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Yıl:2011; Cilt: 49; Sayı: 3>> Özet
TAM METİN
Yeni Symposium; 2011;49(3):185-188
Paylaşılmış Psikotik Bozukluk ve Adli Yönleri; Vak'a Sunumu
V Altınyazar, M Eskin, F Dereboy, Ç Dereboy
Adnan Menderes Üniversitesi, Aydın
Paylaşılmış psikotik bozukluk (folie a deux), psikotik semptomların bir kişiden diğerlerine aktarıldığı ender görülen bir klinik sendromdur. Bu yazıda anne ve kızından oluşan folie a deux vak'ası ve yaşanan adlî süreç sunulmaktadır. Birincil vak'a belirgin perseküsyon hezeyanları olan paranoid şizofrendir ve hezeyanları kızına yüklemiş ve daha sonra da paylaşılmıştır. Birincil vak'anın antipsi-kotik (risperidon 4 mg/g) tedavisi sonrası iyileşmesini takiben, ikincil vak'aya herhangi bir tedavi uygulanmaksızın paylaştığı hezeyanların kaybolduğu görülmüştür. Paylaşılmış psikotik bozukluğun önemli ve az bilinen komplikasyonlarından biri de adlî sorunlardır. Bu bağlamda paylaşılmış psikotik bozukluğun hukukî durumu ve adlî yönleri ve hastaların kısıtlanmaları tartışılmıştır.
Shared Psychotic Disorder and Forensic Aspects; Case Report
Shared psychotic disorder (folie a deux) is a fairly uncommon clinical syndrome in which a symptom of psychosis is transmitted from one individual to another. Here, a case report of a folie a deux involving a mother and her daughter and forensic process, is presented. The primary patient was suffering from paranoid schizophrenia with prominent delusions of persecution that were imposed upon and later shared by her daughter. After improvements of primary patient with antipsychotic treatment (risperidone 4 mg/day), her daughter's shared delusions disappeared. Forensic complications in shared psychotic disorder are important and little known. Legal status and forensic aspects of shared psychotic disorder and restriction of patients are discussed under this topic.

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