Shared Psychotic Disorder: A Critical Review of the Literature

1995 ◽  
Vol 40 (7) ◽  
pp. 389-395 ◽  
Author(s):  
M Silveira José ◽  
V Seeman Mary
Keyword(s):  
Social Isolation ◽  
Psychotic Disorder ◽  
Case Reports ◽  
Married Couples ◽  
Equal Frequency ◽  
Dsm Iv ◽  
Males And Females ◽  
Socially Isolated ◽  
The Relationship ◽  
Shared Psychotic Disorder

Objective To search the literature to reassess the concept of shared psychotic disorder (SPD) using modern nosology and current biopsychosocial formulation. Method Analyzing published case reports from 1942 through to 1993 that meet DSM-IV criteria for SPD according to patient age, sex, nature and duration of the relationship with the “primary”, length of exposure to primary's psychosis, family psychiatric history, comorbidity, social isolation of the dyad, presence of hallucinations, delusional type, and the diagnosis of the primary. Results Findings revealed: 1. males and females were affected with equal frequency; 2. there was equal prevalence in younger and older patients; 3. the majority of shared psychoses (90.2%) were equally distributed among married couples, siblings, and parent-child dyads; 4. comorbid dementia, depression, and mental retardation were common; 5. hallucinations were common; 6. the majority of dyads (67.3%) were socially isolated. Conclusions SPD probably occurs in premorbidly disposed individuals in the context of social isolation which is shared with a psychotic person.

scholarly journals Social Isolation and Well-Being Among Middle-Age and Older Adults: Before and During the COVID-19 Outbreak

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 38-38
Author(s):  
Lydia Li
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Connectedness ◽  
Well Being ◽  
Symptoms Of Depression ◽  
Physical Isolation ◽  
Multiple Dimensions ◽  
Aging And Health ◽  
Socially Isolated ◽  
The Relationship

Abstract This symposium brings together five studies that examined the relationship between social isolation and well-being. Two used pre-COVID data from the Health and Retirement Study (HRS). One aimed to identify patterns of social isolation trajectory in a 9-year period, where social isolation was conceptualized as a multidimensional construct. It identified four distinct patterns, and the pattern had a gradient relationship with health outcomes. Another examined the association between self-perceptions of aging (SPA) and social well-being among older adults. It found that positive SPA predicted increased social connectedness and reduced loneliness in four years. Two other studies were based on a longitudinal survey (COVID-19 Coping Survey) that began in April 2020. One reports that adults 55+ with comorbidity at pandemic onset had persistently elevated depressive symptoms in a 6-month period, regardless of their social isolation level. Another paper suggests that physical isolation at pandemic onset was associated with elevated symptoms of depression, anxiety, and loneliness throughout the following six months. The fifth paper was based on two-wave data—2019 survey and 2020 COVID supplement—from the National Aging and Health Trend Study (NAHTS). It found that older adults who were very socially isolated and completely homebound before the pandemic experienced less psychological distress during the outbreak than those who were very socially integrated and not homebound. The five studies highlight the multiple dimensions of social isolation, their antecedents and development over time, and their role in shaping mental health in a pandemic context.

scholarly journals Shared Psychotic Disorder (Folie À Deux): A Rare Case with Dissociative Trance Disorder That Can Be Induced

2019 ◽  
Vol 7 (16) ◽  
pp. 2701-2704
Author(s):  
Munawir Saragih ◽  
Mustafa Mahmud Amin ◽  
Muhammad Surya Husada
Keyword(s):  
Case Report ◽  
Psychotic Disorder ◽  
Rare Case ◽  
Case Reports ◽  
Icd 10 ◽  
Folie À Deux ◽  
Dissociative Trance Disorder ◽  
The 19Th Century ◽  
Shared Psychotic Disorder ◽  
Folie A Deux

BACKGROUND: Shared psychotic disorder was first introduced in the 19th century in France with the name Folie à deux. Since then, the concept of Folie à deux has been developed and produces several subtypes in France. In DSM, this disorder is called Shared Psychotic Disorder, and in ICD-10, it is called Induced Delusional Disorder. However, some of the classic subtypes of Folie à deux are not included in the above categories. CASE REPORT: We found a case of shared psychotic disorder between a 38-year-old male inducer, a Batak tribe with two female recipients, 34 and 36 years from the Batak tribe. They were found to share the same delusions and hallucinations, and inducers could make recipients into trance conditions. These three individuals did not get along with the surrounding community and often carried out activities and perform rituals together. CONCLUSION: Overall, our case has some unique features of folie à deux. In this case, there is a trance condition that can be induced that have not been reported in the literature or case reports related to Folie à deux.

scholarly journals A Contagious Disorder: Folie à Deux and Dementia

2018 ◽  
Vol 33 (7) ◽  
pp. 415-422 ◽  
Author(s):  
Gabriele Cipriani ◽  
Noha Abdel-Gawad ◽  
Sabrina Danti ◽  
Mario Di Fiorino
Keyword(s):  
High Risk ◽  
19Th Century ◽  
Psychotic Disorder ◽  
Clinical Condition ◽  
Case Reports ◽  
Search Terms ◽  
Folie À Deux ◽  
Delusional System ◽  
Shared Psychotic Disorder ◽  
Folie A Deux

Background: Folie à deux is a clinical condition that was first described in 19th century. It is a psychotic disorder in which two closely associated individuals share a similar delusional system. Objectives: The aim of this article is to review the nosological significance of folie à deux and to explore the disorder among patients with dementia. Methods: Medline and Google Scholar searches were conducted for relevant articles, chapters, and books published before 2017. Search terms used included dementia, folie à deux, induced delusional disorder, neurocognitive disorders, shared psychotic disorder. Publications found through this indexed search were reviewed for further relevant references. Results and Conclusion: Cases of Folie à deux involving patients with dementia are reported quite infrequently. Most of the studies on the topic consist in case reports. Clinicians are obliged to treat the disorder. They should be alert to the potential high risk inherent this psychotic syndrome.

scholarly journals The Double Mediating Effect of Social Isolation and Emotional Support on Feelings of Entrapment and Motivation for Recovery among Korean Alcoholic Inpatients

2021 ◽  
Vol 18 (9) ◽  
pp. 4710
Author(s):  
Joo-Young Lee ◽  
Jae-Sun An ◽  
Kyung-Hyun Suh
Keyword(s):  
Social Isolation ◽  
Emotional Support ◽  
Mediating Effect ◽  
Mediation Model ◽  
Motivation To Change ◽  
Effect Model ◽  
Motivation For Change ◽  
Socially Isolated ◽  
Study Participants ◽  
The Relationship

This study identified the relationship between feeling of entrapment and motivation for change among hospitalized alcoholic patients and examined the double mediating effect model of social isolation and emotional support on this relationship. The study participants were 101 male and female alcoholic patients hospitalized at C hospital, which specializes in alcohol treatment at I city in Korea. PROCESS Macro 3.5 Model 6 was used for analyses of double mediating effects. The results revealed that entrapment and social isolation were negatively correlated with motivation for recovery of alcoholic inpatients, whereas emotional support was positively correlated with it. In a sequential double mediation model for motivation to change in alcoholic inpatients, the direct effects of social isolation and entrapment were not significant. However, the sequential indirect effect of social isolation and emotional support on entrapment and motivation for recovery among alcoholic inpatients was significant. These results suggest that making alcoholic inpatients not feel socially isolated by providing them with emotional support or through other means of assistance by practitioners or family members is important for their recovery from alcohol use disorder.

Folie à deux

2016 ◽  
Vol 33 (S1) ◽  
pp. S576-S576
Author(s):  
C. Cocho ◽  
M. Baquero ◽  
I. Vera ◽  
J. Alvarez-arenas
Keyword(s):  
Psychotic Disorder ◽  
Close Association ◽  
Rare Condition ◽  
Psychotic Symptoms ◽  
Mother And Daughter ◽  
Folie À Deux ◽  
Competing Interest ◽  
The Relationship ◽  
Shared Psychotic Disorder ◽  
Folie A Deux

IntroductionThe induced delusional disorder or folie à deux, is a rare condition characterized by psychotic symptoms at least in two individuals in close association.ObjectivesWe report a case of shared psychotic disorder between mother and daughter. We briefly review both classical and current literature.MethodsWe summarized the results from articles identified via MEDLINE/PubMed using “induced delusional/shared psychotic disorder” as keywords. We report a case of a woman who develops psychotic symptoms characterized by delusions of persecution. Her daughter started, during the first high school grade with referring sexual threats and having delusions of persecution lived by her mother like a fact. They have very symbiotic relationship. Seven years later, the mother has required hospitalization for chronic delusions.ResultsThe term folie à deux was first coined by Lasègue and Falret, they assume the transmission of delusions was possible when an individual dominated the other and existed relative isolation. Recent studies found no significant differences in age and sex, although described higher comorbidity with other psychiatric diseases. Relative to treatment, separation by itself is insufficient; an effective neuroleptic treatment is required.ConclusionsOur case meets criteria for shared psychotic disorder. The daughter, with a ruling attitude who dominates the relationship, was the inducer. The mother showed no resistance in accepting delusions and remains them active after separation. This leads us to consider the possible predisposition to psychotic illness by both patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Assessment of Shyness among Tribal and Rural Adolescents and Its Relationship with Vocational Interests

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Shankarlinge Gowda ◽  
Dr. Chandrakant Jamadar
Keyword(s):  
Social Isolation ◽  
Rural Areas ◽  
School Shootings ◽  
Adolescent Violence ◽  
Situational Cues ◽  
Job Preference ◽  
The Social ◽  
Socially Isolated ◽  
Occupational Preference ◽  
The Relationship

The present study aims to find out the prevalence of shyness among adolescents in tribal and rural areas as well as to find out the relationship between of occupational preference among adolescents of tribal and rural areas, influence of shyness levels, gender, and income on job preference among the adolescents. The experience of shyness can occur at any or all of the following levels: cognitive, affective, physiological and behavioural and may be triggered by a wide variety of situational cues. Since shyness could affect any dimension, the present study aims to identify the influence of shyness on occupational preference of the adolescents. The study of adolescent shyness has implications for understanding some of the more extreme examples of adolescent violence as exhibited by recent high school shootings perpetrated by shy, socially isolated, angry adolescents labeled as “cynically shy” (Carducci, 2000) and the development of strategies for reducing the social isolation experienced by such socially disenfranchised adolescents. Finally, severe shyness that continues into the later years of life can result in chronic social isolation that leads to increasingly severe loneliness and related psychopathology, and even to chronic illness and a shorter life span. Lastly, after studying the shyness aspects and relationship with other variables, an attempt will be made to suggest few remedial measures for shyness.

scholarly journals Social Isolation and Healthcare Utilization Among Older Adults Living in Subsidized Housing

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 136-136
Author(s):  
Thomas Cudjoe ◽  
Laura Prichett ◽  
Katherine Runge ◽  
Laura Andes ◽  
Carl Latkin ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Healthcare Utilization ◽  
Social Connectedness ◽  
Subsidized Housing ◽  
Multiple Chronic Conditions ◽  
Non Profit ◽  
Socially Isolated ◽  
Home Placement ◽  
The Relationship

Abstract Older adults living in subsidized housing are often at high risk for having multiple chronic conditions and nursing home placement. Previous studies in this population have not examined the relationship between social isolation and healthcare utilization. We examine this using Lubben Social Network Scale-6 and self-reported healthcare utilization. Utilizing data from a multi-state non-profit subsidized housing provider, we performed descriptive and multivariate analyses on a sample of older adults (N=3,822). Overall, 95 % reported having a checkup within the last 12 months and an average of less than one emergency room visits (mean= 0.58) or hospitalizations (mean= 0.34). In adjusted models, Socially isolated older adults had lower levels of routine checkup (OR=0.50, CI 0.36,0.70) and higher levels of hospitalizations (IRR=1.30, CI 1.10,1.54) compared to older adults who were not socially isolated. Efforts to address healthcare utilization should identify social isolation and explore strategies to promote social connectedness to improve health.

scholarly journals Folie a Deux: Shared Psychotic Disorder in a Medical Unit

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Saumya Bhutani ◽  
Damir Huremovic
Keyword(s):  
Psychotic Disorder ◽  
Clinical Characteristics ◽  
Psychotic Disorders ◽  
Medical Setting ◽  
Typically Develop ◽  
Medical Unit ◽  
Or Groups ◽  
Close Relationship ◽  
Socially Isolated ◽  
Shared Psychotic Disorder

Introduction. A shared psychotic disorder is a system of delusions shared by two or more individuals. Shared psychotic disorders typically develop in pairs or groups with a close relationship who are socially isolated. The function and affect of those inflicted with shared psychotic disorders usually remain intact. For these reasons, a shared psychotic disorder is seldom identified, diagnosed, and treated. This case describes a shared psychotic disorder incidentally discovered in a medical unit. Case. The patient was a 47-year-old woman with no known past psychiatric history who had been medically admitted for gastroenteritis. On the day of discharge, a psychiatric consult was requested for “paranoia and bizarre behavior.” The patient was seen making statements that she needed security and the FBI to escort her as she left the hospital. Another person in the patient’s room was discovered to be the patient’s mother who had been staying with her in the hospital. Evaluation of the patient along with observation of her mother revealed that the two shared a complex system of delusions revealing a diagnosis of shared psychotic disorder. Discussion. A shared psychotic disorder is a unique psychiatric diagnosis. It may be even rarer to diagnose in the inpatient medical setting because multiple individuals from a shared system are typically not seen. In this case, the patient and her mother had multiple clinical characteristics of a shared psychotic disorder, including an enmeshed relationship and social isolation. The treatment for shared psychotic disorders involves separation of the individuals and pharmacotherapy with antipsychotics. This case also presented a unique ethical dilemma as the psychiatric team was called to evaluate a patient and found a patient and another individual to have symptoms. Conclusion. A shared psychotic disorder is important to consider on the differential when cases of psychosis with delusional systems are seen on medical floors.

The Need to Belong and the Relationship Between Loneliness and Health

2014 ◽  
Vol 22 (4) ◽  
pp. 194-201 ◽  
Author(s):  
Freda-Marie Hartung ◽  
Britta Renner
Keyword(s):  
Individual Differences ◽  
Social Isolation ◽  
Social Situation ◽  
First Year ◽  
Health State ◽  
Need To Belong ◽  
First Year University ◽  
Perceived Social Isolation ◽  
The Impact ◽  
The Relationship

Humans are social animals; consequently, a lack of social ties affects individuals’ health negatively. However, the desire to belong differs between individuals, raising the question of whether individual differences in the need to belong moderate the impact of perceived social isolation on health. In the present study, 77 first-year university students rated their loneliness and health every 6 weeks for 18 weeks. Individual differences in the need to belong were found to moderate the relationship between loneliness and current health state. Specifically, lonely students with a high need to belong reported more days of illness than those with a low need to belong. In contrast, the strength of the need to belong had no effect on students who did not feel lonely. Thus, people who have a strong need to belong appear to suffer from loneliness and become ill more often, whereas people with a weak need to belong appear to stand loneliness better and are comparatively healthy. The study implies that social isolation does not impact all individuals identically; instead, the fit between the social situation and an individual’s need appears to be crucial for an individual’s functioning.

Attachment and Field Dependence: Individual Differences in Information Processing

2004 ◽  
Vol 9 (1) ◽  
pp. 43-55 ◽  
Author(s):  
Patrizia Vermigli ◽  
Alessandro Toni
Keyword(s):  
Information Processing ◽  
Individual Differences ◽  
Field Dependence ◽  
Attachment Styles ◽  
Close Relationships ◽  
Adult Age ◽  
Males And Females ◽  
Figure Test ◽  
The Relationship ◽  
Measure Field

The present research analyzes the relationship between attachment styles at an adult age and field dependence in order to identify possible individual differences in information processing. The “Experience in Close Relationships” test of Brennan et al. was administered to a sample of 380 individuals (160 males, 220 females), while a subsample of 122 subjects was given the Embedded Figure Test to measure field dependence. Confirming the starting hypothesis, the results have shown that individuals with different attachment styles have a different way of perceiving the figure against the background. Ambivalent and avoidant individuals lie at the two extremes of the same dimension while secure individuals occupy the central part. Significant differences also emerged between males and females.

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