Unraveling Munchausen by proxy syndrome

Lido Wellness Center Blog

Munchausen by Proxy Syndrome

August 18, 2023

We are going to cover a topic that is not very fun. It is messy and filled with difficulty. Be aware, we are not going to go into details, but this is essentially a child abuse issue. So please be aware we will cover parts of this topic. This article/discussion touches on themes of child abuse, medical trauma, emotional manipulation, and mental health issues. Please proceed with caution if any of these topics might be triggering for you.

That said, let’s look at Munchausen by proxy syndrome.

It’s one of those bewildering and painful corners of the human psyche, a space where love and harm are tragically entangled.

MBPS Is Child Abuse

Munchausen by proxy syndrome, often abbreviated as MBPS, is a form of child abuse. Here, a caregiver, usually a mother, either exaggerates, fabricates, or induces physical or psychological symptoms in someone under their care. While the motivations can vary, one commonly believed reason is the caregiver’s need for attention, validation, or sympathy. The “sick” individual (often a child) becomes a conduit for these needs.

Now, if you’re raising your eyebrows or thinking, “Who would do such a thing?”, you’re not alone. It’s important to remember that people are layered, intricate puzzles. It’s easy to think of villains and heroes, but when we start labeling, we close the door to deeper understanding.

Here’s a brief sketch in numbers:

• Few and Far Between: Only about 1,000 of the 2.5 million child abuse cases reported annually in the US can be ascribed to MBPS.
• Motherly “Love”: Approximately 85% of the perpetrators are mothers. And this isn’t because mothers are inherently sinister. It’s possibly because they’re traditionally the primary caregivers and are more closely scrutinized in medical settings.
• Shadowed by Mystery: It’s estimated that up to 10% of cases in pediatric chronic illness might be cases of MBPS, but we really don’t know for sure. It’s a tough condition to diagnose.

Who Has the Syndrome?

It’s not accurate to say the child “has” MBPS. Instead, the child is subjected to the behaviors and actions stemming from the caregiver’s manifestation of MBPS. The caregiver, on the other hand, is the one with the disorder. They are causing the harm or fabricating the symptoms for various reasons, often related to a need for attention, sympathy, or control.

So, in essence, the caregiver manifests MBPS (or Factitious Disorder Imposed on Another – FDIA), and the child is the one being harmed or made to appear sick by the caregiver’s actions.

So, the direct and most profound suffering is experienced by the child, who is subjected to unnecessary medical procedures, emotional distress, and a distorted sense of health and well-being. They might grow up with a skewed perception of their own health, facing potential long-term psychological and physical consequences.

The Whys and How’s of Munchausen by Proxy

It’s important to note that the adult perpetrator, while responsible for the abuse, may also be suffering from psychological issues or disorders that lead them to this behavior. Their actions are certainly harmful and inexcusable, but it’s possible that their own mental health struggles play a role in the manifestation of MBPS. It’s a complex issue that intertwines the mental well-being of both the caregiver and the child. Here are some potential underlying causes:

• The Need for the Spotlight: We all crave attention. But imagine a need so profound that it eclipses reason. Caregivers might be seeking the emotional satisfaction derived from the attention and sympathy of doctors, nurses, and others who express concern.
• Playing the Savior: There’s an addictive high that comes from appearing knowledgeable, competent, and necessary. The caregiver feels vital in the medical setting.
• Control and Power: Inducing illness can be a way to control a child, to keep them dependent.
• Unresolved Past Trauma: Some caregivers might have faced trauma or neglect in their past. This behavior can be an unconscious attempt to resolve that past pain.
• Mental Health Issues: Some perpetrators might have underlying disorders like borderline personality disorder or narcissistic personality disorder.

Understanding MBPS requires us to face the shadowed alleys of the human heart. It’s about realizing that sometimes, the lines between love, pain, and attention can blur into a heart-wrenching shade.

Seeking Light in the Shadows?

If you or someone you know is navigating the intricate maze of mental health challenges or Munchausen by Proxy Syndrome, remember that seeking help is a sign of strength, not weakness. Lido Wellness Center in Newport Beach offers a place to find clarity and work towards healing. You don’t have to walk this path alone; Lido is here to guide, support, and uplift. Call today: 949-541-8466.