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題 名 | 共有型精神病疾患=Shared Psychotic Disorder |
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作 者 | 張家銘; 楊詠仁; 賴德仁; 劉嘉逸; 楊庸一; | 書刊名 | 臺灣精神醫學 |
卷 期 | 16:4 2002.12[民91.12] |
頁 次 | 頁322-329 |
分類號 | 415.872 |
關鍵詞 | 共有型精神疾患; 角色轉換; 家族治療; Shared psychotic disorder; Folie a deux; Role reversal; Family therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:報告兩對共有型精神病疾患的案例,並回顧文獻,探討此疾病的診斷與精神病理,找出治療的可行策略。個案報告:案例一為夫婦二人,誘發者(弱勢者)診斷為精神分裂症,接受者(強勢者)在誘發者住院接受隔離治療後症狀也成功消失,在病程之中弱勢者/強勢者的角色有轉換之現象。案例二為祖父母及孫女三人,誘發者為妄想症,將誘發者短暫住院隔離治療,兩接受者的妄想較緩和,但出院後三人的症狀又持續而互相影響,結果顯示三人在心理上並不願真正隔離。結論:角色轉換是共有型精神病疾患病程中可能出現的現象,為達成心理上的隔離,家族治療是被推薦的。 |
英文摘要 | Objective: To present two instances of shared psychotic disorder, and to review the literature in order to establish the context for a discussion of psychopathology and further treatment strategy. Case Report: Case 1 was ??folie a deux involving a couple. The primary (submissive) subject was schizophrenic, with the delusions of the secondary (dominant) subject disappearing after separation. Interestingly, during the illness a reversal of the original submissive/dominant roles occurred. Case 2 was a folie ??trios involving a family group. The inductor was delusional disorder, with the delusions of the two recipients subsiding after separation from the inductor. The symptoms recurred, however, after the family members were reunited. Such findings indicate that the three subjects would not be psychologically separated from each other. Conclusion: Role reversal may occur during the course of shared psychotic disorders. To achieve true psychological independence, family therapy is recommended. |
本系統中英文摘要資訊取自各篇刊載內容。