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Clinical Case Studies, Vol. 3, No. 1, 49-56 (2004)
DOI: 10.1177/1534650103258976

Folie à Deux in Children

An Emergency Room Presentation

Carl L. Tishler

The Ohio State Universitytishler.1{at}osu.edu

Janet Meltzer

The Institute for Individual, Marital, and Family Therapy

The factors that predispose to suicide pacts strongly parallel those factors that predispose to folie à deux, a phenomenon in which psychoses transfer from a mentally ill person to a mentally healthier one. Review of recent literature reveals scant coverage of the joint occurrence of these phenomena, especially between children. This article presents a case study of two brothers who possibly represent a rare instance of folie à deux and subsequent suicide pact between children. Discussion following the case study targets the role of separation in the treatment of folie à deux and uncertainties in diagnosing suicide pacts among children.

Key Words: folie à deux • psychosis • suicide pact


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