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FOLIE A DEUX NEARLY ALWAYS STAYS WITHIN A FAMILY
Did You Know That Folie A Deux Nearly Always Happens Inside A Family?
It Is A Delusion Shared By Two Or More People
Usually One Of Them Has A Psychotic Illness First
The Others Then Adopt That Person's Delusions
Doctors Call The First One The Primary
The People Who Take On The Delusion Are The Secondaries
Researchers Have Raised Doubts About The Original Description
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM THE FAMILY HOME 🏡
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POISON IN THE DRINKING WATER 💧
A Mother And Son Were Brought To A Mental Health Institute In India
Her Brother Brought Them In
Both Had Similar Complaints Of Irritability And Withdrawal
The Mother Was A 40 Year Old Divorcee
Her Illness Had Lasted 8 Years
According To Her The Neighbors Were Plotting To Kill Her And Her Son
She Believed They Were Poisoning The Family's Drinking Water
Witchcraft And Black Magic Were Also Part Of Her Accusations
Often She Shouted Abuse At The Neighbors
She Forced Her Son To Stay Indoors
Every Link With Them Was Cut Off
Later She Added Her Own Relatives To The Plot
That Happened After She Saw Them With The Neighbors
Her Son Was 20 And Her Only Child
Four Years Earlier He Had Started To Hold Similar Beliefs
He Also Believed The Neighbors Were Harming Him With Witchcraft
Two Months Before They Came In A Stray Dog Bit Him
He Refused Treatment For The Bite
So The Neighbors Took Him By Force For A Rabies Injection
After That Both Mother And Son Got Worse
Doctors Admitted Them To Two Separate Closed Wards
The Mother Was Diagnosed With Paranoid Schizophrenia
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WHAT 42 CASES SHOWED 👭
Researchers In The UK Reviewed Published Cases Of Folie A Deux
Their Search Covered The Years 1993 To 2005
They Found 64 Cases
Of Those 42 Met Their Criteria
Next They Compared Them With An Earlier Review
That Review Covered 1942 To 1993
In The Newer Cases Almost Every Pair Came From One Family
The Figure Was 97.6 Percent
Only 2.4 Percent Were Friends Who Were Not Related
Married Or Common Law Couples Made Up 52.4 Percent
Sisters Were The Second Largest Group At 23.8 Percent
Half Of Those Sisters Were Twins
Parents And Children Made Up 31.1 Percent In The Older Review
The Child Was The Secondary In 73.7 Percent Of Those Pairs
Social Isolation Was Reported In 64.3 Percent Of The Newer Cases
It Was 84 Percent In The Older Review
Delusions Were Identical In 98 To 100 Percent Of Pairs
Persecution And Grandeur Were The Most Common Themes In Primaries
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In Both Cases From India The Mother Was Dominant
She Was Also Overprotective Of Her Son
It Was The Mother Who Started The Shared Delusions
Over Time She Imposed Them On Him
By Nature He Was Passive And Dependent
She Had Placed Extreme Limits On His Contact With The Outside World
The Doctors Said This Matches The Classic Picture Of Folie A Deux
However The UK Review Found That Picture Does Not Always Fit
Secondaries Are Traditionally Seen As Submissive But Mentally Sound
They Could Be Extremely Vulnerable To Mental Illness Themselves
Other Risk Factors Were Also Reported In Secondaries
These Included A Passive Personality And Cognitive Impairment
Language Difficulties And Major Life Events Were Listed Too
Family Histories Of Mental Illness Were Similar In Both Groups
The Authors Said This Suggests A Similar Genetic Risk
Back In India The Mother Reached Partial Remission In A Month
Her Son Was Watched Without Drugs For Nearly A Week
His Condition Got Worse So Doctors Started Medication
Within A Month He Had Fully Recovered
Even So His Doctors Could Not Rule Out A Shared Genetic Risk
