Uh huh... Wrote:
> "Josh was the agressor always"
> Right. Just like your physically combative
> interactions with Aaron, Pamela, and your mother
> were not at all your fault. Everything happens to
> you, never because of you. How nice it must be to
> believe that you are never even an iota
> responsible for the negative outcomes in your
This about sums up Janine/Josh/Pamela at the current time:
Shared psychotic disorder or induced delusional disorder can occur in different clinical settings and profile and is not uncommon. A case of Folie a trois with atypical clinical presentation as shared acute transient episode in a bereavement setting is reported. Suggestibility, close association and intimacy of the affected persons and major stress as psychological trigger act as psychopathological factors.
Keywords: Induced delusional disorder, shared psychotic disorder, transient psychotic episode
Shared sychiatric isorder (SPD) is defined as “the transfer of delusional ideas andor abnormal behavior from one person to another or one person to several others related or unrelated who have been in close association with the primary affected person” (Granlnick, 1942). Lasègue and Falret first described the phenomena of the transference of delusional ideas from a ‘primary’ affected individual to one or more ‘secondaries,’ in close association. They coined the term Folie à Deux. This syndrome is known by various names such as communicated insanity, contagious insanity, infectious insanity, psychosis of association, and double insanity. ICD-10 adopts the term ‘Induced delusional disorder’ (ICD-10), and DSM-IV uses the term ‘Shared psychotic disorder’ (DSM-IV). Terms like ‘Folie Imposée’, ‘Folie Simultanée,’ ‘Folie Communiqué,’ and ‘Folie Indiute’ designate subtypes of the phenomena of ‘Folie à Deux’. It can extend from original subject to three, four, five persons or even a whole family.
In ICD-10 induced delusional disorder is diagnosed when two people share the same delusion or delusional system and support one another in this belief. They have unusual close relationship. There exist temporal or contextual evidence to indicate that delusion was induced the passive member by contact with the contact partner.
DSM IV TR defines shared psychotic disorder to consist of delusion developing in an individual in the context of close relationship with another person or persons, who have an already established delusion. The delusion is similar in content to that of the person who already has an established delusion. The disturbance is not better accounted for by another psychotic disorder (E.g. Schizophrenia) or a mood disorder with psychotic features and is not due to the direct physiological effects of a substance (E.g. Drug abuse, medication) or a general medical condition.
In DSM-5 shared psychotic disorder is listed under Other Specified Schizophrenia Spectrum and Other Psychotic Disorder (298.8 F28). It is labeled as “delusional symptoms in partner of individual with delusional disorder.” It makes a note that “in the context of a relationship, the delusional material from the dominant partner provides content for delusional belief by the individual who may not otherwise entirely meet criteria for delusional disorder.”