Saragih Munawir, Amin Mustafa Mahmud, Husada Muhammad Surya
Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.
Open Access Maced J Med Sci. 2019 Aug 20;7(16):2701-2704. doi: 10.3889/oamjms.2019.821. eCollection 2019 Aug 30.
Shared psychotic disorder was first introduced in the 19th century in France with the name Folie à deux. Since then, the concept of Folie à deux has been developed and produces several subtypes in France. In DSM, this disorder is called Shared Psychotic Disorder, and in ICD-10, it is called Induced Delusional Disorder. However, some of the classic subtypes of Folie à deux are not included in the above categories.
We found a case of shared psychotic disorder between a 38-year-old male inducer, a Batak tribe with two female recipients, 34 and 36 years from the Batak tribe. They were found to share the same delusions and hallucinations, and inducers could make recipients into trance conditions. These three individuals did not get along with the surrounding community and often carried out activities and perform rituals together.
Overall, our case has some unique features of folie à deux. In this case, there is a trance condition that can be induced that have not been reported in the literature or case reports related to Folie à deux.
共享性精神病性障碍于19世纪在法国首次被提出，名为“感应性精神病”。从那时起，“感应性精神病”的概念在法国得到发展并产生了几种亚型。在《精神疾病诊断与统计手册》（DSM）中，这种障碍被称为共享性精神病性障碍，在《国际疾病分类第10版》（ICD - 10）中，它被称为感应性妄想障碍。然而，“感应性精神病”的一些经典亚型并不包含在上述类别中。
我们发现了一例共享性精神病性障碍病例，诱导者是一名38岁的男性，来自巴塔克部落，两名受影响者是34岁和36岁的女性，也来自巴塔克部落。他们被发现有相同的妄想和幻觉，并且诱导者能使受影响者进入恍惚状态。这三个人与周围社区相处不融洽，经常一起开展活动并进行仪式。
总体而言，我们的病例具有一些“感应性精神病”的独特特征。在这个病例中，存在一种可诱导的恍惚状态，这在与“感应性精神病”相关的文献或病例报告中尚未有过报道。
