Shared psychotic disorder (SPD) is perceived as a relatively rare and poorly understood psychiatric phenomenon. Patients sharing sexual delusions may refer to sex therapists looking for treatment of an alleged sexual pathology. This might cause significant diagnostic and therapeutic challenges. The aim of this article was to discuss diagnostic and management difficulties of SPD with special interest in patients sharing sexual delusions. PubMed selective search was provided for publications with keywords including SPD, induced delusional disorder, folie à deux, and induced psychosis. One case is presented and discussed according to recent diagnostic criteria and the medical and legal issues of the therapy.
L\\\\'exorciste en folie [DVDRip]
Contemporary diagnostic criteria for SPD according to DSM-IV-TR and induced delusional disorder (IDD) according to ICD-10 are shown in Table 1. Guidelines for diagnosing SPD and IDD do not differ significantly. It is one where only one person suffers from a genuine, established psychotic disorder (inducer), most commonly schizophrenia or delusional disorder. The other person (recipient) is often highly suggestible, younger, less intelligent, more passive, and with lower self-esteem. Both usually live in some kind of isolation from other people combined with a long-standing and very close relationship to each other (Silveira & Seeman, 1995; Wehmeier et al., 2003). Another factor predisposing to receive delusional induction is Dependent Personality Disorder, like in the case of folie à deux and incubus syndrome presented by Petrikis et al. (2003). It is important to distinguish whether the disclosed delusional symptoms are truly psychotic and not representing special cultural beliefs (Gaines, 1995). In affected individuals, psychotic symptoms are clearly believed regardless of evidence to the contrary and usually impair their social, occupational or interpersonal functioning. Distinguishing between the inducer and the recipient can be difficult due to the circular character of IDD where role reversal (when the recipient becomes the inducer) sometimes occurs (Mentjox, van Houten, & Kooiman, 1993). However, in such cases, endogenous etiology in both individuals (more likely when consanguineous) must be ruled out if diagnosing induced psychosis. This was argued by Arnone, Patel, and Tan (2006), who pointed out that the diagnostic criteria of folie à deux are insufficient and do not account for the high rate of psychiatric comorbidity in the recipients. A recent review of court cases involving folie à deux published by Newman and Harbit (2010) showed that the diagnosis of SPD often causes confusion among mental health experts and legal professionals and needs further investigation.
Y a-t-il un exorciste pour sauver le monde ? ou L'exorciste en Folie (Repossessed) est un film américain réalisé par Bob Logan (en), sorti en 1990. Il s'agit d'une parodie du film L'Exorciste sorti en 1973 avec la même actrice principale. 2ff7e9595c
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