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Logo of jmedethJournal of Medical EthicsVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
 
J Med Ethics. 1995 February; 21(1): 9–13.
PMCID: PMC1376524

The investigation of life-threatening child abuse and Munchausen syndrome by proxy.

Abstract

The use of covert video surveillance in the investigation of suspected life-threatening child abuse and Munchausen syndrome by proxy raises important ethical questions. That the recently reported provision of this facility in North Staffordshire was not presented to a Local Research Ethics Committee (LREC) for approval as a research exercise raises important questions about the ethical review of research and practice. The case made for avoiding such review is first set out and then examined. The three main premisses which form the basis of the view that LREC approval is not required are identified and tested in turn. The conclusion is that there is an undeniable element of research involved in the procedure and that the welfare of all those subjected to the surveillance would be best protected by the submission of the protocol to an independent committee for ethical assessment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Southall DP, Stebbens VA, Rees SV, Lang MH, Warner JO, Shinebourne EA. Apnoeic episodes induced by smothering: two cases identified by covert video surveillance. Br Med J (Clin Res Ed) 1987 Jun 27;294(6588):1637–1641. [PMC free article] [PubMed]
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  • Southall DP, Samuels MP. Ethical use of covert videoing for potentially life threatening child abuse: a response to Drs Foreman and Farsides. BMJ. 1993 Sep 4;307(6904):613–614. [PMC free article] [PubMed]

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