Foreword - Judith A Libow and Herbert A Schreier PART ONE: IDENTIFYING AND MANAGING THE MUNCHAUSEN BY PROXY SYNDROME CASE An Overview - Teresa F Parnell Defining Munchausen by Proxy Syndrome - Teresa F Parnell Guidelines for Identifying Cases - Teresa F Parnell The Physician's Role in Confirming the Diagnosis - Matthew A Seibel and Teresa F Parnell Coordinated Case Management through the Child Protection System - Teresa F Parnell PART TWO: INTERVENTION WITH THE PERPETRATOR AND FAMILY Interviewing the Perpetrator after Medical Diagnosis - Deborah O Day The Use of Psychological Evaluation - Teresa F Parnell Setting the Treatment Framework - Deborah O Day and Teresa F Parnell The Initial Therapeutic Stage - Deborah O Day Trust The Middle Therapeutic Stage - Deborah O Day The Secrets Later Therapeutic Stage - Deborah O Day Identity Reformation Therapy with Family Members - Deborah O Day and Mercedes D Ojeda-Castro PART THREE: EMERGING ISSUES The Criminal Prosecutor's Perspective - Robin Wilkinson and Teresa F Parnell A Multidisciplinary Hospital Response Protocol - Sue Whelan-Williams and Toni D Baker The School System Perspective - Karen O Palladino The Guardian Ad Litem - Ralph V Hadley III