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J Am Acad Psychiatry Law 34:4:511-517 (2006)
Copyright © 2006 by the American Academy of Psychiatry and the Law.
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REGULAR ARTICLE

Shared Psychotic Disorder and Criminal Responsibility: A Review and Case Report of Folie à Trois

Kaustubh G. Joshi, MD, Richard L. Frierson, MD and Tracy D. Gunter, MD

Dr. Joshi is Major, USAF and Director, Forensic Psychiatry Services, Wilford Hall Medical Center, Lackland AFB, San Antonio, TX. Dr. Frierson is Director, Forensic Psychiatry Fellowship, Associate Professor of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, William S. Hall Psychiatric Institute, Columbia, SC. Dr. Gunter is Forensic Program Director, Assistant Professor of Psychiatry, Psychiatry Research, Carver College of Medicine, University of Iowa, Iowa City, IA. This paper was presented at the 36th annual meeting of the American Academy of Psychiatry and the Law in Montreal, Quebec, Canada, in October 2005. The views expressed in this article do not reflect those of the United States Air Force or Department of Defense. Address correspondence to: Richard L. Frierson, MD, Director, Forensic Psychiatry Fellowship, Associate Professor of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, William S. Hall Psychiatric Institute, PO Box 119, Columbia, SC 29202. E-mail: rlf51{at}scdmh.org

We present a case of shared psychotic disorder involving three sisters who were successful in establishing an insanity defense on numerous felony charges in the South Carolina criminal court system. Two of the authors of this article were court-appointed examiners in this case. We then present a history of shared psychotic disorder, an overview of the use of this diagnosis in the defense of insanity, and a discussion of the disposition of individuals with "temporary insanity." Finally, we compare shared psychotic disorder, culturally based belief systems, and religious cults, with a focus on their common and contrasting characteristics.






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Copyright © 2006 by the American Academy of Psychiatry and the Law.