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Folie à deux: a socio-psychiatric study.

A classic case of folie à deux from India is described in a couple unrelated to each other. The need for socio-cultural understanding of the clinical phenomenon and its implications is stressed.

Adult↗

Delusional parasitosis: folie à deux and attempted murder of a family doctor.

A 58-year-old woman suffering from delusional parasitosis tried to kill her general practitioner. Her husband shared in her beliefs but lost all delusional conviction after she was compulsorily admitted to a special hospital. The case illustrates the intractable nature and potential dangerousness of some of these cases, and their affinity to paranoia.

Delusions↗

Shifts of dependency in the resolution of folie à deux.

We have presented a case of folie à deux in which the wife was the primary (dominant) partner and the husband the secondary (submissive) partner. The husband's symptoms seemed to have resolved as his dependency shifted from his wife back to his mother. Treatment is recommended by deliberately shifting dependencies only when there is advantage in doing so. For most patients, the aim should be independence.

Adult↗

Patterns of utilization of medical care and perceptions of the relationship between doctor and patient with chronic illness including chronic fatigue syndrome.

To what extent do personal constructs affect the relationship between doctor and patient when the ill patient does not readily recover with treatment? Questionnaires were returned anonymously by 609 patients with a self-reported diagnosis of chronic fatigue syndrome, who were considered chronically ill. Findings were compared with those of an earlier study of a population of 397 general medical patients. The chronically ill patients lost an average of 65 days of work per year due to illness compared to general medical patients who missed six or fewer days per year because they were ill. The chronically ill patients also reported a 66% higher frequency of iatrogenic illness, spent more money on health care, took more medication, saw more specialists, and were more litigious than the general medical population. Research suggested several patterns of relationships between doctors and patients, and attitudes to health and illness, which may alert doctors to patients' perceptions, beliefs, encoded constructs, and patterns of relating that affect responses to treatment. More attention by doctors to patients who are experiencing the stress of chronic illness is indicated.

Adolescent↗

Folie à deux and dementia.

Folie à deux has been infrequently reported in dementia patients. A case is described in which both partners with folie à deux suffered from an Alzheimer type dementia. The development and management of folie à deux in dementia is discussed.

Aged↗

Managers can drive their subordinates mad.

This article explores the phenomenon of "folie à deux"--an aberrant relationship between manager and subordinates that is characterized by shared delusions. Though most visible among public figures like Adolf Hitler, J. Edgar Hoover and Jim Jones, the problem also surfaces among private managers and their associates with dangerous implications for the firm. In folie à deux, the unusual behavior patterns of a manager in an isolated setting become mirrored by dependent subordinates, and the organization loses touch with its original goals and strategies. The author describes the dynamics of this phenomenon and details steps to remedy the situation. Once recognized, he suggests that the manager establish a trusting relationship with the instigator as a prelude to altering the behavior patterns, then transfer the subordinates and reorient the work climate so that independence and responsibility are encouraged. If the instigator is a powerful executive, the author suggests enlisting the support of a countervailing force, such as the government or a union, to guide the organization away from possible self-destructive adventures.

Administrative Personnel↗

[Double suicide and symbiontic psychosis (suicide à deux and folie à deux)].

Symbiontic psychoses (induced delusions) are marked by 'solitude by twos'--together in alienation to the environment. This special psychological situation is dangerous and the foundation to develop 'suicides by twos' (double suicides). The relations between the psychotic partners (domination-subordination) change over to relations of double suicide (instogator-participant). The presuicide syndrome of such double suicides is described with two cases, one at the psychopathological borderline to a symbiontic psychosis, the other on the culmination of it (delusion of influence and reference).

Adult↗

[Psychosis induction in sisters].

The purpose of this report is to describe induced visual hallucinations among two sisters. The author suggests that the first sister has probably "organic" visual hallucinations but the second sister has "induced" hallucinations. The paper describes a family of three old maids, living commonly for several years.

Aged↗