Folie à deux and Fregoli syndrome with greater severity in the ‘secondary’ – A case report

Highlights • Folie à deux or shared psychotic disorder and Fregoli syndrome are rarely seen in clinical practice. • This remarkable case demonstrates Fregoli syndrome presenting in the context of folie à deux. • Unusually, the ‘secondary' develops a more serious illness course than the ‘primary...

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Bibliographic Details
Published in:Asian journal of psychiatry 2017-02, Vol.25, p.254-255
Main Authors: Teo, David C.L, Abraham, Abishek M, Peh, Andrew L.H
Format: Article
Language:English
Subjects:
Adult Children
Female
Folie à deux
Fregoli syndrome
Humans
Internal Medicine
Mother-Child Relations
Psychiatry
Schizophrenia, Paranoid - physiopathology
Shared Paranoid Disorder - physiopathology
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Summary:Highlights • Folie à deux or shared psychotic disorder and Fregoli syndrome are rarely seen in clinical practice. • This remarkable case demonstrates Fregoli syndrome presenting in the context of folie à deux. • Unusually, the ‘secondary' develops a more serious illness course than the ‘primary' and reciprocally induces a de novo Fregoli delusion in the ‘primary'. • Socio-cultural factors – such as interdependent family dynamics − in addition to the classical biological and psychogenic factors may play a role in the pathogenesis of this impressive pathology. • Culturally-sensitive formulations are imperative for good treatment outcomes.
ISSN:1876-2018
1876-2026
DOI:10.1016/j.ajp.2016.12.011