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Published on: September 20, 2018
FOLIE À DEUX - A CASE REPORT.
Joana Teixeira1, Teresa Mota, João Cabral Fernandes
1Centro Hospitalar Psiquiátrico de Lisboa, Av. Do Brasil, n°53, 1749-002 Lisboa, Portugal.
Folie á deux, a rare mental disorder, presents diagnostic and treatment challenges for psychiatrists. This case study details a subtype A folie á deux between an isolated mother and daughter, highlighting treatment difficulties.
Area of Science:
- Psychiatry
- Mental Health
- Clinical Psychology
Background:
- Folie á deux, a rare mental disorder, was first described in 1877.
- It remains a subject of study and debate among psychiatrists due to its challenging nature.
- Social isolation and close familial relationships can be contributing factors.
Purpose of the Study:
- To report a clinical case of folie á deux, subtype A (Gralnick).
- To describe the dynamic between an inducer daughter and an induced mother.
- To highlight the diagnostic and therapeutic challenges associated with this condition.
Main Methods:
- Case report of a folie á deux patient.
- Analysis of patient history, social environment, and relationship dynamics.
- Review of diagnostic criteria and treatment approaches for folie á deux.
Main Results:
- The case involved an inducer daughter and an induced mother with a close, isolated relationship.
- Diagnosis of folie á deux was straightforward.
- Treatment of the condition presented significant challenges.
- The inducer patient's primary diagnosis was notably complex.
Conclusions:
- Folie á deux continues to be a complex and challenging disorder for psychiatric understanding.
- Further research into the pathophysiology and effective treatment strategies for folie á deux is warranted.
- This case underscores the difficulties in managing shared psychotic disorders, particularly within isolated family units.
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