Overview
Fabricated or Induced Illness (FII), formerly known as Munchausen Syndrome by Proxy, is a rare form of child abuse where a caregiver, usually a parent, deliberately creates or exaggerates medical symptoms in another person, typically their child.
Key Characteristics
- False reporting of symptoms
- Manipulation of diagnostic tests
- Actual induction of illness in the victim
- Excessive seeking of medical attention
Warning Signs
Medical History Patterns
- Symptoms only occurring in caregiver's presence
- Multiple unusual illnesses or conditions
- Unexplained symptoms that don't respond to treatment
- Frequent healthcare provider visits
Behavioral Indicators
- Caregiver appears overly concerned about medical procedures
- Caregiver seeks multiple medical opinions
- Child's reported symptoms don't match clinical findings
- Caregiver appears to enjoy medical environment
Impact on Victims
- Physical harm from unnecessary treatments
- Psychological trauma
- Disrupted education and development
- Long-term health complications
Diagnosis and Management
Professional Assessment
- Detailed medical history review
- Documentation of incidents
- Multi-agency collaboration
- Safeguarding measures
Treatment Approach
- Child protection measures
- Mental health support for both victim and perpetrator
- Family intervention when appropriate
- Regular monitoring and follow-up
Getting Help
If you suspect FII:
- Contact child protective services
- Inform healthcare providers
- Document all concerns
- Seek professional guidance
Prevention and Support
- Early recognition of warning signs
- Professional training and awareness
- Support services for families
- Multi-agency cooperation