Folie à deux / Case report: Folie à deux

JMCD, Sexo masculino, 19 años, soltero, sin hijos. Vive en Casas Compartidas de la Fundación Don Bosco. Examen Mental: Refiere que conversa con Dios en su corazón, y ahí siente el "fuego", pero no lo ve ni lo escucha. Dice tener la misión de predicar (sin mayor elaboración), y que no le gusta ninguna Iglesia. Discurso sin alteración del curso formal. Afecto de "templanza" forzada y superioridad. Al ingreso se agita y presenta postura antieconómica (también en el hogar: crucificado). Pone los ojos en blanco y parpadea rápidamente. Sin consciencia de enfermedad. Juicio de realidad alterado. Diagnósticos: Síndrome delirante lúcido. Folie à deux. Discusión: El trastorno de ideas delirantes inducidas, también conocido como Trastorno psicótico compartido o folie à deux es una condición poco común, caracterizada por síntomas psicóticos en 2 o más individuos que mantienen una relación cercana.

JMCD, male, 19 years old, single, childless. Live in shared houses of the Don Bosco Foundation. Mental examination: Refers conversing with God in his heart, and there he feels the "fire", but neither sees nor hears God. He claims to have the mission of preaching (without further processing), and he does not like any church. Speech without altering the formal course. Forced "temperance" affection and superiority. Agitation at Income and presents uneconomical posture (also at home: crucified). He rolls his eyes and blinks rapidly. Without awareness of disease. Reality trial actually altered. Diagnosis: Lucid delusional syndrome. Folie à deux. Discussion: The disorder of induced delusional thoughts, also known as shared psychotic disorder or folie à deux is a rare condition characterized by psychotic symptoms in 2 or more individuals who maintain a close relationship.

Folie à Deux and its interaction with early life stress: a case report.

BACKGROUND: Folie à deux is a very rare psychiatric syndrome in which a psychotic symptom is transmitted from one individual to another. We present a case of folie à deux occurring during childhood, which is not an usual presentation of this syndrome. In this case, the disorder is correlated with child abuse and neglect, which possibly had a role in the development of the symptoms in our case. CASE PRESENTATION: We present a case of folie à deux between an "induced" 9-year-old black Brazilian boy and the "inducer", his grandmother. They were found to be sharing similar auditory and visual hallucinations and delusional beliefs. The boy was neglected by his parents and was being cared for by his grandmother, who had a history of mental disorder. CONCLUSIONS: The close relationship between the boy and his grandmother, the family history of first-degree psychosis, and the child abuse and neglect suffered by the boy may have altered his vulnerability to early-onset psychosis and, in this case, folie à deux.

[Folie a deux: a nosographic question or just a shared madness?]. / Folie a deux: una cuestión nosográfica o solo una locura compartida?

Folie a deux was described by Lasègue and Falret in 1877. The concept evolved thus giving rise to different variants of the same reported phenomenon. Taking a clinical case as an example, a review of the nosological definition of shared psychotic disorder was performed. Limitations were found in its descriptions of the subtypes of this unique clinical picture. In this paper we evaluate if its argument has real implications for the purpose of establishing a diagnosis and performing a definite therapeutic approach.

[Folie à famille: a Surinamese-Hindustani family with a shared paranoid delusion and severe undernourishment]. / Folie à famille: een Surinaams-Hindoestaans gezin met een gedeelde paranoïde waan en ernstige ondervoeding.

Folie à famille is a rare psychiatric condition in which several family members develop similar psychotic symptoms. We describe the case of a family of four with a shared paranoid delusion, who all obtained complete remission after being treated with antipsychotics on different psychiatric wards.

Folie a deux: una cuestión nosográfica o solo una locura compartida? / [Folie a deux: a nosographic question or just a shared madness?].

Folie a deux was described by LasÞgue and Falret in 1877. The concept evolved thus giving rise to different variants of the same reported phenomenon. Taking a clinical case as an example, a review of the nosological definition of shared psychotic disorder was performed. Limitations were found in its descriptions of the subtypes of this unique clinical picture. In this paper we evaluate if its argument has real implications for the purpose of establishing a diagnosis and performing a definite therapeutic approach.

Folie a deux: una cuestión nosográfica o solo una locura compartida? / [Folie a deux: a nosographic question or just a shared madness?].

Folie a deux was described by LasÞgue and Falret in 1877. The concept evolved thus giving rise to different variants of the same reported phenomenon. Taking a clinical case as an example, a review of the nosological definition of shared psychotic disorder was performed. Limitations were found in its descriptions of the subtypes of this unique clinical picture. In this paper we evaluate if its argument has real implications for the purpose of establishing a diagnosis and performing a definite therapeutic approach.

["Folie à Famille", an interdisciplinary experience from a clinical and therapeutic stance]. / "Folie à Famille", una experiencia interdisciplinaria desde la clínica y la terapéutica.

UNLABELLED: Report of a learning process experience by Psychiatry residents in the Mental Health area of a public monovalent hospital of the province of Entre Ríos. This work is based on an analysis of roles played by interdisciplinary experiences such as Psychiatry, Psychology, Therapeutic Assistance, Social Work and Occupational Therapy as well as Clinical and Therapeutical perspectives (Psychosocial, Psychoeducational and Psycopharmacology), not only addressing the peculiarity of the "Folie à Famille" case but also the institutional, legal, locational and neighborhood level elements taking into account the development of the diagnostic and therapeutic strategies in the area of Mental Health. Clinical case report of the entire family from the legal admission to its final home and neighborhood reinsertion. Consisting of clinical diagnosis, legal, situational, social and therapeutic interventions during hospitalization, home and social networks restoring process, hospital release and support of outpatient treatment. A full review of the concept of "Folie à Famille" will be provided as described previously in the literature. METHOD: Observational analytic descriptive study.

Locura familiar: revisión clínica y a propósito de un caso / Folie a famille: clinical review and a case report

Introduction: Shared paranoia disorder, also known as folie à deux, is a fairly uncommon disturbance characterized by the presence of similar psychotic symptoms in two or more individuals. Most often the symptoms are delusional. The 'primary' case, the individual who first develops psychotic symptoms, can be distinguished from one or more 'secondary' cases, in whom the symptoms are induced. Usually two people are involved, although full family case reports are described. These cases are even more uncommon and more difficult to treat. Case report: We describe a case of folie a famille, this condition being a type of shared paranoia disorder. The case involves a father and his three sons and clinical picture appears after fourth son 's suicide The dead son is the primary' case, whilst his three brothers and his father are 'secondary' cases. The father was admitted to psychiatric unit for in-patient treatment. Conclusions: Treatment success was modérate in terms of improving the features of folie a famille in the four individuals involved. The first step for a right treatment is a right diagnosis. Social features and family relationships need to be consider.

Introducción: El trastorno psicótico compartido, también conocido como folie à deux, es un cuadro muy poco frecuente caracterizado por la presencia de síntomas psicóticos similares en dos o más individuos. Principalmente los síntomas son delirantes. El caso primario, el individuo que primero desarrolla los síntomas psicóticos se puede diferenciar de uno o más casos secundarios en los que los síntomas son inducidos. Lo más habitual es que participen dos individuos, aunque se han descrito casos que afectan a familias enteras, siendo estos cuadros muy poco frecuentes y con un abordaje más complicado. Caso clínico: Presentamos el caso de una locura familiar, un subtipo de trastorno psicótico compartido. El cuadro abarca a un padre y sus tres hijos y se desarrolla a partir del suicidio del cuarto hijo. El hijo fallecido constituye el caso primario mientras que sus tres hermanos y el padre son los casos secundarios. El padre es ingresado en la planta de psiquiatría. Conclusiones: El éxito del tratamiento fue moderado en el sentido de mejorar las características de la folie a famille en los cuatro sujetos implicados. El primer requisito para un tratamiento correcto es un diagnóstico correcto que tenga en cuenta aspectos sociales y la dinámica familiar.

Folie induite: relato de um caso à margem das classificações atuais / Folie induite: report of a case outside of the actual classifications

Na classificação de Gralnick, de 1942, a folie à deux é dividida em quatro subtipos básicos: folie imposée, folie communiquée, folie simultannée e folie induite. O último termo se refere à adição de novas idéias delirantes por paciente previamente psicótico sob influência de outro paciente. Relatamos um caso de folie induite ocorrido entre mãe e filho primariamente psicóticos (transtorno delirante e esquizofrenia, respectivamente), que passaram a compartilhar delírios de natureza persecutória e sexual. Casos de folie à deux geralmente correspondem ao transtorno psicótico induzido (DSM-IV-TR) ou transtorno delirante induzido (CID-10). No entanto, o paciente deste relato não pode receber tais diagnósticos, já que nos critérios validados atualmente percebe-se a exigência de que o parceiro induzido não possua um transtorno psicótico anterior ao início do compartilhamento do delírio. Consideramos que o presente relato exemplifica a insuficiência das modernas classificações nesta área. Casos de folie induite podem necessitar de manejo distinto dos demais casos de psicose compartilhada ou não compartilhada. Sugerimos que os critérios diagnósticos correntes poderiam ser revisados para incluir condições psiquiátricas como essa.

In the Gralnick classification of 1942 the term folie à deux is classically divided into four basic subtypes: folie imposée, folie communiquée, folie simultannée and folie induite. This last one refers to the addiction of new delusions in a previous psychotic patient, under the influence of another patient. We report a case of folie induite that occurred between mother and son, both diagnosed previously with psychotic disorders (delusional disorder and schizophrenia, respectively), who started to share persecutory and sexual delusions. Cases of folie à deux generally correspond to the induced psychotic disorder in the DSM-IV-TR or the induced delusional disorder in the ICD-10. However, our patient do not meet neither diagnosis, since, in both, it is necessary that the induced delusional patient do not have any previous psychotic disorder. We think that our report underscores the insufficiency of the modern classifications in this area. Cases of folie induite may require a management different from those used in other cases of shared or non-shared psychosis. We suggest that modern criteria should be revised to include cases such as the present one.

Folie à deux dissociative disorder in prepubertal children. Report of two cases with EEGs.

A case of folie à deux dissociative (dissociative hysteria) disorder in an 8 and 12 year-old sister and brother is presented. Illnesses of this type are very rare and there is little medical literature on this subject. Our patients, almost simultaneously, abruptly had complete loss of memory, disorientation, loss of awareness about who they were, and much anxiety, which lasted about 15 hours. Both patients were physically well and no abnormalities were found on physical examination, routines laboratory tests and EEG studies. Speculations about the emotional and interpersonal causes of this illness in these two patients are given.

Folie à deux dissociative disorder in prepubertal children: report of two cases with EEGs

A case of folie à deux dissociative (dissociative hysteria) disorder in an 8 and 12 year-old sister and brother is presented. Illnesses of this type are very rare and there is little medical literature on this subject. Our patients, almost simultaneously, abruptly had complete loss of memory, desorientation. loss of awareness about who they were, and much anxiety, which lasted about 15 hours. Both patients were physically well and no abnormalities were found on physical examination, routines laboratory tests and EEG studies. Speculations about the emotional and interpersonal causes of this illness in these two patients are given.

Folie à deux: Revisáo crìtica da literatura / Folie à deux: Critical review of literature

Os autores apresentam uma revisáo histórica do tema "Folie à Deux", abordando desde o estudo pioneiro de Lasegue & Falret, no século passado, até as publicaçöes mais atuais. Fazem uma análise crìtica acerca da nomenclatura e categorizaçäo desse distúrbio nas classificaçöes recentes. Neste sentido, defendem que a "Folie à Deux" seja designada de "Disturbio Delirante Induzido" e incluida entre os "Distúrbios Delirantes". O termo "Folie à Deux" seria empregado apenas de forma genérica. Referindo-se a quaisquer relaçöes interpessoais patológicas onde haja um delìrio compartilhado, independente dos diagnósticos individuais dos parceiros. Enfocam, ainda, aspectos do quadro clìnico, evoluçäo e terapêutica da "Folie à Deux"

Folie à deux em gêmeos monozigóticos: Relato de caso / Folie à deux in monozigotic twins: Case report

Os autores apresentam um caso de "Folie à Deux" em gêmeos, cuja originalidade prende-se a uma inversäo dos papéis de indutor/induzido, entre os parceiros de menor e maior capacidade intelectual, respectivamente. Fazem, ainda, uma discussäo acerca de aspectos referentes ao diagnóstico e classificaçäo desta condiçäo e defendem a separaçäo como uma conduta útil ao esclarecimento diagnóstico e, muitas vezes, importante para a terapêutica

Caso clínico de trastorno psicótico inducido o folie a deux / A clinical case of psychotic induced disorder or folie a deux

Presentamos el caso de un paciente con diagnóstico de Esquizofrenia Paranoide y de su madre, quien acepta totalmente las ideas delirantes de su hijo. Ambos viven juntos hace 25 años formando una pareja cerrada e interdependiente. Se discute el diagnóstico de Trastorno Psicótico Inducido así como sus antecedentes históricos e implicancias como modelo de enfermedad psiquiátrica en consideración de su génesis y algunos aspectos antropológicos

"Folie à deux": histórico, conceito e descriçäo de um caso em gêmeas dizigóticas / Shared paranoid disorder: historical, concept and description of a case in dizygotic twins

Alguns aspectos da entidade clínica folie à deux säo considerados através de uma revisäo concisa da literatura. É também apresentado um caso de folie à deux em gêmeas dizigóticas. Säo discutidas a classificaçäo e a eficácia da separaçäo como meio terapêutico, bem como dificuldades na abordagem do quadro