Factitious Disorder by Proxy in Educational Settings: A Review |
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| Authors: | Ellen M Frye Marc D Feldman |
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| Institution: | (1) Wayland Baptist University, Plainview, TX, USA;(2) Lubbock Christian University, Lubbock, TX, USA;(3) University of Alabama, Tuscaloosa, AL, USA;(4) University of Alabama, c/o 2609 Crowne Ridge Court, Birmingham, AL 35243-5351, USA; |
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| Abstract: | Factitious disorder by proxy (FDP), historically known as Munchausen syndrome by proxy, is a diagnosis applied to parents
and other caregivers who intentionally feign, exaggerate, and/or induce illness or injury in a child to get attention from
health professionals and others. A review of the recent literature and our experience as consultants indicate clearly that
FDP has emerged in educational settings as well. Variants of educational FDP include parents of children with real or fabricated
physical disabilities who request excessive or unneeded school health services and parents who request extensive education-related
evaluations for children who do not demonstrate any educational need. If such cases continue to emerge, school districts will
be asked to test more students who do not have disabilities under the Individuals with Disabilities Education Act. Also, special
educational directors will be weighing the cost of providing unneeded testing and educational services against the cost of
defending themselves in litigation to prove that the testing and services are unnecessary. A table of guidelines is provided
for school and other personnel confronted with repeated requests for unwarranted special education services. Suggestions for
future research are included. |
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