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Peregrination in the Problem Pediatric Patient

The Pediatric Münchhausen Syndrome?

Department of Psychiatry, University of Pittsburgh School of Medicine and the Office of Educational and Regional Programming, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania

Peregrinating pediatric patients are those who go from physician to physician either within hospitals or from clinic to clinic within a community. They are often the symptom bearers of dysfunctional multiproblem families requiring an interdisciplinary approach to diagnosis and management. Because of the obscure nature of the child's pediatric problems, such children are often shunned by the medical profession and other social agencies, setting in motion a sequence of events that can prove detrimental to the child, his family, the community, and the state. This article illustrates the need for an anticipatory, coordinated approach in the management of this complex psychosocial condition.

Clinical Pediatrics, Vol. 23, No. 10, 571-575 (1984)
DOI: 10.1177/000992288402301007


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