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A paranoid migrant family – folie à famille

Published online by Cambridge University Press:  13 June 2014

Abiola Oshodi
Affiliation:
Department of Psychiatry, Beaumont Hospital, Dublin 9, Ireland
Raju Bangaru
Affiliation:
Central Mental Hospital, Dundrum, Dublin 14, Ireland
Jackie Benbow
Affiliation:
Saint Brendan's Hospital, Grangegorman, Dublin 7, Ireland

Abstract

This report describes a case of folie à famille in which an African man (Mr X), his wife and three daughters travelled around the world as Mr X transmitted his persecutory delusions to his family members. Mr X who had previously had two brief admissions in the UK and in Ireland, received an adequate trial of antipsychotic treatment in his third admission with us in Dublin. During informal contact with his daughter B, it became apparent that the whole family shared his delusions. On her advice, the other family members voluntarily consented for assessment and psychological interventions, they were interviewed separately. All the family members recovered following separation and psychological interventions without antipsychotic treatment. This case illustrates folie imposée, one of the four subgroups summarised by Gralnick1 from the 20th century literature. This family undertook an extreme measure of travelling around the world because of their induced delusions.

Type
Case Report
Copyright
Copyright © Cambridge University Press 2005

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References

1.Gralnick, A. Folie à deux: the psychosis of association: à review of 103 cases and the English literature. Psychchiatr Q 1942; 16: 230.Google Scholar
2.Howard, R. Induced psychosis. Br J Hosp Med 1994; 51: 304–7.Google ScholarPubMed
3.World Health Organisation. The JCD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva: WHO 1992.Google Scholar
4.Peter, M, Wehmeire, NB, Remschmidt, H. Induced delusional disorder; A review of the concept and an unusual case of folie à famille. Psychopathology 2003; 36: 3745.Google Scholar
5.Waltzer, H. A psychotic family Folie à douze. J Nerv Ment Dis 1963; 137: 67.Google Scholar
6.Mentjox, R, Van Houten, CAG, Kooiman, CG. Induced psychotic disorder; clinical aspects, theoretical considerations and some guidelines for treatment. Compr Psychiatry 1993; 34: 120–6.Google Scholar
7.Dippel, B, Kemper, J, Berger, M. Folie à six; A case report on induced psychotic disorder. Acta Psychiatr Scand 1991; 83: 137–41.CrossRefGoogle Scholar
8.Fernando, FP, Frieze, MA. A relapsing folie à trios. Br J Psychiat 1985; 146:315–24.CrossRefGoogle Scholar
9.Glassman, JNS, Magulac, M, Darko, DF. Folie à famille: shared paranoid disorder in a Vietnam veteran and his family. Am J Psychiatry 1987; 144: 658–60.Google Scholar
10.Goldney, RD. Folie à famille: A case report. Aust N Z J Psychiatry 1972; 6: 247–50.CrossRefGoogle Scholar
11.Maizel, S, Knobler, HY, Herbstein, R. Folie à trois among two soviet-jewish immigrant families to Israel. Br J Psychiatry 1990; 157: 290–2.Google Scholar
12.Sims, A, Salmons, RHumphrey, P. Folie à quatre. Br J Psychiatry 1977; 130: 134–8.CrossRefGoogle Scholar
13.Tseng, WS. A paranoid family in Taiwan: A dynamic study of folie à famille. Arch Gen Psychiatry 1969; 21: 5563.Google Scholar
14.Ropschitz, DH. Folie à Deux; A case of Folie Imposee à Quatre and à Trois. J Mental Science 1957; 103: 589–96.CrossRefGoogle Scholar
15.Dewhurst, WG, Eilenberg, MD. Folie à Trois: Case Report. J Mental Science 1961; 107:486–96.Google Scholar
16.Bauer, FC. Folie à trios; A case report. Psychiatry Q 1953; 27: 624.CrossRefGoogle Scholar
17.Godocu - Angular, , Wintrob, R. Folie à famille in the Philippines. Psychiatry Q 1964; 38:278–91.CrossRefGoogle Scholar
18.Kallmann, Franz J, Mickey, Jean S. The concept of induced insanity in family units. J Nerv Ment Dis 1946; 104: 303–15.Google Scholar
19.Freeman, M. An unusual case of folie à deux. Aust N Z J Psychiatry 1967; 1: 48.Google Scholar
20.Dewhurst, K, Todd, J. The Psychosis of association; Folie à Deux. J Nerv Men Dis 1956; 124:451–9.Google Scholar
21.Layman, WA, Cohen, A. Modern concept of folie à deux. J Nerv Ment Dis 1957; 125: 412.Google Scholar
22.Lasègue, C, Falret, J. La folie à deux ou folie communiqué. Ann Med Psychol, 1877; 18: 321.Google Scholar
23.Wikler, Lynn. Folie à famille: A family therapist's perspective. Fam Process 2002; 19:257–68.Google Scholar