A case report of Folie à deux with delusion of pregnancy

Poulose Merin; Krishnan Hareesh

doi:10.30834/KJP.33.2.2020.225

Authors

Poulose Merin Kerala Health Services Department
Krishnan Hareesh Junior Consultant ( Psychiatry) Kerala Health Service Department

DOI:

https://doi.org/10.30834/KJP.33.2.2020.225

Keywords:

Shared delusion, delusion of pregnancy, Folie à deux

Abstract

Pseudocyesis is common, whereas delusion of pregnancy is a rare psychopathology. The shared delusion of pregnancy is even rarer. We present a case from a tribal community where a wife shares her husband's delusion. It highlights the role of biopsychosocial determinants in forming psychopathology. It also reflects the need for strengthening community psychiatry approach.

References

Lasègue C, Falret J: La folie à deux. Ann Med Psychol. 1877; 18: 321-55.

ICD-10 Classifications of Mental and behavioural disorders: Clinical Descriptions and Diagnostic Guidelines: Tenth revision-2nd edition. Geneva. World Health Organisation. 2004.

Dewhurst K, Todd J. The psychosis of a association; folie à deux. J Nerv Ment Dis. 1956 Nov;124(5):451-9.

Wehmeier P, Barth N, Remschmidt H. Induced delusional disorder, a review of the concept and an unusual case of folie a familie. Psychopathology.2003 Jan-Feb;36 (1):37-45

Gralnick. Folie a Deux, the psychosis of association: A review of 103 cases and the entire English literature.Psychiatric Quart.1942;6:230

Mullen R, Linscott RJ. A comparison of delusions and overvalued ideas. J Nerv Ment Dis. 2010 Jan;198(1):35-8.

Yadav T, Balhara YP, Kataria DK. Pseudocyesis Versus Delusion of Pregnancy: Differential Diagnoses to be Kept in Mind. Indian J Psychol Med. 2012 Jan;34(1):82-4.

Hunter R, Macalpine I. Three Hundred Years of Psychiatry. London, UK: Oxford University Press; 1963.

Al Saif F, Al Khalili Y. Shared Psychotic Disorder. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541211/

Corlett PR, Taylor JR, Wang XJ, Fletcher PC, Krystal JH. Toward a neurobiology of delusions. Prog Neurobiol. 2010 Nov;92(3):345-69.

Lazarus A. Folie à deux: psychosis by association or genetic determinism? Compr Psychiatry. 1985 Mar-Apr;26(2):129-35.

Vargas Alves Nunes A, Odebrecht Vargas Nunes S, Strano T, et al. Folie a` Deux and its interaction with early life stress: a case report. J Med Case Rep. 2016;10(1):339.

Nishihara, Ryan M. and Nakamura, Craig T. "A Case Report of Folie A Deux: Husband-and-Wife," Jefferson Journal of Psychiatry.1993;11(1):43-50 Available at - https://jdc.jefferson.edu/jeffjpsychiatry/vol11/iss1/9

Silveira JM, SeemanMV. Shared psychotic disorder: a critical review of the literature. Can J Psychiatry.1995;40(7):389-95.

Scharfetter.Studies of heredity in symbiotic psychosis.Int J Ment Health.1972;1:116-123

Suresh Kumar PN, Subramanyam N, Thomas B, Abraham A, Kumar K. Folie à deux. Indian J Psychiatry. 2005 Jul;47(3):164-6.