`titrebThe dead silence of Münchhausen Syndrome by Proxy`/titrebMünchhausen syndrome by proxy is rooted in a dark past, still clouded by identification with the father died, which characterizes the depressive illness. The dual unity evokes the idea of separation, non-separation, the repetition compulsion and beyond, and the transition from one generation to another. Ambivalent feelings for the father are redirected to a doctor who is unknowingly as a parental figure and find themselves challenged. The thwarting of medical knowledge, the image of the mother as much profit model are psychological which contribute to fill the narcissistic vulnerability. These transactions also involve a distortion of the temporal parameters as generational time is both suspended and accelerated, with a risk of repetition compulsion transgressive.