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<p>Fabricated and/or induced illness (FII, formerly Munchausen syndrome by proxy)/medical child abuse (MCA) is a&#xa0;form of child abuse in which a&#xa0;child or young person under the age of 18&#xa0;years receives unjustified medical treatment through the actions of a&#xa0;caregiver (BP). This article explains definitions, alerting signs and the recommended course of action in suspected cases of FII/MCA. The term FII (used in Austria)/MCA (used in Germany), which has recently been introduced, places the child’s experience at the center of the discussion and underscores their status as a&#xa0;victim of maltreatment. The diagnosis is made independently of the motives or the psychological state of the caregiver. Furthermore, the term perplexing presentations (PK) is introduced, offering novel approaches to the recommended procedure in such cases. The recognition of alerting signs and the adoption of a&#xa0;multidisciplinary approach are essential to protect the child from further harm.</p>

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Fabrizierte und/oder Induzierte Krankheit und medizinische Kindesmisshandlung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月28日

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  • Chryssa Grylli,
  • Kira Borgardt,
  • Christian Heil,
  • Oliver Berthold,
  • Eva Anna Mora-Theuer,
  • Johanna Schöggl,
  • Katharina Weimann,
  • Martin Ploder

摘要

Fabricated and/or induced illness (FII, formerly Munchausen syndrome by proxy)/medical child abuse (MCA) is a form of child abuse in which a child or young person under the age of 18 years receives unjustified medical treatment through the actions of a caregiver (BP). This article explains definitions, alerting signs and the recommended course of action in suspected cases of FII/MCA. The term FII (used in Austria)/MCA (used in Germany), which has recently been introduced, places the child’s experience at the center of the discussion and underscores their status as a victim of maltreatment. The diagnosis is made independently of the motives or the psychological state of the caregiver. Furthermore, the term perplexing presentations (PK) is introduced, offering novel approaches to the recommended procedure in such cases. The recognition of alerting signs and the adoption of a multidisciplinary approach are essential to protect the child from further harm.