{"id":1469,"date":"2017-04-12T12:30:43","date_gmt":"2017-04-12T02:30:43","guid":{"rendered":"https:\/\/blogs.rch.org.au\/grandrounds\/?p=1469"},"modified":"2017-05-17T10:14:15","modified_gmt":"2017-05-17T00:14:15","slug":"factitious-disorders-by-proxy-when-parents-inappropriately-drive-medical-investigation-and-treatment","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/grandrounds\/2017\/04\/12\/factitious-disorders-by-proxy-when-parents-inappropriately-drive-medical-investigation-and-treatment\/","title":{"rendered":"\u2018Factitious Disorders by Proxy\u2019 (when parents inappropriately drive medical investigation and treatment)"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/217607007\" width=\"640\" height=\"360\" frameborder=\"0\" title=\"Grand Rounds 12 Apr 2017\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/p>\n<h2><strong>Synopsis<\/strong><\/h2>\n<p>\u201cFactitious Disorders by Proxy\u201d occur when caregivers (usually parents) exaggerate and\/or fabricate symptoms and signs of illness in a child. This can sometimes be driven by an underlying personality disorder in the caregiver, or because of excessive anxiety that a serious illness is being missed by health care professionals. Either way they are very difficult conditions to identify and to manage.<\/p>\n<p>This presentation by Dr Andrew Court (Consultant Child and Adolescent Psychiatrist) and Professor Lynn Gillam (Clinical Ethicist) will discuss what is currently known on the subject together with a hypothetical case scenario to be used as a forum to discuss clinical and ethical considerations.<\/p>\n<h2><strong>Speakers<\/strong><\/h2>\n<p><strong>Dr Andrew Court<\/strong> is a Consultant Psychiatrist at the Royal Children\u2019s Hospital working on the Consultation Liaison team. He has previously trained and worked as a Paediatrician and has extensive experience working with these disorders both as a Paediatrician and as a Psychiatrist.<\/p>\n<p><strong>Professor Lynn Gillam<\/strong> is a clinical ethicist, originally trained in philosophy and bioethics. Lynn is the Academic Director of the Children\u2019s Bioethics Centre at RCH, and has been doing clinical ethics case consultation at RCH for over 10 years.\u00a0 She has been involved in a number of case consultations involving suspected factitious disorder, and seen the ethical complications and moral distress amongst clinicians which these situations create.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cFactitious Disorders by Proxy\u201d occur when caregivers (usually parents) exaggerate and\/or fabricate symptoms and signs of illness in a child. This can sometimes be driven by an underlying personality disorder in the caregiver, or because of excessive anxiety that a serious illness is being missed by health care professionals.<\/p>\n","protected":false},"author":97,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12674,5107,5658],"tags":[],"class_list":["post-1469","post","type-post","status-publish","format-standard","hentry","category-ethics","category-mental-health","category-video"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1469","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/users\/97"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/comments?post=1469"}],"version-history":[{"count":1,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1469\/revisions"}],"predecessor-version":[{"id":1470,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/posts\/1469\/revisions\/1470"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/media?parent=1469"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/categories?post=1469"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/grandrounds\/wp-json\/wp\/v2\/tags?post=1469"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}