Los autores exponen el concepto actualizado de síndrome de Munchausen por podres. Caracterizan de forma actualizada y detallada: 1. Formas clínicas del síndrome de Munchausen. 2. Factores de riesgo familiar (en ambas figuras parentales y en el niño). 3. Características evolutivas. 4. Funcionamiento del sistema sanitario: hiperfrecuentados de servicios sanitarios. 4. Bases para la intervención terapéutica: primera etapa en los servicios pediátricos de Atención Primaria y segunda etapa en los servicios de Salud Mental de la Infancia. Se destaca la importancia de las técnicas de interconsulta y enlace desde los Servicios de Pediatría y Psiquiatría Infantil para el tratamiento del síndrome de Munchausen por poderes (AU)
The authors present an approach to the Munchausen´s Syndrome by Proxy. Focusing on the clinical features including psychopathological and psychosocial profile. Authors consider also family risk factors- both the parenting and the children, developmental characteristics and Health Care Services delivery its relationship with the impact on the clients attendance. The therapeutic interventions was implemented in tow phases: the first phase Primary Care Paediatric setting, and the second phase in Child Psychiatry Services. Authors emphasize the relevance of the liaison-consultation between Paediatrician and Child Psychiatrist as a key procedure to approach Munchausen´s Syndrome by Proxy treatment (AU)
Humans , Male , Female , Child , Adolescent , Munchausen Syndrome/epidemiology , Risk Factors , Primary Health Care/organization & administration , Primary Health Care/trends , Child Health Services/organization & administration , Child Health Services/trends , Munchausen Syndrome/physiopathology , Primary Health Care/standards , Adolescent Psychiatry , Child Psychiatry/standards , Child Psychiatry/trends , Mental Health
