Heaven help a normal parent in the presence of a Munchausen-diagnosis-happy professional. I mean, if there is proof that a parent is harming a child, call the police. But this "diagnosis" based on normal, noncriminal behavior, and illnesses that doctors can't figure out is in itself criminal.
"Guidelines for suspecting and identifying Munchausen by Proxy"http://www.munchausen.com/
A child who has one or more medical problems that do not respond to treatment or that follow an unusual course that is persistent, puzzling and unexplained.
Physical or laboratory findings that are highly unusual, discrepant with history, or physically or clinically impossible.
A parent, usually the mother, who appears to be medically knowledgeable and/or fascinated with medical details and hospital gossip, appears to enjoy the hospital environment, and expresses interest in the details of other patients’ problems.
A highly attentive parent who is reluctant to leave her child’s side and who herself seems to require constant attention.
A parent who appears to be unusually calm in the face of serious difficulties in her child’s medical course while being highly supportive and encouraging of the physician, or one who is angry, devalues staff, and demands further intervention, more procedures, second opinions, and transfers to other more sophisticated facilities.
The suspected parent may work in the health care field herself or profess interest in a health-related job.
The signs and symptoms of a child’s illness do not occur in the parent’s absence (hospitalization and careful monitoring may be necessary to establish this casual relationship).
A family history of similar sibling illness or unexplained sibling illness or death.
A parent with symptoms similar to her child’s own medical problems or an illness history that itself is puzzling and unusual.
A suspected parent with an emotionally distant relationship with her spouse; the spouse often fails to visit the patient and has little contact with physicians even when the child is hospitalized with serious illness.
A parent who reports dramatic, negative events, such as house fires, burglaries, car accidents, that affect her and her family while her child is undergoing treatment.
A parent who seems to have an insatiable need for adulation or who makes self-serving efforts at public aknowledgement of her abilities.