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Forensic Medicine · Sexual offences and forensic psychiatry: shared psychotic disorder
Sample itemA woman with paranoid psychosis convinces her dependent husband that neighbours are poisoning them, and he comes to share her delusions. Together they assault a neighbour. What is this condition?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Folie a deux
Folie a deux, or shared psychotic disorder, is the transfer of a delusion from a dominant, psychotic person to a close and dependent partner. Treatment includes separation from the inducer.
Option by option
A. Folie circulaire
Folie circulaire is an older term for bipolar illness with alternating mood states.
B. Munchausen syndrome
Munchausen syndrome is fabrication of illness for medical attention.
C. Ganser syndrome
Ganser syndrome is the giving of approximate answers, usually by prisoners.
D. Folie a deux (correct)
Correct. A delusion induced in a dependent close partner is folie a deux.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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