Exploring Shared Delusions among Three Sisters in Folie à Trois: A Case Report

A. Oumoussa, S. T. Eddine, I. Adali, F. Manoudi
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Abstract

In this case report we present the case of three sisters experiencing shared psychotic disorder (SPD), or folie à trois, characterized by the transmission of delusional beliefs within close familial relationships. The primary patient presented aggressive behaviors and paranoid delusions, leading to hospitalization, while the other two siblings displayed similar beliefs but with less severe symptoms. Treatment involved physical separation and pharmacological intervention, resulting in significant improvement, particularly in the induced siblings. The case underscores the importance of a comprehensive approach to managing SPD, combining pharmacotherapy and psychosocial interventions. Further research is needed to improve understanding and optimize treatment strategies for shared delusions. Documenting and sharing such cases can contribute to improved outcomes for patients and their families.
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探索《三人行》中三姐妹的共同妄想:案例报告
在本病例报告中,我们介绍了三姐妹共同精神障碍(SPD)或三姐妹妄想症(folie à trois)的病例,其特点是妄想信念在亲密的家庭关系中传播。主要患者有攻击性行为和偏执性妄想,导致住院治疗,而另外两个兄弟姐妹则表现出类似的信念,但症状较轻。治疗包括物理分离和药物干预,结果患者病情明显好转,尤其是诱发妄想症的兄弟姐妹。该病例强调了综合治疗 SPD 的重要性,即结合药物治疗和社会心理干预。需要进一步开展研究,以加深对共同妄想症的理解并优化治疗策略。记录和分享此类病例有助于改善患者及其家庭的治疗效果。
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