Munchhausen syndrome by proxy by children and teenagers growing, reaching adulthood with disharmonic features of personality, even psychic disturbances/troubles or mental disorders

Title : Munchhausen syndrome by proxy by children and teenagers growing, reaching adulthood with disharmonic features of personality, even psychic disturbances/troubles or mental disorders

Abstract:

Background: Munchausen's syndrome is described by Dieulafoy in 1908 but, this factice Troubles by proxy caused by people in charge of the young, usually mothers are more known only particularly since 2002, after the works of Meadows, Rosenberg, De Becker (1) in 2006. We will try to highlight his explicitation/clarification in the changing society.

Methods: Working during 40 years in the frame of hospitals, in charge of different places of cares: As Chief of adults then children and adolescents psychiatric Services in C.H.U and also as counsellor in medico-psychologique institutional 's places – we have had to receive mothers, by whom, we discerned, during our clinical approach, the reality of that morbid attitude to create factice deleterious disorders by the young ones inside their family or being close during educational times. That kind of comportment due to their imaginary may drive children or teenagers to psychic organizations or even disorders later. As pedo-psychiatrist, we have to discern such type of troubles and to help and take preventive care and therapeutical means and to meet such cases resulting of false interrelationships. As Psychiatric Expert of Appeal's and also Cassation's Courts, we have had the opportunity to make expert examinations.

Results: All was depending of psychogenetic background of the child and more other, the type of disguised malevolence and of the deep intentionality and also, if a medical add had happen. The age where these factice troubles were suicidal and the duration and the resilience's capacities and of the level of ability of the young victims.

Biography:

Dr. Hugues Scharbach, MD is a distinguished Neuropsychiatrist and Honorary National Expert in pharmacotherapy with extensive experience in academic medicine, clinical psychiatry, forensic expertise, and international research.

He began his academic career in neuroanatomy in Paris and later served as Invited Professor of Physiology at the University of Bujumbura, followed by an appointment at Paris VI Faculty of Medicine. Clinically, he served as Psychiatre des Hopitaux and Head of Adult Psychiatry at Nantes University Hospital (CHRU), where he also founded and directed the Child and Adolescent Psychiatry Service.

Dr. Scharbach has contributed to multiple Phase III and Phase IV clinical trials and advanced pharmacological research. A recognized authority in forensic psychiatry, he has conducted thousands of court-appointed psychiatric evaluations for major French courts and overseas territories.

He is the author of the three-volume reference work “Expertises psychiatriques et médico-psychologiques au penal” (Lyon University Press; ESKA Paris, 1990–2019), including a volume dedicated to transgressive children and adolescents. An international keynote speaker, he has published widely on borderline and dissocial personality spectra, forensic psychopathology, and transgressive behaviors in youth, including presentations at major psychiatric congresses such as Chicago-Skokie (2019).