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Culture and Munchausen-by-Proxy Syndrome: The Case of an 11-Year-Old Boy Presenting with Hyperactivity

Objectives: To discuss some of the challenges presented to the clinician who deals with a possible Munchausen-by-proxy (MBP) syndrome. Method: The case of an 11-year-old boy presenting with hyperactivity is discussed. Information from the initial assessment and the 9-month follow-up period is presented. We highlight some cultural considerations as they apply to this immigrant family. A commentary by Dr H Schrier follows the presentation. Results: The positive outcome is discussed in relation to the validation of the diagnosis as well as to cultural issues. Conclusion: Cultural issues and dynamic factors may be important when we consider the diagnosis of MBP syndrome in an immigrant family with different expectations from our health care system.