Delírio de infestação parasitária e folie à deux: relato de caso Delusional parasitic and folie à deux: case report

Quadros de transtorno psiquiátrico induzido (folie à deux) são raros. Porém, sua prevalência pode ser de 5-25% nos casos de delírio de infestação parasitária. Relatamos o caso de uma paciente de 62 anos de idade com sintomas psicóticos que, há cerca de 15 anos, está vivendo com sua irmã mais nova. Como a paciente não estava mais apresentando sintomas, sua irmã decidiu não administrar-lhe mais antipsicótico. A paciente voltou a apresentar quadro psicótico marcado por delírio de infestação parasitária, acompanhado por alucinações visuais. Sua irmã, que não tinha história de qualquer transtorno psiquiátrico prévio, passou a acreditar que realmente a paciente estava infestada e que ela mesma fora contaminada. Esse relato de caso objetiva discutir a associação existente entre folie à deux e delírio de infestação parasitária.<br>Shared psychiatric disorder (folie à deux) is a rare condition. But its prevalence can be 5-25% in patients with delusional parasitic infestation. We report the a case of a 62 years-old female with psychotic symptoms. For 15 years, she has lived with her younger sister. Since the patient was well-controled, her sister interrupted her antipsychotic drug administration. So, the patient initiated delusional parasitic infestation accompanied by visual hallucinations. Her sister, who did not have psychiatric history, initiated to believe that the patient was really infested. Moreover, she started to believe that was infested by the patient. This case report aims to discuss the relation between folie à deux and delusional parasitic infestation

Blame, Reputation, and Organizational Responses to a Politicized Climate

Hinterleitner and Sager conceptualize how public sector organizations (PSOs) react to elite polarization, which is as an increasingly common phenomenon in Western democracies. For politicians operating under polarized conditions, PSOs are a primary blame-deflection target. Since blame from politicians presents a threat to the reputation of PSOs, they react to these threats. While research has made progress in examining specific responses to reputational threats, the authors argue that an overarching categorization of responses is missing. The chapter adapts the concept of anticipatory blame avoidance to the decision-making of PSOs, using it as an umbrella concept to categorize and systematize the reactions of PSOs. PSOs that prioritize crafting responses to reputational threats may neglect tasks and duties potentially decisive for effective and problem-oriented public service delivery