Wehmeier Peter M, Barth Nikolaus, Remschmidt Helmut
Department of Child and Adolescent Psychiatry, Philipps University, Marburg, Germany.
Psychopathology. 2003 Jan-Feb;36(1):37-45. doi: 10.1159/000069657.
Induced delusional disorder (or shared paranoid 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. Usually the 'primary' case, i.e. the individual who first develops psychotic symptoms, can be distinguished from one or more 'secondary' cases, in whom the symptoms are induced. We discuss the concept of shared paranoid disorder and consider various aetiological, clinical and diagnostic issues related to the disturbance. We also describe a case of folie à famille, this condition being a type of shared paranoid disorder. The case involves a couple and their 12-year-old son. The boy's father is the 'primary' case, whilst the boy and his mother are both 'secondary' cases. The boy was admitted to our child and adolescent psychiatric unit for in-patient treatment. Treatment success was moderate in terms of improving the features of folie à famille in the three individuals involved.
感应性妄想障碍（或共享性偏执障碍），也称为二联性精神病，是一种相当罕见的精神障碍，其特征是两个或更多个体存在相似的精神病性症状。最常见的症状是妄想。通常“原发”病例，即首先出现精神病性症状的个体，可以与一个或多个“继发”病例区分开来，后者的症状是被诱发的。我们讨论共享性偏执障碍的概念，并考虑与该障碍相关的各种病因、临床和诊断问题。我们还描述了一例家族性精神病，这种情况是共享性偏执障碍的一种类型。该病例涉及一对夫妇及其12岁的儿子。男孩的父亲是“原发”病例，而男孩和他的母亲都是“继发”病例。男孩被收治到我们的儿童和青少年精神科病房接受住院治疗。就改善所涉及的三个人的家族性精神病特征而言，治疗取得了一定成效。
