Münchhausens syndrom by proxy

**Münchhausens syndrom by proxy** («Münchausens syndrom ved stedfortreder»), forkortet **MBP**, er en psykiatrisk forstyrrelse der en omsorgsperson skaper falske symptomer hos et annet menneske ved å påføre det sykdom eller skade for å tilfredsstille sine egne indre behov. Offeret er som regel barnet til personen som dermed får oppmerksomhet og sympati som lidende forelder. 

Syndromet er i slekt med Münchhausens syndrom og har navn etter baron von Münchhausen, en figur fra boken *Baron von Münchhausens vidunderlige historier og eventyr* (1785) av Rudolf Erich Raspe, basert på skrønene adelsmannen med samme navn fortalte om sitt eget liv.

Det er en utvikling i pediatriske fagmiljøer i retning av å kalle det *medisinsk mishandling/vold* (*medical abuse*) for å synliggjøre skadevirkningene og for å gjøre det vanskeligere for gjerningspersoner å påberope seg en psykisk lidelse som en forsvarsstrategi.

## Referanser


## Se også
* Münchhausens syndrom, sykdomsatferd der en person stadig kontakter helsevesenet med fantastiske historier om fysiske eller psykiske symptomer

## Litteratur
* Lindahl MW. Beyond Munchhausen by proxy: a proposed conceptualization for cases of recurring, unsubstantiated sexual abuse allegations.J Child Sex Abus. 2009 Mar-Apr; 18(2). 206-220 (www.ncbi.nlm.nih.gov/pubmed/19306207)
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* Boros SJ, Ophoven JP, Andersen R, Brubaker LC. *Munchausen syndrome by proxy: a profile for medical child abuse*. Aust Fam Physician 1995; 24(5):768 769, 772 773
* Schulte R-M. *Intrakorporale Fremdkörper und Münchhausen Syndrom*. W. Zuckschwerdt Verlag 1988
* Gray J, Bentovim A. *Illness Induction Syndrome*. Child Abuse and Neglect (1996), 20, No 8, 655-673
* Feldman, Hickmanm. *The Central Venous Catheter as a Source of Medical Chaos in Munchausen Syndrome by Proxy*. Journal of Pediatric Surgery No 4 (April) 1998; 33:623-627
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* Libow JA. *Munchausen by proxy victims in adulthood: a first look*. Child Abuse Negl Sep. 1995; 19:1131 42
* Schreier H. *On the importance of motivation in Munchausen by Proxy: the case of Kathy Bush*. Child Abuse Negl 2002 May; 26(5):537-49
* Meadow R. *Unnatural sudden infant death*. Arch Dis Child 1999; 80:714
* Meadow R. *Munchausen syndrome by proxy abuse perpetrated by men*. Arch Dis Child 1998; 78(3):210 226
* Prakken AB, den Hartog L, Waelkens JJ. *A new variant of Munchausen's syndrome by proxy: the father in an active role*. Tijdschr Kindergeneeskd 1991; 59(3):91 94
* Single T, Henry RL. *An unusual case of Munchausen syndrome by proxy*. Aust N Z J Psychiatry 1991; 25(3):422 425
* M. E. Helfer, R. S. Kempfe, R. D. Krugman [Hrsg.]: *Das mißhandelte Kind. Körperliche und psychische Gewalt; Sexueller Missbrauch; Gedeihstörungen; Münchhausen-by-proxy-Syndrom; Vernachlässigung*, Frankfurt am Main: Suhrkamp, 2002, ISBN 3-518-58358-1.
* Gregory, Julie: *Du hast mich krank gemacht. Meine Mutter ließ mich leiden*, Ehrenwirth; 1. Aufl. (2004), 255 Seiten, ISBN 3-431-03602-3
* Marc D. Feldmann: *Wenn Menschen krank spielen, Münchhausen - Syndrom und artifizielle Störungen*, Reinhardt, München; 1. Aufl. (März 2006), 279 Seiten, ISBN 3-497-01836-8
* Volker Laubert: *Vorsicht mit dem Münchhausen-by-proxy-Syndrom - auch Mütter sind keine Hexen*, 5/2003, Quelle 
* Mertens, Verena: *Das Münchhausen-by-proxy-Syndrom und seine zivil- und strafrechtliche Bedeutung*, i: NJOZ 2009, S. 1665-1681.