Schopfer Q, Eshmawey M
Department of Geriatric Psychiatry, Geneva University Hospitals, Switzerland.
Case Rep Psychiatry. 2022 May 2;2022:8811140. doi: 10.1155/2022/8811140. eCollection 2022.
Shared psychotic disorder is a relatively rare condition first described by Lasegue and Falret in 1877, who named the syndrome "folie à deux" (FAD). This disorder is characterized by the transference of delusional ideas from one individual to another.
We report the case of a mother and daughter who exhibited shared delusions of persecution after living in near-total isolation for 10 years. Both patients were hospitalized in two different wards, and the combination of separation, supportive, and pharmacological therapy resulted in remission for the mother and partial remission for the daughter.
Both patients were discharged, and a network was created by the psychiatric hospital which activated social workers for outpatient care. We also planned outpatient psychiatric sessions focused on the patients' specific role in the folie à deux disease, led by two different psychiatrists.
FAD has a long history but it is still an unconventional psychiatric diagnosis. This case report sheds light on the clinical features and how to set proper treatment strategies. While the phenomenon of FAD in old age may not be as rare as previously thought, the literature remains scarce.
共享性精神病性障碍是一种相对罕见的病症，于1877年由拉塞格和法勒首次描述，他们将该综合征命名为“感应性精神病”（FAD）。这种障碍的特征是妄想观念从一个人转移到另一个人身上。
我们报告了一对母女的病例，她们在几乎完全隔离的状态下生活10年后出现了共享性迫害妄想。两名患者分别在两个不同的病房住院，分离、支持性和药物治疗相结合使母亲病情缓解，女儿病情部分缓解。
两名患者均已出院，精神病院建立了一个网络，该网络启动了社会工作者提供门诊护理。我们还计划由两名不同的精神科医生主持门诊精神科会诊，重点关注患者在感应性精神病中的具体角色。
感应性精神病历史悠久，但仍是一种非常规的精神科诊断。本病例报告揭示了其临床特征以及如何制定适当的治疗策略。虽然老年期感应性精神病现象可能不像以前认为的那么罕见，但相关文献仍然匮乏。
