Munchausen syndrome by proxy (MSBP) 案例 -- 異常行為

代理性 孟喬聲 症候群 MSBP
案例..


為離婆家 逼女兒裝腹痛盲腸被割


更新日期: 2007/06/09 16:20 記者:記者李樹人/台北報導

婆媳處不好，為了離開婆家，媳婦竟然要小女兒裝病，整天帶她看醫師，甚至住院。就讀幼稚園的小朋友乖乖配合演出肚子痛，演技堪稱一流，最後竟還被割了盲腸。最後醫師起疑心，委請隔壁床的病人暗中觀察，才拆穿這離譜的騙局。


虐兒事件頻傳，為了提高民眾警覺，中華民國兒童保健協會上午舉辦「兒童幼兒防虐新思維」研討會，台北馬偕醫院小兒神經暨感染科主任邱南昌在報告中揭露了這起國內罕見的虐兒個案。


該名虐兒媳婦住在中部，原本與婆婆住在一起，兩人關係水火不容，為逃避與公婆共處，媳婦竟然異想天開，要就讀幼稚園的女兒裝病。就為了母女兩人能名正言順地在外面就醫、住院。


為了討得母親歡心，女兒竟也配合演出這齣苦肉計，整天說自己腳痛、肚子痛，母女兩人就一直到醫院掛號看病，找盡藉口不回婆家。


小女孩本來就沒有病，醫師們為了找出病因，幫她做了許多侵入性檢查，如胃鏡、內視鏡，一般大人接受這類檢查，都會覺得不舒服，更何況是小女生。


最令人馬偕醫院社工人員驚訝的是，小女孩的盲腸居然就這樣被割掉了，因為演技實在逼真，中部某家醫院的醫師誤以為是闌尾炎，就幫小女孩動刀割了盲腸。而明知女兒只是演戲的母親竟不吭聲。


母女兩人幾乎逛遍了中部各大醫院，當然，醫師們都找不出病因，最後母親帶著女兒至台北馬偕就診，女兒還是聲稱肚子痛、頭痛、腳痛，但接受許多檢查，還是找不出原因。


邱南昌指出，當他看到這對母女時，就聯想到「代理孟喬森症候群」，父母或照顧者杜撰或製造孩童的病症，讓孩子接受種種醫學檢查，包括侵襲性的治療，甚至開刀。


家長及小朋友一搭一唱所製造的病情，乍聽之下符合醫學的推理，但仔細推敲又沒有一個疾病可概括所描述種種誇張的病症，而家長又鼓勵醫師安排多項檢查，甚至手術，對醫療程序的興趣大於對孩子病情的關心，且不願意小孩出院。


最後醫師請託同病房的病人偷偷觀察這對母女的行徑，發現如果醫師護士沒到病房，小女孩就開心地玩著，但只要醫護人員一來，或是醫師巡房，馬上就直喊痛，表情十足。才拆穿了這對母女的謊言。


邱南昌無奈地說，儘管被識破了，但母親仍堅決否認，反而指責醫師及院方，並匆匆辦了出院手續，目前個案後續追蹤已交由社工人員處理中。


邱南昌表示，「代理孟喬森症候群」屬於精神虐兒的一種，對於受虐兒來說，將有深遠的負面影響，長大之後，極可能出現偏差行為，遇到事情就會逃避，對孩子會有長遠的不良影響。



附註：
Munchausen 是十八世紀一個說故事者



查 munchausen


結果共發現 2 筆關於 [Munchausen] 的資料

資料來源(1): pydict data [pydict]


Munchausen

說大話的人,狂言,大話


資料來源(2): WordNet (r) 2.0 [wn]

Munchausen

n : German raconteur who told preposterous stories about his

adventures as a soldier and hunter; his name is now

associated with any telling of exaggerated stories or

winning lies (1720-1797)


[syn: {Munchhausen},


{Karl Friedrich Hieronymus von Munchhausen},


{Baron Munchausen}]


http://autisticbfh.blogspot.com/2006/07/munchausen-by-society.html


The term Munchausen by Proxy, which was named for the wildly imaginative 18th century storyteller Baron Munchausen, refers to the behavior of a parent who seeks attention by falsely claiming that his or her child is seriously ill. I read about a case like that in my local newspaper.


A mother claimed that her young daughter was dying of brain cancer; in fact, the child was completely healthy. To carry off this deception, the mother shaved her daughter's head and gave the child sleeping pills to create a drowsy and sick appearance, telling her that it was medicine for her disease. She even took the child for counseling about her impending death. Neighbors took up a collection to help pay the little girl's medical expenses, and the mother spent the money on clothes and lottery tickets. Fortunately this woman was caught and sent to prison before any permanent physical harm was done to her daughter, but I shudder to think of the extent of the emotional damage. That poor little girl had her childhood stolen from her in the cruelest of ways.