This is a nonfiction account of Munchausen by Proxy. It details the investigations into three different cases of mother's inflicting harm on their children for attention: Hope Ybarra, Brittany Philips, and Mary Welch. Andrea Dunlop is a novelist whose own family has been affected by MBP, through her sister. Mike Weber is a detective who has become an expert in MBP simply by spending years investigating these incredibly challenging cases. He has worked on more medical child abuse cases than anyone in the US. Although I knew about Munchausen by Proxy long before MBP victim Gypsy Rose Blanchard became a household name after she was charged and convicted of killing her mother, I didn't realize how many similarities there are between cases. I also had no idea that doctors will perform surgeries based on a mother's report, without doing any extra testing themselves. It's astounding really.
Just like police officers need to be trained in how to deescalate people having a mental health crisis, doctors should be trained to spot medical child abuse, especially since there seems to be a pattern in many cases. Hope, Brittany, and Mary all had children that were born premature. These poor children had multiple unnecessary tests, inconsistently abnormal labs, medical diagnoses (like cystic fibrosis and cerebral palsy) simply reported by their mother, feeding tubes, rare blood infections, leg braces. In all of these cases the children's eating issues and mobility issues were reported by their mothers but were not witnessed by anyone else. In fact, many friends, family members, and even nurses saw these children eating normally when mom was not in the room and walking/running with no issues at all.
All three of these cases were very challenging to bring to court. Both Hope and Mary were well-loved, intelligent, and wealthy. Mike Weber tried a number of ways to get these woman to admit what they had done. He had better luck with Hope, probably because her mother was the one who reported her and found some evidence that she turned over to Mike. Hope's story was actually quite remarkable since she was such an accomplished liar. She lied about her own health for eight years, pretending to have various types of cancer. This resulted in fundraising efforts by family and friends that raised an enormous amount of money. Hope lied about her education and her credentials. She lied about miscarrying twin daughters. She lied about her first daughter (second child) having CF. Her youngest child suffered the most however. Hope introduced bacteria and contagions in her feeding tube (which she didn't need) which could have easily killed her. Hope did end up in prison for 10 years.
Mary was extremely wealthy (with money to burn) so she could afford to get her son medical care in Texas and Minnesota. When the Texas doctors told her that her son did not need a brain shunt, she simply got on a private plane and flew him to Minnesota to get it done. And she found a doctor to do it, taking her word for it! Mary fooled doctors, friends, her family, lawyers, and the judge! She was pretty and personable and wealthy. Money talks, right? Her mother protected her 100% and spent all her energy blaming Mary's ex-husband for everything, who was naive and innocent. He temporarily got custody, which probably ended up saving his son's life, although Mary won back joint custody in the end.
Brittany's case was different because she was not well-liked, respected, or wealthy. She had no supportive family or husband. She was verbally and physically abusive to her three year old daughter, Alyssa, in front of other people. She was reported to CPS several times by a variety of different people. Her daughter was finally taken away from her and put into a foster home after it was discovered that Brittany put feces in her daughter's (unnecessary) feeding tube which gave her a life-threatening blood infection. Her trial ended up with a hung jury (10 guilty - 1 not guilty - some people cannot believe that a mother would intentionally harm their child). Eventually Brittany pleaded guilty instead of going back to trial but she only served five years. Alyssa thrived in the care of her foster family, who ended up adopting her.
These women knew what they were doing. They were not "delusional". They were constantly seeking the attention they craved (and received) while caring for their "deeply ill" children. Both Hope and Mary's husbands believed their children were as sick as their wives told them they were. MBP continues to be under-reported and very difficult to prove. It's incredibly tragic.
Wendy's Rating: ****