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The case history, treatment and follow-up of a family sharing the same delusion are presented in this article. The characteristics of separation-individuation of this pathological condition and its treatment are discussed.
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Goodwin Wharton (1653-1704) was a nobleman's son and a Whig MP who played no small part in English public life. His manuscript journal shows, however, that he also lived a bizarre secret life of the mind of a kind which, in later generations, would have led to his confinement as suffering from mental illness. Above all, through the offices of his medium and lover, Mary Parish, he entered into elaborate relations both with the fairy world and with God and His Angels. This paper examines our records of Wharton's consciousness.
Suicide pacts, though occurring infrequently, are neglected occurrences. They have features distinguishing them from single suicides which can be seen as residing in the characteristics of the pact relationship. Dyadic, family and collective suicides are reviewed and found to have several common features, including exclusivity and isolation, the threat of dissolution of the relationship, and the presence of a powerful initiator.
Partners of survivors of childhood sexual abuse may develop a "trauma contagion" marked by high levels of stress, doubts about to key personal values and assumptions about the world, and a tendency to be drawn into unconscious reenactments with the survivor of the abusive relationship. Various treatment interventions are discussed, especially conjoint work with the survivor.
We report on a case of a "folie à deux" between sister and brother (56 and 61 years of age). Based on a definition of the concept of the induced psychoses, we focus attention on some special aspects of these double psychoses. Special consideration is given to psychopathological constellations and their meaning, with etiogenetic aspects of "process" and "development" with regard to the concept of vulnerability. We could show that in such cases the new operationalised diagnostic manuals like DSM-IV and ICD-10 are based on traditional concepts.
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The author describes a mother and daughter, both admitted to a major medical center on the same day to the same room, and both with a clinical presentation consistent with Munchausen syndrome. To the author's knowledge, this is the first report of Munchausen syndrome presenting as a folie à deux.
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