[A case of "folie à deux"].

Acta Neurol (Napoli)

Published: March 1970

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Shared psychotic disorder (SPD), also called folie à deux, is an uncommon clinical entity characterized by the transmission of delusions from one psychotic individual to another within the framework of a close relationship, typically isolated from the social environment. Although rare, this phenomenon poses a significant diagnostic and therapeutic challenge, particularly in family settings. This report presents a clinical case of folie à deux between a mother and her child, highlighting the complexities of therapeutic management and providing a succinct review of the literature to adequately frame the clinical approach.

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Article Synopsis
  • Delusional parasitosis is a psychotic disorder where individuals believe they are infested with parasites, while shared paranoid disorder (folie à deux) occurs when two closely related people share similar delusions.
  • A case study involving a married couple revealed that the husband experienced sensations and beliefs about parasites, leading to the wife also developing similar symptoms, indicating a shared delusion.
  • Treatment included medications like sertraline and risperidone, but due to side effects and financial constraints, the husband's condition required adjustments, and separating the couple's sleeping arrangements significantly alleviated the wife's symptoms.
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Article Synopsis
  • Folie à famille, or shared psychotic disorder among family members, is a rare psychiatric condition that is often overlooked and can significantly affect parent-child relationships.
  • Most existing research focuses on adults, leaving a knowledge gap regarding how this disorder impacts children and family dynamics.
  • A case study of a school-aged girl with autism illustrates the challenges of diagnosing shared psychosis in children, highlighting the need for tailored treatment strategies that consider both psychopharmacological and therapeutic approaches.
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[Dreaming madly or escaping reality through dreams?].

Soins Psychiatr

May 2024

Faculté de santé UPEC, campus Henri Mondor, 8, rue du général Sarrail 94010 Créteil, France. Electronic address:

Dreams can be seen as a way of letting your mind wander while you're awake, an act of imagination that occurs during sleep, or a more or less chimerical imaginary representation of what you ardently hope for. In all three cases, it questions both our relationship with reality (what exists in itself) and with reality (what I perceive and understand of reality). From this point of view, dreams and madness are undeniably two experiences that radically question our access to reality.

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