We report a case of Munchausen syndrome by proxy, which includes the description of three different clinical situations of the child, sustained all by her parents(mainly the mother). Munchausen by proxy syndrome, in which a mother seeming apparently careful and preoccupied who at the same time injures her own child, takes origin in a deep feeling of earlier negligence of mother during her own childhood. This way of understanding such relationships, extends the definition of perversions. In this sadistic-masochistic interaction, the child gets dehumanized and used as a fetish object to control the relationship. This syndrome is mostly observed in children under the age of 6, but it can be developed even later.

Keywords: munchausen, by proxy, syndrome, MSBP

Correspoding author: Koroshi A, Dpt Nephrology, University Medical Centre “Mother Teresa”, Tirana, Albania