Munchausen’s by ProxyI was just watching a presentation of Dr. Bell (at around minute 325), and it occurred to me how similar "Munchausen's by Proxy" is to what the Simon Wessely school is doing in CFS. You have:
1. Illness in a child that is simulated or produced by a parent or someone acting in loco parentis.
2. Presentation of the child for medical assessment and care, usually persistently, often resulting in multiple medical procedures
3. Denial of knowledge by the perpetrator as to the etiology of the child's illness
4. Abatement of the child's acute symptoms when the child is separated from the perpetrator. Excludes physical and sexual abuse and nonorganic failure to thrive.
Shaw. Factitious disorder by Proxy; Harvard Rev Psychiatry 16, 215-223, 2008 (via)
- Psychopathologization by doctors
- Psychological assesment and treatment by CBT, GET
- Denial of knowledge to the nature of the supposed "false illness believes"
- Most of the psychological manifestation abate when the psychopathologization is replaced with proper care (if it isn't in the eye of the beholder in the first place)