Aetiology

Folie à deux appears to arise from a combination of the following:

1. innate impressionability and marked dependence on the primary patient;

2. personality traits such as suggestibility, low initiative, poor reality testing, etc. in the secondary patient;

3. in some cases, low intelligence in the secondary patient;

4. the intensity of the abnormal beliefs expressed by the primary patient;

5. the length of time during which the abnormal beliefs are being imposed;

6. the degree of social isolation.

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