ABSTRACT
The literature focuses primarily on the medical manifestations of Munchausen by Proxy (MBP), and then on perpetrators. Rather, the term "intervention" as used in this chapter includes all the actions taken to ensure and improve the welfare of the victim. This chapter reviews what is known and hypothesized about assessing the need for and delivering of psychotherapy to MBP victims. However, it should be remembered that victims of MBP may not know that they have been maltreated. Sanders suggest that the need of MBP victims for therapy should be evaluated, and that they will generally need some assistance to deal with the trauma they have experienced. Most professionals dealing with cases of MBP will not have access to such intensive therapeutic settings or funding to pay for extended whole-family inpatient treatment. This analogy to MBP is imperfect, however, since men are more commonly sexual predators and women are more commonly MBP perpetrators.
