A Munchausen Expert on What The Act Gets Right

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A Munchausen Expert on What The Act Gets Right
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A Munchausen expert on Dee Dee and Gypsy Blancharde, what TheAct gets right, and why doctors don’t typically get suspicious earlier on

Photo: Brownie Harris / Hulu This week, the first two episodes of The Act — a dramatization of the real-life story of Dee Dee Blanchard, a mother who inflicted years of abuse on her child, Gypsy, by insisting she was sick when she was not — premiered on Hulu. Dee Dee’s behavior is consistent with Munchausen by proxy, the name for a pattern of behavior in which a caretaker makes her child sick through unneeded medications and procedures, often for financial gain in addition to public sympathy.

Something about the case that makes it also a bit unusual is that Dee Dee actually gave the medications to Gypsy that were prescribed. Often, there’s a certain delight in getting the prescriptions, but not using them, because [the perpetrators] know at some level that they’re unneeded. But it does appear that Gypsy really got the medications, and that that played a role in the tooth decay.

Is this case unique in that Dee Dee had both, or does that happen a lot?Very often malingering by proxy and Munchausen by proxy coexist. A person tends to predominantly exhibit Munchausen by proxy but it isn’t unusual for them to receive gifts, to establish GoFundMe accounts, etc. all to try to make the ruses seem more believable and credible.They usually don’t until the child gets too old and starts to resist. I think most cases are never identified.

Speaking again of the neighbor character, Mel — Dee Dee very clearly wants her approval and friendship. Is that party of that same sympathy seeking drive?

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