Abstract:
BACKGROUND:In fabricated or induced illness (FII), a child is harmed due to caregiver(s) behaviour and actions, carried out to convince mainly doctors that the child's physical and/or psychological health is more impaired than in reality. Harm is caused directly by the caregivers(s) and also often inadvertently by doctors' responses. OBJECTIVES:To describe: dynamics underlying FII; wider definition of FII; alerting signs for early recognition of possible FII; respective responsibilities of health, social care, education. METHODS:Literature review, clinical experience, expert opinion. RESULTS AND CONCLUSIONS:Caregivers are motivated by gain from having their child treated as ill, and/or by erroneous beliefs about their child's health, either way needing medical confirmation about their contentions. Their behaviour is therefore directed primarily towards doctors. Most cases of FII present unexplained discrepancies between caregiver reports/actions and independent observations of the child. More rarely, the child has actual signs of illness, induced by the caregiver, occasionally fatal. Children are harmed in all aspects of life: health, daily functioning including education, and psychologically. Harm emanates directly from the caregiver(s) but also unintentionally from medical responses. Illness induction and clear deception by the caregiver require immediate child protection. Otherwise, the initial focus is on assessing the child's current health and functioning rather than caregiver's mental health. If, beyond verified illness, there is no medical explanation for the child's reported ill-health, the family require help to function better. This requires co-ordinated, multidisciplinary rehabilitation and long-term monitoring. If caregivers refuse rehabilitation, child protection is required. Several unanswered questions remain.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Glaser Ddoi
10.1016/j.chiabu.2020.104649subject
Has Abstractpub_date
2020-10-01 00:00:00pages
104649eissn
0145-2134issn
1873-7757pii
S0145-2134(20)30304-5journal_volume
108pub_type
杂志文章abstract::Increased religiosity is associated with a variety of improved outcomes, especially for youth in disadvantaged contexts. Although youth involved in child welfare may experience protective effects of religious participation or values, little is known about the impact of maltreatment on religious development. Using the ...
journal_title:Child abuse & neglect
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journal_title:Child abuse & neglect
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journal_title:Child abuse & neglect
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journal_title:Child abuse & neglect
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pub_type: 杂志文章
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journal_title:Child abuse & neglect
pub_type: 杂志文章
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.05.006
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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journal_title:Child abuse & neglect
pub_type: 杂志文章,meta分析
doi:10.1016/j.chiabu.2017.11.004
更新日期:2018-02-01 00:00:00
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doi:10.1016/0145-2134(91)90063-j
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journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.03.009
更新日期:2014-07-01 00:00:00
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journal_title:Child abuse & neglect
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journal_title:Child abuse & neglect
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