Child Abuse as a Medical 'Syndrome': Munchausen Syndrome by Proxy

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  • Nambu Saori
    Graduate school of Medicine, Yokohama City University; JSPS Research Fellow

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Other Title
  • 「症候群」としての児童虐待と「代理人によるミュンヒハウゼン症候群」
  • 「症候群」としての児童虐待と「代理人によるミュンヒハウゼン症候群」--医学的「症候群」証拠の意義と刑事裁判
  • ショウコウグン ト シテ ノ ジドウ ギャクタイ ト ダイリニン ニ ヨル ミュンヒハウゼン ショウコウグン イガクテキ ショウコウグン ショウコ ノ イギ ト ケイジ サイバン
  • 医学的「症候群」証拠の意義と刑事裁判
  • The Significance of Medical 'Syndrome' Evidences in Criminal Fact Finding

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From flooded literature Meadow considered it has been used most as the criteria of MSBP: (1)Illness in a child which is fabricated by a parent, or someone who is in loco parentis. (2)The child is presented for medical assessment and care, usually persistently, often resulting in multiple medical procedures. (3)The perpetrator denies the aetiology of the child's illness. (4) Acute symptoms and signs of illness cease when the child is separated from the perpetrator (Meadow 1995). As meadow himself admitting, those criteria is lack of specificity and they has led to confusion for the medical, social work, and legal professions. This paper discusses the characteristics and significance of the concept of MSBP as a medical syndrome, and traces the influence it has on finding factual evidence. As the result of those discussions, the authors found that MSBP concept is useful to have in the clinical aspect where practitioners discovered hidden child abuse. In the aspect of criminal fact findings, fact finder may make reference to MSBP evidences not as dispositive fact but one of the indirect evidences. In the nature as medical syndromes about child abuse, the evidence of medical witness about MSBP is inadmissible when it inescapably bears solely on proving that a crime occurred.

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