Who a Mother with Munchausen’s Syndrome by Proxy Who May Have Developed into a Serial Killer: A Case Study
American Journal of Psychiatry and Neuroscience
Volume 3, Issue 5, September 2015, Pages: 94-97
Received: Aug. 5, 2015; Accepted: Aug. 27, 2015; Published: Sep. 6, 2015
Views 5381      Downloads 92
Yasemin Akkoca, Ankara Training and Research Hospital, Department of Psychiatry, Ankara, Turkey
Aslı Cepik Kuruoglu, Gazi University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey
Figen Dagli, Gazi University Faculty of Medicine, Department of Pediatry, Ankara, Turkey
Article Tools
Follow on us
Factitious disorder imposed on another (FDIA) or Munchausen syndrome by proxy (MSBP) is a kind of child abuse. The perpetrator, usually the mother, intentionally causes an illness or psychological symptoms in the child or invents a history of disease. While, in the literature, some FDIA patients have killed more than one child of their own have been reported, no case in which any patient showing FDIA symptoms turned into a serial killer by killing other people’s children. In this paper, we presented a case of FDIA in which the patient may have turned into a serial killer. The case who is 27 month-girl was admitted to Gazi Medical Hospital with the complaint of seizure. The mother was diagnosed as the FDIA in this hospital, two months later, it was learned that the mother had killed her neighbour's child and that she confessed her crime after she was captured. Having examined the history retrospectively, it was discovered that there may also have been other unexpected deaths related with the mother. The suspicious death was lack of evaluated beceause of considered as an accidental event or fate by police. We think that cultural dilemmas could be the reason of delayed explaining of the events. The purpose of this case presentation is to increase the common awareness that FDIA patients could be dangerous for the other children as well as their own ones.
Munchausen Syndrome by Proxy, Abuse, Serial Killer, Factitious Disorder Imposed on Another
To cite this article
Yasemin Akkoca, Aslı Cepik Kuruoglu, Figen Dagli, Who a Mother with Munchausen’s Syndrome by Proxy Who May Have Developed into a Serial Killer: A Case Study, American Journal of Psychiatry and Neuroscience. Vol. 3, No. 5, 2015, pp. 94-97. doi: 10.11648/j.ajpn.20150305.13
R. Meadow, “Munchausen syndrome by proxy the hinterland of child abuse,” Lancet, vol. 2, no. 8033, pp. 343–345, 1977.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th edn. Washington, DC: American Psychiatric Association, 2013.
J. Klepper, A. Heringhaus, C. Wurthmann, and T. Voit, “Expect the unexpected: favourable outcome in Munchausen by Proxy syndrome,” Eur J Pediatr, vol. 167, no. 9, pp. 1085–1088, 2008.
H. Schreier, “Munchausen by proxy defined,” Pediatrics, vol. 110, no.5, pp. 985–988, 2002.
DM. Hall, “The future of child protection,” J R Soc Med, vol. 99, no. 1, pp. 6–9, 2006.
JJ. Stirling, “Beyond Munchausen syndrome by proxy: identification and treatment of child abuse in a medical setting,” Pediatrics, vol. 119, no. 5, pp. 1026–1030, 2007.
H. Küçüker, T. Demir and R. Oral, “Pediatric condition falsification (Munchausen syndrome by Proxy) as a continuum of maternal factitious disorder (Munchausen syndrome),” Pediatric Diabetes, vol. 11, no. 8, pp. 572-8, 2010.
The 2nd Felony Court of Konya, 19.9.2009, Cose Number: 2009/55.
P. Davis, R. McClure, K. Rolfe, N. Chessman, S. Pearson, Sibert J, and R. Meadow, “Procedures, placement, and risks of further abuse after Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation,” Arch Dis Child, vol. 78, pp. 217-221, 1998.
MS. Sheridan, “The deceit continues: An uptadete literature review of Munchausen syndrome by proxy,” Child Abuse and Neglect, vol. 27, pp. 431-451, 2003.
SR. Meadow, “Management of munchausen syndrome by proxy,” Arch Dis Child, vol. 60, pp. 385–393, 1985.
R. Meadow, “Munchausen syndrome by proxy,” Biritish Medical Journal, vol. 298, pp. 248-250, 1989.
PG. Schnitzer, SP Gulino, and YT. Yuan, “Advancing public health surveillance to estimate child maltreatment fatalities: Review and recommendations,” Child Welfare, vol. 92, no. 2, pp. 77–98, 2013.
D. Rocha, “The phenomena of phantom illness: A discussion of Munchausen syndrome by proxy,” Praxıs Fall, vol. 4, pp. 52-58, 2004.
O. Polat, H. Dokgöz, “Tüm boyutlarıyla çocuk istismarı. Ankara, Seçkin Yayıncılık, s. 312, 2007.
SO Mercer and JD. Perdue, “Munchausen syndrome by proxy: Social work’s role,” Social Work, vol. 38, no. 1, pp. 74-81, 1993.
AF. Makar and PJ. Squier, “Munchausen syndrome by proxy: father as a perpetrator,” Pediatrics, vol. 85, pp. 370-373, 1990.
DF. Özdemir, SS. Yalçın, A. Zeki, K. Yurdakök, Ş. Özusta, and A. Köse, “Munchausen syndrome by proxy presented as recurrent respiratory arrest and thigh abscess: a case study and overview,” The Turkish Journal of Pediatrics, vol. 55, pp. 337-343, 2013.
C. Özbesler and Aİ. Çoban, “Ebeveyn yoluyla Munchausen sendromu olgularında sosyal hizmetin rolü,” Aile ve Toplum Eğitim-Kültür ve Araştırma Dergisi, vol.6, no. 22, pp.40-49, 2010.
SA. Haddad, KK. Winer, A. Gupta, S. Chakra barti, P. Noel, and HG Klein,“A puzzling case of anemia,” Transfusion, vol. 42, no. 12, pp. 1610-1613, 2002.
W. Berner, “Formen des sadismus [Forms of sadism],” Zeitschrift Psychoanalytische Theorie und Praxis, vol. 12, no.2, pp. 166–182, 1997.
T. Parnell, “Guidelines for identifying cases.” In: Parnell T, Day D, eds. Munchausen syndrome by proxy syndrome, Misunderstood child abuse, California: Sage, pp. 47–67, 1998.
C. Bass and D. Glaser, “Factitious disorders 1, Early recognition and management of fabricated or induced illness in children,” Lancet vol. 383, pp. 1412–21, 2014.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186