“Each morning we are born again. What we do today is what matters most.”

Jack Kornfield

"Time in a Bottle" is a song by singer-songwriter Jim Croce. He wrote the lyrics after his wife Ingrid told him she was pregnant in December 1970. It appeared on Croce's 1972 ABC debut album You Don't Mess Around with Jim.


After he was killed in a plane crash in September 1973, the song was aired frequently on radio, and demand for a single release built. The single of "Time in a Bottle" became Croce's second and final track to reach number 1 in the United States.


His Son A.J. Croce was a week shy of his second birthday when his father died. He said he can’t remember him.


“It’s a little bit surreal,” he said. “The thought of someone writing for you and about you and then never really knowing them--that’s a strange feeling”


Magpie Bird Vector

Jim Croce


If I could save time in a bottle

The first thing that I'd like to do...


Is to save every day 'til eternity passes away

Just to spend them with you.


If I could make days last forever

If words could make wishes come true

I'd save every day like a treasure, and then

Again, I would spend them with you

But there never seems to be enough time

To do the things you want to do once you find them

I've looked around enough to know

That you're the one I want to go through time with


If I had a box just for wishes

And dreams that had never come true

The box would be empty

Except for the memory of how they were answered by you

But there never seems to be enough time

To do the things you want to do once you find them


I've looked around enough to know

That you're the one I want to go through time with

DARVO is an acronym that stands for


Deny, Attack, and Reverse

Victim and Offender.

man sitting sad or crying The concept of depression or loneliness. unhappy man Victims of Hate or . Flat style cartoon illustration vector
Pointing Hands to a Woman

It describes a manipulative tactic often used by abusers to avoid taking responsibility for their actions and shift the blame onto their victims

If someone says “the system”

Policeman Takes Statement from Victim
Social victimization

Aspects of System;

Family courts & Lawyers

Police

Social Workers

Maternity/Midwifery

NHS Health Workers

and apparently there is clinical pysche - where do you even begin - an industry of harm.

Black and White Tuxedo Cat  in a Tin Foil Hat

Parental Alienation

Parental alienation is a strategy whereby one parent intentionally displays to the child unjustified negativity aimed at the other parent. The purpose of this strategy is to damage the child's relationship with the other parent and to turn the child's emotions against that other parent. As described above this is a perversion and an abuse of a child for the sick gain of abuser parent.


Examples of coercive controlling behaviour used by alienating parents against their children: Pressure the child to feel allegiance/loyalty to them. Pressure/reward the child to reject the targeted parent. Make the child afraid of the targeted parent in the absence of a real threat.


Parental alienation often presents itself as a reluctance from the child to spend time with the targeted parent without reason. It can also be blatant. In other words, the child repeating negative comments that the alienating parent has said to them or about them.


Symptoms present in alienated children;


  • A campaign of denigration.
  • Weak, frivolous and absurd rationalizations.
  • A lack of ambivalence.
  • The “independent thinker” phenomenon.
  • An absence of guilt.
  • Support for the alienating parent.
  • Borrowed phrases and scenarios.
  • Rejection of extended family.




The following list is not a complete or definitive list of criteria that underpin dysfunctional alignment, and, of course, there can be some legitimate reasons why some children do not want to spend time with a parent.


However, it has been found that the following behaviours can place the child in a position of feeling as though they are not (emotionally) free to love both parents equally.


This then results in them being at risk of alienating one parent. Have you ever engaged in any of the following?


  • Routinely allowed the child to talk negatively or disrespectfully about the other parent.
  • Arranged tempting alternatives that would interfere with the other parent’s time with the child.
  • Given the child decision-making power about spending time with the other parent – especially in spite of court orders or parenting plans to the contrary.
  • Act hurt, betrayed or rejected if the child shows positive feelings towards or makes positive statements about the other parent.
  • Used the child as a courier, messenger or spy.
  • Asked the child to mislead or lie to the other parent or betray the parent’s trust in the child.
  • Shared the details of the property settlement or court experiences/processes with the child. Informed them of legal proceedings using the pretexts such as “they have a right to know” or asserting they are “mature enough” to cope with legal information.
  • Shared details of private information about the other parent – eg, results of drug tests, information about past so-called dubious behaviour (from pre-parenting days), information about the other parent’s family (as a means of discrediting the other parent).
  • Repeatedly reminded your child of certain behaviour that your partner engaged in prior to separation – especially when such behaviour did not directly relate to the child (for example, extra-marital relationships, unscrupulous business dealings, use of pornography), knowing that the child would likely be disapproving of such behaviour.
  • Made comments about not being able to afford to do something (go to Dreamworld, get tuckshop, buy shoes, go for a holiday and so on) because the other parent doesn’t/didn’t provide you with the funds to do so/doesn’t pay sufficient child support.
  • Allowed the other parent to worry needlessly about the child (eg, not provided information about the child’s whereabouts, not disclosed details of accidents or injuries).
  • Infringed on the other parent’s time with excessive phone calls or scheduled activities.
  • Told a child to “block” the other parent on social media/phone.
  • Interpreted court orders that increase your time with the child and decrease the other parent’s time with the child.
  • Prior to a reunification of supervised visitation, given covert messages that the child is in harm’s way when they are spending time with the other parents. Comments such as “be brave”, “this nice lady will keep you safe”, or “it’ll be over soon”, “I’m so sorry sweetheart but the judge says you have to do this”, give the child the message that spending time with the other parent is problematic in some way.
  • Taken your child to see health or psychological professionals – without input or permission from the other parent – to validate your position about the child’s stated wishes.


Spider with a Victim Illustration

Parental Abduction

A Family Abduction occurs when a child is taken, wrongfully retained, or concealed by a parent or other family member depriving another individual of their custody or visitation rights.

CHILDREN DO NOT REJECT unless taught. the behaviour is irrefutable evidence of coercion of the child.

CHILDREN do not reject their parents. this is not a thing. parents can fail to bond with children but tiny babies are bonding machines. THe only reason it happend is the other parent messing with them intentionally for the purpose of coercive control and producing harm.


If you haven’t been alienated you will notice that you will tolerate a parents failings endlessly - the unconditional love of a child. A deeply disturbed parent will coerce the child in a manner to destroy that and replace it with the true reality of their horrible internal true nature - projection always it is this.

Unhappy woman crying feeling depressed need help
Crying Man Illustration

The only manner by which. a human child will reject a parent is by coercion from the other parent, brainwashing to override their natural attachment system. No matter how flawed our parents we love them unconditionally unless taught to reject. This is above all a natural law that proves beyond any doubt when we see children rejecting/hating their parent for *no or bizarrely minor reasons. When a parent is acting like the other parent is a threat, it triggers a response to reject hazardous parent.


THE OVERRIDING of reality that goes on with children who are being isolated, abused in this way will later show the signs of brainwashing etc


The alienating parent will of course identify the targeted parent as to blame for all unnatural phenomena in the dynamics and kids recieve positive encouragement to join in the bullying campaign and infalting the ego of the abuser parent becomes the kids whole life.

CHILDREN DO NOT REJECT PARENTS.


THIS IS NOT PRESENT IN HUMAN PSYCHOLOGY. DYSFUNCTION IN BONDING SYSTEMS COME FROM SEPERATION/ABANDONMENT/REJECTION ETC AND WILL NOT ALLOW FOR EVEN WELL DESERVED HATRED OF A PARENT, WITH NO FORGIVENESS ETC - THIS ONLY GROWS OUT OF STRATEGIES OF COERCIVE INFLUENCE FROM THE ABUSIVE/ALIENATOR PARENT. IT CAN NEVER HAPPEN BY ACCIDENT. IT TAKES STRATEGY AND OF COURSE - ENABLERS TO SPOOK A KID ABOUT THEIR OWN PARENT.


KIDS BONDING IS SO STRONG IT WILL OVERRIDE THREAT OF HARM TO LOVE AN UNSAFE PARENT *WHO IS A HAZARD IT WOULD SEEM ALMOST NO MATTER THE DAMAGE INSTINCT IS TO DEFEND THE PARENT PERCEIVED AS A VICTIM. INSTEAD CHILDREN WILL WARP REALITY TO COPE, ROSE TINTING THEIR ATTITUDE TO THE ABUSIVE PARENT OUT OF DESPERATION AND LACK OF OPTIONS FOR SURVIVAL.

Sad boy sits alone near conflict of parents not paying attention to son. Concept of  conflict and problems in relationships that harm upbringing of child and cause psychological troubles

The Strategies of Alienation

Mild parental alienation

Child may resist visits with the other parent, but then enjoy their time when they are along with their mom and dad, and away from the alienated parent.


Moderate parental alienation

These kids resist time with the alienated parent, and remain resentful during their time together.


Severe parental alienation

Severely alienated children not only resist time with the other parent, but also actively run away or otherwise act fearfully to not be around that parent.



  • A campaign of denigration against the targeted parent
  • The child’s lack of guilty feelings for rejecting the target parent
  • When asked, the child gives irrational and frivolous reasons for the criticisms of the targeted parent
  • The child paints the parents in black and white — one parent can do no wrong, while everything the second parent does is horrible.
  • A knee-jerk defensiveness of everything about the favored parent
  • A child who parrots the favored parent's words, often using phrases of an adult to describe the rejected parent, or citing scenarios that he or she heard the favored parent speak about, but did not himself experience.
  • Spread of the child’s animosity toward the target parent’s extended family or friends.
  • A child suffering from parental alienation often insists that his feelings are entirely his own. The child might call his father to say: “I don’t want to come to your house anymore. Mom had nothing to do with this decision, I made it all on my own.” The alienating parent is quick to protect the child’s “right” to choose whether he wants to visit his parent.
  • Children may show warmth and affection towards the targeted parent when alone with them, but then speak poorly of them to others, including the alienating parent.


What are the signs of parental alienation?

In her book Working With Alienated Children and Families Amy J. L. Baker, author of Co-Parenting with a Toxic Ex, identifies these 17 toxic signs that a parent aims to alienate:

For more tips on co-parenting with an ex, read Co-parenting rules—even with a difficult ex


“Severely alienated children express extremely polarized views of their parents; they have little if anything positive to say about the rejected parent and often rewrite the history of their relationship to obscure positive elements …Severely alienated children treat the rejected parent with extreme hostility, disobedience, defiance, and withdrawal … These children harbor strong and irrational aversion toward a parent with whom they formerly enjoyed a close relationship. The aversion may take the form of fear, hatred, or both.

Alienated children’s thoughts about their parents become highly skewed and polarized. They seem unable to summon up positive memories or perceptions about the rejected parent, and have difficulty reporting negative aspects or experiences with the favored parent. They rewrite the history of their relationship with the rejected parent to erase pleasant moments.

With children who are severely and irrationally alienated, critical thinking about parents is nowhere in evidence. Instead the children demonstrate knee-jerk support of the favored parent’s position in any situation where the parents disagree.


1. Badmouthing

Alienating parent uses toxic verbal and non-verbal communications that convey to the child that the targeted parent is unloving, unsafe, and unavailable. Existing flaws are exaggerated and non-existent flaws are manufactured.

Scared, Depressed, Sad Girl Looks Lonely.Vector Illustration of Helpless, Frightened Child.Worry and Fear.

2. Limiting contact

The alienating parent violates parenting plans and/or takes advantage of ambiguities in the plan to maximize time with the child. The targeted parent has fewer opportunities to counter the toxic, badmouthing message, leading to the attenuation of the parent-child attachment relationship. The child acclimates to spending less time with the targeted parent.

3. Interfering with communication

The alienating parent demands constant access to the child when the child is with the targeted parent but does not reciprocate when the child is with him/her. Phones are not answered, email messages are blocked, and messages are not forwarded. The targeted parent has fewer opportunities to be a part of the child's daily world and share with the child the small moments that make up a child's life.

4. Interfering with symbolic communication

Thinking about, talking about, and looking at pictures of a parent while away can help a child feel close and connected to an absent parent. The alienating parent creates a toxic environment in which the child does not feel free to engage in these activities with respect to the targeted parent.

5. Withdrawal of love

Alienating parents make their approval of paramount importance to the child; so much so that the child would do anything to avoid the loss of love that is experienced when the child has disappointed or angered that parent. Typically what angers and hurts the alienating parent most is the child's love and affection for the targeted parent. Thus, in order to secure the love of one parent, the child must relinquish the love of the other. Although this is not something likely to be explicit to the child, it will be apparent to the targeted parent that the child lives in fear of losing the alienating parent's love and approval.

6. Telling the child

that the targeted parent is dangerous

This involves creating the impression in the child that the targeted parent is or has been dangerous. Toxic stories might be told about ways in which the targeted parent has tried to harm the child, about which the child has no memory but will believe to be true nonetheless, especially if the story is told often enough.

7. Forcing the child to choose

The alienating parent will exploit ambiguities in the parenting plan and create toxic opportunities to seduce/compel the child away from the targeted parent by scheduling competing activities and promising valued items and privileges. If both parents are present at the same even/location the child will favor the alienating parent and ignore or be rude to the targeted parent

8. Telling the child that the targeted parent does not love him or her

Another specific form of badmouthing occurs when the alienating parent allows or encourages the child to conclude that the targeted parent does not love him or her. The alienating parent might make toxic statements that conflate the end of the marriage with the end of the parent's love of the child (i.e. daddy left us, or mommy doesn't love us anymore). The alienating parent will foster the belief in the child that she is being rejected by the targeted parent and distort every situation to make it appear as if that is the case.

9. Confiding in the child

The alienating parent will involve the child in discussions about legal matters and share with the child personal and private information about the targeted parent that the child has no need to know. The alienating parent will portray him/herself as the victim of the targeted parent, inducing the child to feel pity for and protective of the alienating parent, and anger and hurt toward the targeted parent.

10. Forcing child to reject the targeted parent

Alienating parents create situations in which the child actively rejects the targeted parent, such as calling the targeted parent to cancel upcoming parenting time or request that the targeted parent not attend an important school or athletic event. Not only is the targeted parent being denied something that s/he truly desires but s/he is being delivered the news by the child, leading to feelings of hurt and frustration. The targeted parent may respond by lashing out at the child, further damaging their already fragile relationship. Further, once children have hurt a parent, the alienation will become entrenched as the child justifies his/her toxic behavior by devaluing the targeted parent.

11. Asking the child to spy on the targeted parent

The targeted parent may have information in their files, desk, or computer that is of interest to the alienating parent, such as pay stubs, receipts, legal documents, medical reports, and so forth. An alienating parent might suggest directly to a child or hint that the targeted parent has information that s/he is not sharing with the alienating parent. The alienating parent will likely create the impetus in the child by linking the information to the child’s desires (i.e., if we knew whether Daddy got a raise we could ask for more money and buy a new dog for you). Once children betray a parent by spying on them, they will likely feel guilty and uncomfortable being around that parent, thus furthering the alienation.

Girl Depression and Anxiety Symptoms

12.Asking the child to keep secrets from the targeted parent

The alienating parent will ask or hint that certain information should be withheld from the targeted parent in order to protect the child's interests. Such as, “If Mommy knew that we were planning on taking a trip she would take me to court and try to stop it. Let's not tell her until Saturday, when it will be too late for her to interfere.” Like spying, keeping secrets creates a toxic parenting psychological distance between the targeted parent and the child, who may feel guilty and uncomfortable with the targeted parent.

Unhappy Woman Suffer from Mental Inner Problems

13. referring to the targeted parent by first name

Rather than saying “Mommy/Daddy” or “Your mommy/Your daddy” the alienating parent will use the first name of the targeted parent when talking about that parent to the child. This may result in the child referring to the targeted parent by first name as well. The message to the child is that the targeted parent is no longer someone whom the alienating parent respects as an authority figure for the child and no longer someone who has a special bond with the child.

Suicidal Dark Thoughts

14. Referring to a step­ parent as “Mom” or “Dad” and encouraging child to do the same

Once the alienating parent is remarried, s/he will speak of the new partner as if that parent were the only mother/father of the child. This parent will be introduced to others (teachers, coaches, parents of friends) as the “mother/father” rather than as the step-parent.

16. Changing child's name to remove association with targeted parent

If the alienating parent is the mother, she may revert to using her maiden name after the divorce and will institute a practice of using that name for her children as well. If the alienating parent is a mother and she remarries, she will assume the surname of her new husband and will institute a practice of using that new surname for her children as well. If the alienating parent is the father, he may start referring to the child with a new nickname (convincing the child that s/he has always been called by this name) and in this toxic way forge a new identity for the child in which the alienating parent is the most important parent.

15. Withholding medical, academic, and other important information from targeted parent

keeping targeted parent's name off medical, academic, and other relevant documents

All important forms from school, sports, religious education, and so forth ask for information about the child's mother and father. The toxic parent will not provide information about the targeted parent in the appropriate place on the form and may not include the information at all.

17. Cultivating dependency

undermining the authority of the targeted parent Alienating children often speak of the alienating parent as if that parent's dependency/undermining were perfect, exceptional, and in every way above reproach. They also behave as if they are dependent on that parent in a way that is not necessary or appropriate given their age and life experience. Alienating parents are able to develop dependency in their children rather than (as is typical of non-alienating parents) help their children develop self-sufficiency, critical thinking, autonomy, and independence. At the same time, they will undermine the authority of the targeted parents in order to ensure that the child is loyal to only one parent. Examples include instituting rules that the child must follow even when with the targeted parent, and mocking or overwriting the rules of the targeted parents.

18. Child DEVELOPS polarized views of their parents

Richard Warshak, PhD., another leading expert on parental alienation and is author of the bestselling Divorce Poison, How To Protect Your Family from Bad-mouthing and Brainwashing.

Warshak writes on his website of these behaviors in children suffering from parental alienation:

Parentification

Parentification occurs when parents look to their children for emotional and/or practical support, rather than providing it. Hence, the child becomes the caregiver. As a result, parentified children are forced to assume adult responsibilities and behaviors before they are ready to do so


Some examples of parentified behavior include: Caring for younger siblings: When a child is parentified and has a younger sibling, they often assume a parental role in their sibling's life. The type of responsibility they take on for their younger sibling will depend on the child's age


You know you were parentified if as a child you have to step up as the caretaker, mediator, or protector of the family. Parentification is a form of mental abuse and boundary violation.


Parentification can occur when one or both parents have mental health issues and it seems to be common in narcissistic families where the family is structured around getting the needs of parents met, rather than providing a healthy environment where children are nurtured.


This type of trauma can lead to significant psychological distress and can be considered a form of emotional abuse. Parentification can be a significant burden for a child and can lead to long-term mental health issues. Parentification trauma can lead to symptoms of PTSD, including flashbacks, anxiety, and depression


Sexualisation of children, comparisons regarding body shape, size appearance in general is sexualisation - seeing them as a competitive threat for the attention of the other parent.


Pairing off infants with other children - as boy friends and girl friends, preoccupation with childs love life partner selection interference, pressure to provide grandchildren to please parents.

Coercive Control

Coercive control refers to continuous patterns of behaviour that are intended to exert power or control over a survivor. These behaviours deprive survivors of their independence and can make them feel isolated or scared. This can have a serious impact on a survivor’s day-to-day life and wellbeing.

Coercive control can be tricky for survivors, and those around them, to recognise because the tactics used can be subtle and escalate slowly. Coercive control in a relationship is a recognised form of abuse.


  • Isolating you from your family or friends.
  • Controlling what you eat, wear, or do.
  • Controlling who you are allowed to see or spend time with.
  • Preventing you from accessing support.
  • Gaslighting.
  • Monitoring your behaviour (online or in person)
  • Tracking you, for example, using your phone or car.
  • Controlling your finances, for example, through your ability to earn money or what you spend money on
  • Emotionally or physically threatening or intimidating you
  • Threatening to disclose information about you publicly
  • Humiliating or degrading you
  • Repeatedly putting you down
  • Making you feel fearful or scared of non-compliance


Custodial

Interference

Custodial interference refers to a parent breaking court determined custodial instructions. This can be as major as taking a child from the sole custodian or as minimal as calling a child more than directed.

Social Services Helping a Child

Mother/ Daughter Enmeshment

Mother-daughter enmeshment occurs when the roles between mother and daughter become blurred. This enmeshment results in the daughter having less autonomy and independence. Narcissistic tendencies in the mother can exacerbate enmeshment, leading to a dynamic of narcissistic mother-daughter enmeshment.


  • Your mom puts unrealistic demands on your time and attention. ...
  • You feel responsible for your mom's emotional well-being. ...
  • You lie to your mom to avoid disappointing her. ...
  • You rely on your mom for money. ...
  • You allow her to handle your responsibilities.


In enmeshed families, these kinds of healthy boundaries don't exist. Parents overshare personal information. They don't respect privacy. They rely on their child for emotional support or friendship. They don't allow children to make their own decisions and mistakes.

Family Conflict Illustration

What is DARVO?

DARVO is a reaction that perpetrators of wrongdoing, such as sexual offenders may display in response to being held accountable for their behavior. Some researchers indicate that it is a common manipulation strategy of psychological abusers.


DARVO takes a terrible, uncomfortable, or traumatizing toll and continues the cycle of abuse. Now, the person has to deal with the original event and the damaging effects of DARVO on their mental and physical health.

The intent of DARVO is to silence victims, either through confusion, invalidation, or even intimidation. By denying that any mistreatment occurred (or downplaying the harm it caused), attacking victims’ credibility, and then playing the victim, perpetrators attempt to instill doubt among their victims – did the abuse really happen in the way that I remember it? Am I just overreacting? Is it actually my fault? Data indicate that people exposed to DARVO during confrontations with perpetrators report feeling greater self-blame for the wrongdoings they experience. Ultimately, DARVO tries to distort the way victims think about themselves and the abuse they experience.

Pointing Hands to a Woman

False Victimhood

Playing the victim (also known as victim playing, victim card, or self-victimization) is the fabrication or exaggeration of victimhood for a variety of reasons such as to justify abuse to others, to manipulate others, a coping strategy, attention seeking or diffusion of responsibility.

Triangulation

In psychology, triangulation is a term used to describe when a person uses threats of exclusion or manipulation. Its goal is to divide and conquer. A form of manipulation, triangulation involves the use of indirect communication, often behind someone's back

Parent and child will covertly target - cross generational perverse triangle is present when Mother and Daughter* usually are so enmeshed and basically taught that hating the other parent is a source of connection between Isolated child and the parent. Another layer of parentification. This is a breakdown of parent/child boundaries and this will via cause and affect result in childhood pathology.


The same coercive techniques for psychological control will be used upon the child in order to achieve compliance.

Projection

At its core, emotional abuse plays into deep-seated fears of rejection, abandonment, unworthiness, shame and loveability. Projection and gaslighting are two major tactics used in emotional abuse. Projection is the act of placing unacceptable feelings or unacceptable wants or desires onto another person.

People with narcissistic tendencies are likely to engage in projection by projecting their self-image onto others. Trauma is another reason that people may project. A person who has experienced a stressful or traumatic event may struggle to cope with the aftermath of that situation.

By projecting, or “blame-shifting” one's undesirable mental/emotional notions onto another person, the individual is defended against having to be aware of and accountable to their own thought process

Munchausen/Fabricated

Factitious/malingering illnesses.

Factitious disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury. Factitious disorder also can happen when family members or caregivers falsely present others, such as children, as being ill, injured or impaired.


People with Munchausen syndrome often experience traumatic childhood experiences, like abuse from family members, loss of a loved one at a young age, and abandonment.


People with Munchausen syndrome deliberately produce or exaggerate symptoms in several ways. They may lie about or fake symptoms, hurt themselves to bring on symptoms, or alter tests (such as contaminating a urine sample). Possible warning signs of Munchausen syndrome include: Dramatic but inconsistent medical history


The DSM-5 differentiates among two types:

  • Factitious disorder imposed on self (Munchausen syndrome)
  • Factitious disorder imposed on another (Munchausen syndrome by proxy), defined as: When an individual falsifies illness in another, whether that be a child, pet, or older adult.


Factitious disorder symptoms involve mimicking or producing illness or injury or exaggerating symptoms or impairment to deceive others. People with the disorder go to great lengths to hide their deception, so it may be difficult to realize that their symptoms are actually part of a serious mental health disorder.


Often, people with Munchausen by proxy are healthcare workers. Therefore, they know how to induce particular symptoms in their children. Therefore, their doctors are unable to diagnose a specific illness.


In short, while both involve the fabrication of symptoms, the key difference between factitious disorder and malingering lies in the motivation behind these actions. Factitious disorder is driven by a psychological need to be seen as sick, whereas malingering is motivated by external benefits.


The sick role


Malingering requires that deception be motivated by an external incentive. A diagnosis of factitious disorder requires that the deception occur even in the absence of an external incentive


Several factors have been identified as possible causes of Munchausen syndrome. These include: emotional trauma or illness during childhood – this often resulted in extensive medical attention. a personality disorder – a mental health condition that causes patterns of abnormal thinking and behaviour


Munchausen syndrome by proxy abuse is associated with an extraordinary gender disparity, which is not found in other forms of child abuse. Though boys and girls are similarly abused, the perpetrator is nearly always female and is the child's mother.


Often, people with Munchausen by proxy are healthcare workers. Therefore, they know how to induce particular symptoms in their children. Therefore, their doctors are unable to diagnose a specific illness


What causes Munchausen syndrome?

  • emotional trauma or illness during childhood – this often resulted in extensive medical attention.
  • a personality disorder – a mental health condition that causes patterns of abnormal thinking and behaviour.
  • a grudge against authority figures or healthcare professionals.



Munchausen syndrome by proxy, in which a seemingly caring and concerned mother is simultaneously harming her child, can best be understood in terms of the mother's need for a relationship with a physician that is rooted in a profound sense of early abandonment. This understanding broadens the definition of perversions. The infant in this sadomasochistic interaction is dehumanized and is used as a fetishistic object to control the relationship

Glasgow City Council Report on Munchausen by Proxy etc Factitious Disorder (& FD by Proxy)


Factitious disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury. Factitious disorder also can happen when family members or caregivers falsely present others, such as children, as being ill, injured or impaired.


Fabricated/Induced Illness. (FII)

  • FII is a form of child abuse with boys and girls equally affected.
  • It is perpetrated by those who have care of the child (usually the mother) and usually involves secondary medical services. It may be first manifested in primary care, consequently it may be detected first by GPs
  • FII is seen in children of all ages. The reported severe or most dramatic events are usually seen in children under the age of 5 years – newborns in particular are most likely to be harmed. However, there is a spectrum of significant FII across age groups. The long term psychological effect on older children may result in them inadvertently colluding in the sick role
  • with their carer.
  • Although relatively rare, this should not undermine or minimise its serious
  • nature or the need for practitioners to be able to identify when carers are
  • fabricating or inducing illness in children.
  • FII is a spectrum of disorders rather than a single entity. At one end less
  • extreme behaviours include a genuine belief that the child is ill. At the other end the behaviour of carers includes them deliberately inducing symptoms by administering drugs, intentional suffocation, overdosing, tampering with medical equipment, and falsifying test results and observational charts.
  • Recognition of FII depends, in the first instance, on medical or paediatric clarification of the objective state of the child’s health. followed by detailed and painstaking enquiry involving the collection of information from many different sources and discussion with different agencies, e.g. social services, general practice, health visitors, schools, and when clearer indications of FII, the police.
  • Affected children also live in a fabricated sick role and may eventually go on to somatise or simulate illness themselves and be diagnosed with hypochondria.
  • Illness induction can cause death, disability and physicals illness. Both induction and fabrication can lead to emotional problems. There are significant risks of re-abuse. Following identification of FII in a child, the way in which the case is managed has a major impact on the developmental outcomes for the child. (Anne Lazenbatt and Julie Taylor, July 2011).
  • Studies that bring together reported cases of FII suggest that the most common presentations are apnoea, diarrhoea and seizures. Males are no more likely than females to be subject to this type of maltreatment and the perpetrator is the mother in most cases. When to Suspect Child Maltreatment, Clinical Guideline, July 2009 (revised update Dec 2009) (Page 63), NICE

8

APPENDIX 2: INDICATORS OF HARM

The following is a list of indicators which may suggest concern regarding FII.

Over time the child is repeatedly presented with a range of signs and symptoms of various illnesses.

There tends to be no independent verification of reported symptoms.

Signs found on examination are not explained by any medical condition from which the child is known to be suffering.

Medical tests do not support any reported signs and symptoms. Claiming symptoms which are unverifiable unless observed directly.

The response to prescribed medication and other treatment is inexplicably poor.

New symptoms are reported on resolution of previous ones.


Since it was first identified in 1977, Munchausen Syndrome by Proxy has uniquely affected the way in which the medical and legal communities deal with the issue of child abuse. Inherent in the medical response to the disease are issues of suspicion, investigation, identification, confrontation, and, of course, the health of an innocent child. Given the deceptive dynamics of this disease, however, denial and disbelief naturally overshadow every action taken by medical professionals in pursuing these issues. Fortunately, as medical knowledge about the dynamics of the disease continues to develop, medical professionals become more willing and better able to identify the disease and focus their response on the safety of the child. The greatest problem in prosecuting Munchausen Syndrome by Proxy is that judges and juries remain unwilling to accept the reality of the disease. Consequently, in an effort to confirm medical suspicions and quell legal doubts, the medical community has resorted to covert video surveillance of the abuse while it is being perpetrated in the hospital. In this Article, Flannery argues that this response is an unnecessary and unethical, means of preventing Munchausen Syndrome by Proxy and protecting the child. Flannery supports the approach taken by the Family Court of New York in addressing Munchausen Syndrome by Proxy cases. The Family Court of New York recognizes the unique dynamics of this bizarre disorder, and, therefore, considers all cumulative circumstantial evidence in a Munchausen Syndrome by Proxy case, comparing the facts of the subject case to the commonly accepted features of confirmed cases. Part of the circumstantial evidence that should be considered, Flannery argues, is the dissipation of the child's condition upon temporary separation from the alleged perpetrating parent. As is done by the Flannery Court of New York, a res ipsa loquitur standard should then be applied, and an appropriate disposition for the child should be determined. By employing this standard, the court may confirm suspicions of Munchausen Syndrome by Proxy while avoiding the unnecessary harm to the child inherent in the covert video surveillance of Munchausen Syndrome by Proxy.