[Female drug abuse in a university setting]

Morocco is a country with Muslim-Arab tradition. In this sociocultural context, drug abuse in women is very taboo. We tried to approach the subject of drug use in women in a cross-sectional study of a sample of 1208 students [744 women and 464 men] who completed an anonymous self-administered questionnaire. We found 6.59% of women and 36.2% of men used drugs. Using DSM IV criteria, drug dependence was found in 2% of the subsample of female drug users and drug abuse in 1.5%. Place of residence and level of income were statistically significant risk factors for drug use

[Shared psychotic disorder] "Folie a deux"

The so called " folie a deux" recently known according to DSM IV as shared psychotic disorder, is a rare and peculiar pathology of psychosis. Shared psychotic disorder is characterized by placing of delirium system in the subject, consecutive to a tight relationship with an inductor. We report a case of "folie a deux ". The primary delirious patient was a son who induced his delirium to his mother. The mother and son maintained a fusing relationship, clinically both of them said the same delirious talks about persecutions and bewitchment. The son's case was diagnosed as a brief psychotic disorder. Therapeutic attitude consisted of hospitalizing both patients in two separated departments. The mother underwent an anxiolytic treatment with a rapid symptomatic resolution. The son benefited from a neuroleptic treatment. Our clinical case illustrates the diagnosis of shared psychotic disorder depending on the diagnostic criteria of DSM IV. Many interesting points were raised, among them is the importance of the son's mother interaction, the determining cultural factors in elaboration of delirious content and delirium function in the mother. On the therapeutic level we proceeded to separate the two patients. Our clinical illustration aroused also reflection on the relation between the therapist and the delirious psychotic patient