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1 min readThe essential feature of shared psychotic disorder (folie deux) is a delusion that develops in an individual who is involved in a close relationship with another person (sometimes termed the or primary case who already has a psychotic disorder with prominent delusions.Usually the primary case in shared psychotic disorder is dominant in the relationship and gradually imposes the delusional system on the more passive and initially healthy second person. Individuals who come to share delusional beliefs are often related by blood or marriage and have lived together for a long time, sometimes in relative social isolation. If the relationship with the primary case is interrupted, the delusional beliefs of the other individual usually diminish or disappear.Although most commonly seen in relationships of only two people, shared psychotic disorder can occur among a larger number of individuals, especially in family situations in which the parent is the primary case and the children, sometimes to varying degrees, adopt the parent delusional beliefs.

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