Munchausen by Proxy (MBP) Maltreatment Manifesting as Child Sexual Abuse

Abstract: Munchausen by Proxy (MBP) is a recognized form of maltreatment in which caregivers deliberately feign or produce physical and/or psychological-behavioral problems in others. MBP maltreatment may manifest as physical abuse, emotional abuse, medical neglect, sexual abuse, or a combination thereof. When sexual abuse is suspected during an MBP maltreatment investigation or MBP is suspected during a sexual abuse investigation, both sexual abuse and MBP investigation activities and techniques must be combined. This article will provide an MBP overview and an introduction to the basics of appropriate MBP investigation and substantiate/unsubstantiate.

Key Words: Munchausen by Proxy, Munchausen by Proxy Syndrome, Munchausen Syndrome by Proxy, Factitious Disorder by Proxy, MBP, MSBP, MSP, maltreatment, abuse, neglect, physical abuse, emotional abuse, neglect, sexual abuse.

In the paper that follows, we will provide an overview of the disturbing and complex form of maltreatment called Munchausen by Proxy (MBP). We will explain how MBP can manifest itself through child sexual abuse, provide basics of the appropriate MBP investigation and confirmation-disconfirmation process, and offer ideas about enhancing the sexual abuse investigation through consideration of MBP. It is not possible in this piece to provide information regarding all activities and methods of the process. We strongly suggest that, if MBP maltreatment is suspected in any situation, a professional with considerable, credible expertise specific to MBP be involved. The following material is based on our knowledge and experience in the field of MBP.