inductive delusional disorder
Introduction
Introduction to Inductive Delusional Disorders Inductive delusional disorder, induced psychosis, is a disease characterized by systematic paranoia, often occurring in relatives or friends who are in close contact with each other in the same environment or family, such as mother and daughter, sisters, Or couples, teachers and students, etc. In general, two patients have very similar psychiatric symptoms, one patient is the primary and the other is the sensory, so Lasegue and Falret first reported the name "folieàdeux" (1877). ). Occasionally, more than two patients can be reported, called triple psychiatry (folieàtrois) or quadruple psychosis (folieàquatre). basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: shock heart disease
Cause
Causes of inductive delusional disorder
(1) Causes of the disease
The etiology of this disease is not very clear, the related pathogenic factors are: the relationship between the original person and the person being sensored; cultural and environmental factors; the patient's pre-disease personality characteristics and genetic quality.
(two) pathogenesis
1. About the relationship between the originator and the person being sensored: It is recognized that the originator and the person being sensed live together for a long time, showing unusual close interpersonal relationships, mutual care, compassion, thoughtfulness, and even mutual dependence. With a deep emotional foundation, the two patients not only have a common background in life experience, but also have common needs and desires. The originals are mostly older, well educated, have better intelligence, and have strong personality. Characteristics, the person being sensed is in a position of compliance and dependence, and thus is easily resonated by induction. In its mind, the originator has high prestige and dignity.
2. Cultural and environmental factors: The degree of education of the people who are being inducted is low. The environment where the two are coexisting is blocked from the outside world and is a remote area. Therefore, cultural science knowledge is difficult to pass on, and some retain some superstitious concepts.
3. Personal characteristics before the illness: The person being inducted expresses personality introversion, has vulnerability or susceptibility, and may also have an abnormal personality tendency.
4. Genetic quality: In general, the genetic components are not obvious, but some cases suggest that the family members of the affected person may have a history of schizophrenia or depression, accounting for about 1/3.
Prevention
Inductive delusional disorder prevention
As family members and relatives, it is important to pay attention not to interfere with his rest; do not need to mention the passage and opinions of the things with good intentions; do not endlessly enlighten; try to avoid contact with people related to the event, reduce Or to avoid association with events, it is important to create a peaceful environment for patients to feel and rest, if there is a hazard, such as death, harm, and other dangerous ideas, rush to a specialist to see a doctor or hospitalization, it is essential.
Complication
Inductive delusional disorder complications Complications, shock, heart disease
In severe cases, shock can occur; anemia and heart disease.
Symptom
Inductive delusional disorder symptoms common symptoms auditory hallucinations
The disease is a mental illness caused by mental patients. It is characterized by systemic delusions and clearly impedes the social function of patients. The main clinical features are:
1 There is often a close kinship or marital relationship between the primary case or the sensory or the secondary case or the person being sensored, such as two relatives or close friends (such as mother and daughter, sisters) who occur in the same environment or family. , husband and wife, teachers and students, etc., occasionally can be a master servant relationship, it is also known as a bipolar disorder.
2 The main psychotic symptoms of sensing or sharing are delusions and strange content. When a dominant and prestigious person suffers from mental illness, the affected party accepts his morbid thoughts because of the emotional resonance between the two parties. Influence, the two showed basically the same delusional content, the majority of the respondents were women, the education level was low, living in a relatively closed family environment, with less contact with the outside world, with obedience and dependence personality characteristics.
3 The diagnosis of the primary disease cases is mostly schizophrenia, but it can also be a paranoid disorder or a mental disorder characterized by psychosis.
4 In addition to delusions in the case of the disease, the behavior is usually no abnormal or weird, and the condition is not as serious as the original case.
5 When the symptoms of the first person disappear, or the subject is separated from it, the latter's delusions can quickly disappear, and the general prognosis is good.
The delusions of the disease are often possible, the content is not ridiculous, easy to be understood, and the conversation is generally logical, not as bizarre as schizophrenia; more common in murder, such as being tracked, being monitored, etc. Physical influences delusions or ghosts and delusions, delusions are more fixed, and often dominate the behavior of patients, accompanied by corresponding emotional exposure, a small number of patients on the background of delusional, can appear fragment auditory hallucinations, but rarely, occasionally visible There is short-term exercise excitement, snoring-like episodes or abnormal behavior.
Inductive psychosis does not include accidental, simultaneous or sequential cases, but there is no significant impact on each other. Inductive psychosis is a category of psychogenic disorders, which is quite rare.
1. The patient has a long-term life with a case of a primary patient with delusional symptoms. The relationship between the two is relatives or close friends, and they are sympathetic and considerate, which is easy to resonate with thoughts and emotions.
2. The clinical symptoms are mainly systemic delusions. The content of the person's delusions is basically similar to that of the patients suffering from the paranoid, and affects social functions.
3. The patient lives in a relatively isolated or closed family environment, and has little contact with the outside world. The patient has an ideological and emotional resonance with the original, the originator is in an authoritative position, and the patient has traits such as tame and dependence.
4. The course of the disease is mostly chronic, and the symptoms are relieved after the patient is separated from the original.
5. Social function is seriously impaired. Occasionally, a mental patient with delusional symptoms can lead to a number of long-term relationships with close relatives.
Examine
Induction of delusional disorder
There is currently no specific laboratory test for this disease. When other conditions, such as infection, occur, laboratory tests show positive results from other conditions.
Diagnosis
Diagnostic identification of inductive paranoid disorder
1. Paranoid schizophrenia: This disease has many prodromal symptoms, delusions are not systematic, the content is absurd and bizarre, and there is generalization; there is no coordination between thinking and action, the course of disease has a tendency to prolong, and there may be residual personality defects.
2. Paranoid psychosis: There is no incentive for onset. Although the delusion is more systematic but has no influence from the original, and the content is far from reality, the prognosis is poor.
3. Hereditary seizures: There may be primary and secondary patients who have started the disease, but the primary ones do not occupy the dominant position, and the patients are not in close contact with each other; the clinical symptoms are rarely systematically delusional, often the disturbance of consciousness. Diversified manifestations such as seizures and conversion symptoms, more cases of collective seizures, short course of disease, and recurrent episodes of disease, which have a good effect on suggestive treatment.
4. Substance abuse: Similar inductive symptoms are sometimes seen in these patients, but they can be identified from the history of substance abuse, and the system is rare.
