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doi: 10.1046/j..1989.00357.xpmid: N/A
The case of a 69‐year‐old male with features of Munchausen's Syndrome by Proxy is described. The identified patient was referred to 25 different medical teams, over a four‐year period, through the insistence of his 55‐year‐old female companion, an ex‐nurse. Significant factors relating to the diagnosis of patients with Munchausen by Proxy are discussed, and comparisons made between the syndrome as originally described in children and those features presenting later in life. Munchausen by Proxy involving the elderly, may also involve abuse. The authors wish to draw attention to some of the systemic issues involved in such a process, and discuss possible interventions. Attention is also drawn to the difficulties in management of this particular case, and the possible widespread prevalence of less florid and therefore, unrecognized cases in the elderly.
Carr, Alan; McDonnell, Dermot; Afnan, Shahin
doi: 10.1046/j..1989.00358.xpmid: N/A
The successful treatment of a case of anorexia nervosa in a 14‐year‐old boy is described in this paper. The treatment comprised an initial month‐long hospital‐based behavioural weight gain programme. Concurrently a family evaluation was conducted. Family therapy, involving the parents only, was conducted over a subsequent four month period. The management of a relapse four months after the termination of treatment is described and information obtained at 9 and 16 month follow up is presented.
Huffington, Clare M.; Sevitt, Michael A.
doi: 10.1046/j..1989.00359.xpmid: N/A
The families of 26 school non‐attending adolescents (15 phobics, 11 truants) took part in a special task interview which was observed and video taped. The Summary Format for Family Interaction and Family Description Form were used to describe the families. Characteristic items were observed more frequently in phobic than truant families. The two items that discriminated statistically between the groups, and could therefore be said to characterize phobic families, involved the index child's behaviour within the family, notably his passivity and lack of initiative, his sadness and appearance of having given up. A number of other items just failed to reach statistical significance. A pattern of interaction in phobic families is suggested and the nature of its relationship with the phobic symptom is discussed. A developmental model is used to explain some of the differences seen in families of adolescents.
doi: 10.1046/j..1989.00363.xpmid: N/A
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