Silent abuse in the blind spot between medicine and law: A case series of Munchausen syndrome by proxy from Türkiye

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dc.contributor.authorAsan, Oemer
dc.contributor.authorKavla, Yasin
dc.contributor.authorBoylu, Muhammed Emin
dc.contributor.authorSahin, Hueseyin Cagri
dc.contributor.authorCirakoglu, Emre
dc.contributor.authorOezcanli, Tuba
dc.contributor.authorDuran, Alaattin
dc.date.accessioned2025-07-23T20:44:14Z
dc.date.available2025-07-23T20:44:14Z
dc.date.issued2025
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractMunchausen syndrome by proxy is a rare but dangerous form of child abuse in which a caregiver exaggerates, fabricates, or induces medical symptoms in a dependent individual, typically a child. It is of the utmost importance to recognize and address this syndrome, which has significant legal and medical consequences. The failure to identify cases in a timely manner and to implement appropriate intervention strategies may result in irreparable harm or even fatal consequences. This study examined four cases involving 15 child victims and four perpetrators. All individuals were referred to the Turkish Council of Forensic Medicine for evaluation of criminal responsibility. The data were sourced from the National Judicial Network Project and case files spanning a decade. A comprehensive review of the clinical and forensic records was conducted. The four perpetrators, all females aged 27-34, exhibited histories of adverse childhood experiences, early marriage, limited education, and neglect. The clinical manifestations in children included apnea, immobility, bleeding, and bruising. Eleven children died before the abuse was detected, and four children were removed from their homes and placed under the protection of the state. MSBP is still frequently overlooked in clinical practice, which can result in irreparable harm and even death among affected children. The severe cases, as illustrated in this manuscript, demonstrate a recurrent pattern of abuse that persists until the cases are identified. An integrated multidisciplinary approach, involving medical and forensic services, is of paramount importance to facilitate the recognition and prevention of this form of child abuse.
dc.identifier.doi10.1111/1556-4029.70059
dc.identifier.endpage1488
dc.identifier.issn0022-1198
dc.identifier.issn1556-4029
dc.identifier.issue4
dc.identifier.pmid40298062
dc.identifier.scopus2-s2.0-105004204850
dc.identifier.scopusqualityN/A
dc.identifier.startpage1480
dc.identifier.urihttps://doi.org/10.1111/1556-4029.70059
dc.identifier.urihttps://hdl.handle.net/20.500.14704/1114
dc.identifier.volume70
dc.identifier.wosWOS:001477967500001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWILEY
dc.relation.ispartofJOURNAL OF FORENSIC SCIENCES
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250711
dc.subjectchild abuse
dc.subjectchild maltreatment
dc.subjectcriminal responsibility
dc.subjectfactitious disorder imposed on another
dc.subjectmedical child abuse
dc.subjectMunchausen syndrome by proxy
dc.titleSilent abuse in the blind spot between medicine and law: A case series of Munchausen syndrome by proxy from Türkiye
dc.typeArticle

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