CULTURE AND MUNCHAUSEN-BY-PROXY SYNDROME - THE CASE OF AN 11-YEAR-OLDBOY PRESENTING WITH HYPERACTIVITY

Objectives: To discuss some of the challenges presented to the clinici an who deals with a possible Munchausen-by-proxy (MBP) syndrome Method : The case of an II-year-old boy presenting with hyperactivity is disc ussed Information from the initial assessment and the 9-month follow-u p period is presented. We highlight some cultural considerations as th ey apply to this immigrant family. A commentary by Dr H Schrier follow s the presentation Results: The positive outcome is discussed in relat ion to the validation of the diagnosis as well as to cultural issues. Conclusion: Cultural issues and dynamic factors may be important when we consider the diagnosis of MBP syndrome in an immigrant family with different expectations from our health care system.