A case series of shared delusional infestation: folie à deux revisited
| Autor: | H. Mortimer, R. Jerrom, K. Martin, R. Siddiquee, D. Bagchi, J. M. R. Goulding |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Psychotherapist Dermatology medicine.disease_cause Shared Paranoid Disorder Stress Disorders Post-Traumatic 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Infestation medicine Humans Effective treatment Folie à deux History 19th Century Psychodermatology Middle Aged Risperidone medicine.disease Shared Psychotic Disorder Psychotherapy 030220 oncology & carcinogenesis Medical evidence Female Psychology Delusional Parasitosis Antipsychotic Agents |
| Zdroj: | Clinical and Experimental Dermatology. 45:414-416 |
| ISSN: | 1365-2230 0307-6938 |
| DOI: | 10.1111/ced.14138 |
| Popis: | Delusional infestation describes the unshakeable belief that one's skin is infected or infested with an external organism or inanimate material, in the absence of supportive medical evidence. It is one of the most challenging psychodermatological conditions to manage, given the rigidity of patients' physically focused health beliefs, and the competing need to introduce antipsychotic therapy to bring about resolution. This is rendered exponentially more complex when partners or family members are similarly afflicted. This situation is known as shared delusional infestation, shared psychotic disorder (SPD), or folie à deux. We present a series of three couples with SPD who were referred to our tertiary psychodermatology service during the same year. On examining the literature we were intrigued to discover that subtly different subtypes of SPD have been recognized since the late 1800s. These include folie simultanée, imposée, communiquée and induite. Our cases neatly demonstrate three of these variants, and highlight the difficulties in facilitating effective treatment. |
| Databáze: | OpenAIRE |
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