Excerpt from Shared Psychotic Disorder
Synonyms, Key Words, and Related Terms: shared paranoid disorder, psychosis by association, imposed psychosis, infectious insanity, folie à deux, folie à quater, folie à famille, folie imposée, folie simultanée, folie communiquée, folie induite, mental illness, psychosis, delusional disorder, delusional illness, delusions, schizophrenia, mood disorders
Shared psychotic disorder, or folie à deux, is a rare delusional disorder shared by 2 or, occasionally, more people with close emotional ties. An extensive review of the literature reveals cases of folie à trois, folie à quatre, folie à famille (all family members), and even a case involving a dog. Table 1. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) and International Statistical Classification of Diseases, 10th Revision (ICD-10R) Criteria | DSM-IV-TR Diagnostic Criteria for 297.3 Shared Psychotic Disorder | ICD-10 Diagnostic Criteria for F.24 Induced Delusional Disorder (Folie à Deux) |
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- A delusion develops in an individual in the context of a close relationship with another person or persons, who have an already established delusion.
- The delusion is similar in content to that of the person who already has an established delusion.
- The disturbance is not better accounted for by another psychotic disorder (eg, schizophrenia) or a mood disorder with psychotic features and is not due to the direct physiological effects of a substance (eg, drug abuse, medication) or a general medical condition.
| - Two people share the same delusion or delusional system and support one another in this belief.
- They have an unusually close relationship.
- Temporal or contextual evidence exists that indicates the delusion was induced in the passive member by contact with the active partner.
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