母子간에 생긴 Folie a Deux ᅳ例의 力動的 考察

FOLIE A DEUX ： A PSYCHODYNAMIC ANALYSIS OF THE MOTHER-SON PAIR CASE.

The author analysed some dynamic processes of forming “Folie a Deux in a case of schizophrenic mother and son. Contrary to the previous report in which cases are usually found m a socially isolated living environment, the presenting case came from a socially active large family in a big city. Again despite of the advise to sepatrate the pair for treatment, this case was hospitalized at the same ward and yet the favorable result had bsen obtained. The summary of this case study is presented along with discussion in the following sequence ； Family background of mother, Marital dynamic of family in discussion along with process of transmission of delusion from mother to son and some comments on therapeutic approach. 1) Several members had been found to be psychotic, mostly affective in nature, in the maternal family tree and the early family environment was also such that affectively cold, distant and paranoidal potential in the mother would be easily understood. 2) Marital dynamic of this family was considered to be a typical one of schism in which the presenting pair was totally isolated from the rest of family, and this had become a contributing factor m forming a folie a deux along with son s weak ego boundary. 3) With an aditve therapeutic intervention, it Was thought to be rather beneficial to treat two patients on the same ward.