© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health
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Child abuse—and more specifically Munchausen syndrome by proxy (now renamed fabricated and induced illness)—has been the focus of a great deal of attention in both the scientific and popular press. Margaret Talbot, a staff writer and Senior Fellow at a Washington D.C. think-tank, recently wrote a long and provocative piece in the New Yorker (August 9 and 16, 2004 issue). Entitled "The bad mother – Munchausen syndrome by proxy is a rare, bizarre disorder – why are so many women being accused of it?" the article provides a unique perspective of this troubling entity. Beginning with a report by Professor Meadow in the Lancet in 1977, she explores its origins, refers to the work of Professor Southall, extensively reviews the psychiatric literature, and uses a specific case in Ottawa to highlight many of the complex issues surrounding the "syndrome".
In April, 2004 the NHS announced that letters from consultants to
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