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<p>Munchausen by Proxy abuse occurs when a caretaker with a psychiatric condition called Factitious Disorder Imposed on Another intentionally falsifies illness and/or disability in another, usually a mother falsifying illness or disability in her child. Optimal recovery from MBP abuse requires a variety of interventions with the survivor, with an emphasis on using accurate information to help the survivor better understand reality and develop a healthier self-narrative. The goals of this paper are to provide information about the psychological aspects of Munchausen by Proxy abuse and to propose a psychological treatment framework tailored to the needs of survivors. Components of the heuristic model, using the acronym STORIES, include Safety and Stabilization, Trauma Processing &amp; Support, Obtaining Information; Rebuilding Trust and Relationships; Integration of Health and Well-Being; Empowerment and Self-Esteem, and Sustained Support and Follow-Up. The model can be used as a guide for mental health providers, child and adult welfare professionals, and legal experts within the field of maltreatment who are developing safety and treatment plans for MBP survivors.</p>

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Proposed Framework for the Psychological Treatment of Munchausen by Proxy Survivors

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年2月13日

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  • Mary J. Sanders,
  • Brenda Bursch

摘要

Munchausen by Proxy abuse occurs when a caretaker with a psychiatric condition called Factitious Disorder Imposed on Another intentionally falsifies illness and/or disability in another, usually a mother falsifying illness or disability in her child. Optimal recovery from MBP abuse requires a variety of interventions with the survivor, with an emphasis on using accurate information to help the survivor better understand reality and develop a healthier self-narrative. The goals of this paper are to provide information about the psychological aspects of Munchausen by Proxy abuse and to propose a psychological treatment framework tailored to the needs of survivors. Components of the heuristic model, using the acronym STORIES, include Safety and Stabilization, Trauma Processing & Support, Obtaining Information; Rebuilding Trust and Relationships; Integration of Health and Well-Being; Empowerment and Self-Esteem, and Sustained Support and Follow-Up. The model can be used as a guide for mental health providers, child and adult welfare professionals, and legal experts within the field of maltreatment who are developing safety and treatment plans for MBP survivors.