scholarly journals 198 Who Am I: Delusion of Misidentification of Self

CNS Spectrums ◽  
2018 ◽  
Vol 23 (1) ◽  
pp. 111-112
Author(s):  
Yara W. Moustafa ◽  
Alican Dalkilic

AbstractDelusional misidentification syndromes are rare psychotic disorders, in which the patient believes that the identity of a person, object, or place has been changed or replaced by another. These disorders include Capgras syndrome, Fregoli syndrome, and inter-metamorphosis. Reverse types of misidentification syndromes were introduced to distinguish alteration of the self rather than of others.Reverse Capgras syndrome refers to the psychological change of the self as opposed to others, while reverse Fregoli syndrome is the delusional belief in which the patient has undergone fundamental changes in physical makeup without any psychological changes, and reverse intermetamorphosis is a variant in which patients believe that they have undergone physical and psychological transformation.Here we present an interesting case of a transgender woman presenting with delusional misidentification of the self in the context of Schizophrenia. A review of literature, with emphasis on etiological factors, forensic implications and association with violence is presented.Funding AcknowledgementsNo funding.

2016 ◽  
Vol 33 (S1) ◽  
pp. S124-S124
Author(s):  
M. Preve ◽  
P. Salvatore ◽  
M. Mula ◽  
E. Favaretto ◽  
M. Godio ◽  
...  

IntroductionMisidentification phenomena and Capgras Syndrome (CS) occur in different psychiatric (psychotic or major affective illnesses) and neurological (traumatic brain injury, epilepsy, neurosyphilis, etc.) disorders [1,2]. The aim of this report is to redefine dissociative spectrum dimensions inside CS and misidentification syndromes in patients with Bipolar Disorder (BD).MethodFive inpatients were assessed with the SCID-P, SCID-DER, DSS, HRSD, YMRS, a neurological and general medicine review, a first-level brain imaging examination (CT and/or MRI). We conducted a systematic literature review (PubMed, Embase, PsychInfo) using the key terms “Capgras Syndrome” and “Misidentificaition”.ResultsAll patients were diagnosed with type-I BD and had concomitant CS that presented with misidentification phenomena in the context of psychotic mixed state. They reported high scores for autopsychic and affective depersonalization symptoms as well as high SCI-DER (mean = 24.4) and DSS (mean = 13) total scores.Discussion and conclusionTo our knowledge in literature, there are not studies that evaluated dissociative spectrum symptoms in CS in BD. This condition of identity and self fragmentation could be the key to shedding light on the interconnection between affective and non-affective psychotic disorders from schizophrenia to BD, and may underscore the possible validity of the concept of the unitary psychosis proposed by Griesinger [3–5]. Further research is warranted to replicate our clinical and qualitative observations and, in general, quantitative studies in large samples followed up over time are needed. Methodological limitations are considered.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2011 ◽  
Vol 26 (S2) ◽  
pp. 770-770
Author(s):  
L. Cimino ◽  
A. Atti ◽  
F. Moretti ◽  
V. Morini ◽  
T. Attili ◽  
...  

IntroductionThe delusional misidentification syndromes (syndromes of Frégoli, Intermetamorphosis, Subjective Doubles and Capgras) are characterized by delusions of misidentification of other persons or of one-self. Aggressive ideas or behaviours often go with these delusions, but the problem received relatively little attention. Capgras’ Syndrome is characterized by the delusional belief that a well-known person has been replaced by a double. The delusion frequently involves significant others and takes place in a paranoid atmosphere with feelings of strangeness and unreality. We stress the importance of considering the potential dangerousness and homicidal acts directed towards family members of patients with Capgras’ Syndrome.MethodsWe report a case with histories of paranoid schizophrenia and alcohol and cannabis intoxications who developed a Capgras’ Syndrome associated with homicidal behaviours toward his wife.ResultsOur case met DSM IV-TR diagnostic criteria for paranoid schizophrenia, according to previous studies which show that paranoid schizophrenia is the most frequent mental disorder associated with delusional misidentification. The psychopathological analysis show that homicidal acts are connected to anguish of the ego disintegration and failure of defense mechanisms.ConclusionsAccording to the most recent literature, our findings suggest that Capgras’ Syndrome may be linked to a genesis of aggressive behaviours; alcohol and substance intoxications facilitates impulsivity and dissociation. The patients’ acting out directed toward family members occurs during a psychotic breakdown. Capgras’ Syndrome should always be evaluated in order to prevent violent acts.


2021 ◽  
Vol 32 ◽  
pp. 100440
Author(s):  
Marjan Raad ◽  
Sebastian Ndlovu ◽  
Tord Hǿgsand ◽  
Saif Ahmed ◽  
Mark Norris

2013 ◽  
Vol 4 (4) ◽  
pp. 378-381 ◽  
Author(s):  
Milesh Nagar ◽  
Manish Kaushal ◽  
Arvind Shukla ◽  
Chaitanya Deshmukh ◽  
Raj Kumar Mathur ◽  
...  

Author(s):  
Arthur Sinkman

Capgras is the delusional belief that people in the sufferer’s life are not who they seem to be, but are identical duplicates who have been substituted for the originals. The copy looks just like the original, although the patient may sometimes notice minor and imaginary differences between the original and the copy, differences that the patient cites as confirmatory evidence that the person is indeed an impostor. Although Capgras was initially thought to occur only during psychotic episodes, it has now been recognized to occur in patients suffering from certain brain conditions as well. Capgras is one of several misidentification syndromes. Other misidentification syndromes, such as the Fregoli delusion and delusion of intermetamorphosis, also are discussed.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
J. M. V. Amarjothi ◽  
R. Villalan ◽  
J. Jeyasudhahar ◽  
O. L. NaganathBabu

Skin metastasis is a complication rarely seen after curative resection for colorectal cancer and chemotherapy. The article describes a metachronous case of skin metastasis after curative resection. This article is presented to illustrate that genetic and molecular profiling of carcinoma is a must for diagnosis of aggressive biological behavior and that skin metastasis is usually a harbinger of adverse outcome.


2011 ◽  
Vol 4 (2) ◽  
pp. 87-92 ◽  
Author(s):  
Kishore Shetty ◽  
Vinay Vaidyanathan

ABSTRACT Complications of paranasal sinus infection most often involve the orbit and periorbita. Because of widespread use of antibiotics, intracranial extension of paranasal sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential of these complications, as late recognition of this condition and delay in treatment can increase morbidity and mortality rates. An interesting case series of sinusitis with orbital and intracranial complication is presented, which was radiologically evaluated, and was managed by endoscopic sinus surgery with drainage of subdural empyema by appropriate neurosurgical technique. The radiological tools played a very important role in both assessment and timing of surgical intervention. Unparallel role of radiological investigations cannot be overemphasized. The key to successful treatment is aggressive management and the timing for surgical intervention should not be deferred. The patients made full recovery at the time of discharge.


2006 ◽  
Vol 18 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Alireza Ghaffari Nejad ◽  
Khatereh Toofani

Background:Capgras syndrome is the most common type of delusional misidentification syndromes. In this phenomenon, the patient believes the delusional conviction that a familiar person has been replaced by imposters. Capgras syndrome was thought to occur in psychotic and organic contexts. It has some rare variants. In one of these rare variants, the patient has the delusion of inanimate doubles. There are reports which regard the relationship between Capgras syndrome and epilepsy as a contributing factor. We present a case of grandmal epilepsy with psychotic features including delusion of inanimate doubles.Methods:A single case is reported.Case history:A 55-year-old woman with long-time history of grandmal epilepsy developed psychosis 3 months prior to her psychiatric referral. She believed that her sons replaced her possessions and furniture continuously. There was no history of previous psychiatric illness, and also there was no evidence of any other organic disorder.Conclusion:Previous reports showed Capgras phenomenon as a clinical presentation in epileptic patients. We show that the delusion of doubles of inanimate objects as a variant of Capgras syndrome could also be a clinical presentation in epileptic patients.


2013 ◽  
Vol 28 ◽  
pp. 1
Author(s):  
M. Juretić Pešćica ◽  
R. Knez ◽  
A. Pavešić Radonja

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