Opening Material Abstract Acknowledgements I - Introduction About MSBP Historical Background Description & presentations Diagnostic features Key aspects MSBP mother Discussion Sibling Data Symptoms & Lab findings Methods of Fabrication II - Literature Review General and Context Classification Issues Challenging MSBP Claim Methods of Abuse Respiratory Gastro-intestinal Haematologic Simulated bleeding Deliberate poisoning Features of poisoned children Fever Simulating Detecting Dermatologic Allergic Otorhonolaryngologic Bleeding from Ears Neurological FTT and VCS Sexual Abuse Perp Characteristics Multi-disciplinary approach Team Complisition Team Tasks Physician Role Nursing Role Social Worker Role Police Role Medico-Legal Considerations Hospital Administration Role of Psychiatry Is Treatment Possible? Research in MSBP Summary & Conclusions SIDS - Sudden Infant Death Infanticide, Filicide, Cot Death Women who kill their children VCS & MSBP Family Systems of MSBP Maternal Somatisation Chemical Abuse Action on Suspicion Variants of MSBP Factitious Epilepsy CVS - Video & Ethics Fathers as Perpetrators Triangular Trap Shaken Baby Syndrome Non-Accidental Injury Retinal Haemorrhage Shaken Baby Syndrome - Detailed Obstetric Factitious Disorder Significance in pregnancy Case History The monther The father The sibling Disposition Battered Foetus Syndrome Maternal Psychopathology Psychodynamics of MSBP Lying, Deception, Denial Treatment Examples from Lit Review Effect of psychotherapy Case History III - The MQ Developed Background Hypotheses Method Design Participants Index Mothers - Group 1 Entry Criteria Exclusion Criteria Controls - Groups 2, 3 and 4 Materials: Instruments Dowson STCPD Derogratis SCL90-R Beck Depression Inventory Spielberger STAI Eysenck EPQ-R Rogers - SIRS Polledri - MQ The Questions 1 to 3 4 to 7 8 to 14 15 16 to 19 20 and 21 22 to 31 32 Scoring Q1 Q2A Q2B Q2C Q4A Q4B Q5 Q10 Q13 Q15 Procedure Entry Criteria Exclusion Criteria Numbers completing instruments Results Descriptive Analyses Age Scores all groups MQ Central Tendency MQ SCL-R raw and transformed scores STCPD scores all groups BDI scores Index Group EPQ lie scores Index Group SIRS scores Index Group STAI scores Index Group Correlations Correlation Matrix Index Group Correlation Matrix Controls Comparisons Inferential Analyses EPQ-R & Index Group STAI & Index Group SIRS & Index Group BDI & Index Group One-Way ANOVA 3 groups t-tests of Means The Mann-Whitney U test U test on SCL90 & STCPD Table of U test results Anatomy of a Boxplot figs 6-18 for SCL90 figs 19-23 for STCPD figs 24 & 25 for MQ 2-tailed t-test Index with Normal Healthy Group Discriminant Analysis MQ and Main Findings Discrimination variables established IV - Discussion Methodology Issues and Limitations MQ Scoring Rationale Reliability and Validity of Instruments STCPD Dowson SCL90 Reliability SCL90 Validity BDI Spielberger Reliability Validity Eysenck Sirs Reliability Validity Findings and hypotheses Results compared with literature Explanation of Results of MQ Causal Path Diagram Recommended Questions and Scorings for Future Diagnosers Discriminators Reinforcers Revised weighting recommendations Issues re future MQ questions and scoring Implementation of the MQ V -Conclusions VI - References VII - Appendices A Maternal Questionnaire Publications During Research December 1996 Book Review July 1999 Book Review February 2000 Contact Author