Jefferson Journal of Psychiatry 1993;11:43-50. Geneva: World Health Organization; 1992. J Nerv Ment Dis 1956;124:451-9. Folie aDeux Two Case Reports Mohammad Abu-Salha, M.D. Uncommon Psychiatric Syndromes. Psychotic disorders in ICD-11. Folie a deux, or "madness of two", was apparent in the case, according to the judge, with depressive and borderline personality Kouider the driving force and weak Medouni the willing party.Kouider collapsed in tears as the jury foreman returned the verdicts, while Medouni hung his head.Miss Lionnet's mother Catherine Devallonne also wept as Judge Nicholas Hilliard QC said he was sure the allegations made against her daughter by her killers had "no truth whatsoever".In the weeks leading up to her death in September last year, the couple beat, starved and tortured the shy 21-year-old au pair by dunking her head into water until she confessed to the supposed link to Mark Walton - a founding member of pop group Boyzone and Kouider's ex-boyfriend.Having killed Miss Lionnet in the bath, the pair threw her on a bonfire in the garden of their home near Wimbledon, south-west London, as they barbecued chicken nearby.An Old Bailey jury found both of them guilty of the murder following a two-month trial that was described as stranger than fiction.Miss Lionnet's parents travelled from France to see the disturbing evidence as it unfolded.The court heard how fashion designer Kouider was fixated with her ex-boyfriend Mr Walton.After splitting up after two years, Kouider reported him to police more than 30 times and received a caution for falsely branding him a paedophile on a fake Facebook profile.She also accused him of sexually abusing a cat, using black magic and hiring a helicopter to spy on her.Giving evidence, Los Angeles-based Mr Walton said he had been "in love" with Kouider but she would "flip" and go "crazy" for no reason.The mother-of-two created a fantasy world casting Mr Walton as an evil villain who seduced Miss Lionnet with sex and promises of Hollywood stardom.Jurors heard more than eight hours of recordings in which Miss Lionnet was slapped, likened to a Nazi collaborator and called "worse than a murderer" by her tormentors.Kouider, who claimed to know influential people including US President Donald Trump, threatened to have her locked up and even marched her to a police station.The victim's distraught mother Catherine Devallonne had begged Kouider to send her daughter home but she refused.In her final days, Miss Lionnet was hit with an electrical cable and beaten so badly she had five broken ribs and a cracked breast bone.In a filmed "confession", the emaciated and broken young woman admitted she had drugged Medouni so Mr Walton could sexually assault him.

"The victim's father Patrick Lionnet said: "Sabrina and Ouissem have not only stolen the life of my daughter so brutally and without remorse, they have also stolen mine.

Our thoughts are with Sophie’s family at this time.”Folie a deux, or "madness of two", is defined as a delusion shared from one individual to another.Depressive and borderline personality Sabrina Kouider was the driving force and weak Ouissem Medouni the willing party.Even as the true facts were laid bare in court, the pair refused to accept what they had done was the product of their warped fantasy.Judge Nicholas Hilliard QC said that even though there was evidence about their mental state, in particular Kouider, who was held at a medium secure mental hospital, none of it was a defence for murder.The case of New Zealand teenagers Pauline Parker and Juliet Hulme was made into the film Heavenly Creatures, starring Kate Winslett.Perhaps the most strikingly similar case to be heard at the Old Bailey involved lesbian child killers Polly Chowdhury and Kiki Muddar in 2015.The pair were convicted of the manslaughter of Chowdhury's eight-year-old daughter, Ayesha Ali, who died at their home in Chadwell Heath, east London, in August 2013.Unlike Kouider and Medouni, Chowdhury accepted in the trial that she had been swept up Muddar's fantasy world of alter-egos.Beautiful but deadly, Sabrina Kouider was the ultimate femme fatale.The petite Frenchwoman was the star of her own fantasy film noir - and she cast Sophie Lionnet as the enemy.The glamorous mother-of-two was born in Algeria but grew up with her mother in Paris, where she met her first love in the unlikely form of Ouissem Medouni.At the age of 18, she had a summer job on a sweet stall at a funfair where she caught the eye of fellow French Algerian Medouni, who was five years her senior.His ardent pursuit paid off, setting them up for a 17-year on-off relationship which ended acrimoniously in the dock of the Old Bailey.In common with her other liaisons with men, it was dysfunctional, turbulent and unconventional, and marred by Kouider's bouts of irrational jealousy and violence.Prosecutor Richard Horwell QC tried to unravel their strange bond, suggesting it was a marriage of convenience which suited Kouider only until someone better came along.At first, Medouni provided some stability and security amid Kouider's emotional turmoil, which, it was claimed, led to more than one failed suicide attempt.When Kouider went to London to work as a nanny, Medouni followed.She had turned her hand to pyramid selling for a telecommunications company when Mark Walton, of Boyzone fame, came into the picture.In 2011, they had a chance meeting in a bank in Notting Hill and he fell head over heels in love.Once the "love goggles" wore off, Mr Walton discovered a calculating and manipulative woman who could flip and go "crazy" in a moment.Kouider claimed to know many celebrities and influential people from the party scene, and had been introduced to Blue pop star Duncan James through Mr Walton.When she split from the music mogul, she went back to Medouni, who would come and go from their Wimbledon flat at will.She helped with his French pancake stall and, at the time of her arrest, was hoping to get a fashion business off the ground with a show in central London hosted by a major charity.When the handouts dried up, she racked up £20,000 in unpaid rent on her two-bedroom garden flat in the upmarket area in south-west London.At the heart of her problems lay depression and a borderline personality disorder, creating a distorted view of the world, her trial heard.Another ex-boyfriend, Anthony Francois, described her as "fickle" and a "lunatic" who would lie, manipulate and target the weak.Her character flaws fuelled an irrational obsession with Mr Walton entirely based on an alternative truth created in her mind.She was so convinced that her ex-boyfriend was colluding with her nanny that she swept Medouni up into the fantasy too.Frustrated and thwarted in her attempts to get to LA-based Mr Walton, she latched on to her naive young nanny as a soft target.She was the driving force of the violent interrogations of Miss Lionnet, but claimed Medouni was responsible for her death in September last year.Banker Oiussem Medouni "punched above his weight" when it came to the love of his life, according to the prosecution.When she went off with other men, he proved his unswerving loyalty and waited in the wings for her return, the court heard.As a young man, Medouni, from Paris, had pursued Kouider relentlessly after seeing her at a French fun fair when she was 18.He got a degree in economics and went to work for French bank Societe Generale in London as a financial analyst.Kouider resented him working at weekends and he was made redundant in 2012.In 2016, he tried to set up a French pancake stall in Wimbledon, but after a trial period elapsed, he failed to produce the funds to hire permanent premises.Kouider accused him of being lazy, not supporting the family and flitting off to France whenever he felt like it.But Medouni insisted he did contribute towards the household bills and up-keep.He showed no signs of mental health problems yet became a fully fledged "believer" in Kouider's obsession with Mark Walton.When Kouider turned violent towards the nanny, he simply went for a walk in the park to get away.It was suggested that flat-cap wearing Medouni, who was said to be a black belt in Taekwondo, was not as meek as he appeared in the witness box.Local mother Sadie Nathanson Regan told jurors: "He was not aggressive towards me but he is quite a bit bigger than me.

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