DOCSLIB.ORG

LETTERS to Appeared

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
LETTERS to Appeared r 322 Joumnal ofNeurology, Neurosurgery, and Psychiatry 1993;56:322-324 severe than at onset, while his previous rhage involving the right temporo-parietal prosodic difficulties and headache had dis- region. A month later, the AVM was surgi- J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.56.3.322-a on 1 March 1993. Downloaded from LETTERS TO appeared. Neurological examination, tonal cally removed. 2e that time, the patient audiometry and standard neuropsychologi- has experienced Mormal health. THE EDITOR cal examination were normal. In particular, The correct characterisation of this he showed no language impairment; oral patient's disturbances poses considerable and writtenl comprehension of complex pas- difficulties. It is neither auditory agnosia nor sages was good. He was able to recognise word deafness, given his correct perfor- simple and complex figures and recognise mance on neuropsychological tests. The faces, both familiar and unknown, on com- complexity of his deficits, on the other A case ofmusic imperception parison tasks. On a meaningful sound hand, rule out .their being due to "paracou- recognition test, he recognised animal, sia", that is, simple distortion in the percep- Defective perception of music due to an human and environmental sounds and tion of sound. altered capacity to discriminate the elemen- voices, effortlessly. The patient was This impairment could instead be classi- tary components of musical stimuli ambidextrous; there was no family history fied as a type of receptive amusia, which can (rhythm, pitch, timbre, intensity and dura- of left handedness. manifest itself not only as the incapacity to tion) produces an alteration in the aesthetic Examination of musical abilities (recogni- discriminate between melodic patterns, tim- enjoyment of and the emotional involve- tion and production of physical features of bre and pitch, but also as qualitative alter- ment in music.' To our knowledge, there is musical sounds, plus identification and/or ations of the acoustic experience, including no previous evidence of the existence of a reproduction of rhythm, melody and har- an emotional involvement in the music.' condition in which the primary disruption is mony; vocal and instrumental performance, The patient may have lost the ability to con- to the capacity to process the musical stim- and listening to musical compositions) were vert musical perception into something ulus as a whole. We report a case of a young normal. However, he complained of diffi- emotionally or intellectually meaningful musician who, as a result of a right tem- culties from the very beginning for the lis- (the third fundamental ability of musical poro-parietal lesion, presented with loss of tening task. On hearing the pieces played on function2). Disturbances of this type are, the gestalt capacity to process music, with the piano, he complained, "my perception unfortunately, difficult to view objectively the consequent loss of aesthetic pleasure. is changed... it's flat, it's no longer 3- because of their highly subjective nature. Our patient was a 24 year old male, who dimensional; it's only on two planes... These deficits are perhaps undervalued and was an amateur musician and a skilful gui- there's no emotion. .". His difficulties overlooked, and as a result, there are only tar player. He reported an early interest in increased as the presented compositions two cases in which the loss of aesthetic music: during primary school he played became more complex: ". this is even enjoyment in listening to music' or prob- keyboard instruments and during secondary worse: I can distinguish the different instru- lems in "conceiving of a whole piece" and school, the flute. He later started playing ments, but I can't perceive the whole... in "conjuring up the appropriate atmosphere the guitar, attending private lessons for two jazz pieces, the relationships between the for composition"4 are mentioned in the lit- years. accompaniment and the soloist escape me." erature. On 31 December 1987, after a muscular An EEG showed slight right temporal Even though much of our case is based strain (jumping over a gate), he noticed he abnormalities. A CT scan was scheduled, on the patient's subjective reports, it seems had difficulty in understanding "the but the patient did not keep the appoint- convincing for the selectivity of the distur- nuances of words and inflection of sen- ment. bance (altered perception of the whole and tences". The same day he realised that he On 31 April 1988 he had a generalised of the emotional component of music, with- had difficulties in understanding music: he tonic-clonic seizure: a CT scan (figure, left) out compromise to analytical perception) could not perceive the structure of musical and MRI (figure, right) showed the pres- and for the strict focal nature of the lesion pieces clearly; the relationship between the ence of a right temporo-parietal malacic (AVM involving the right plica curva and accompaniment and the soloist was indis- area, involving the plica curva and supra- the supramarginal gyrus). This supports the cemable, and aesthetic pleasure for the marginal gyrus. This area was post-haemor- hypothesis that the right hemisphere, or at musical world had completely vanished. At rhagic, with peripheral haemosiderin least some of its supramodal areas, is better the same time he complained of generalised deposits, and was surrounded by serpigi- than the left hemisphere' at performing the headache, described as pressure, mostly on nous hypointense images. A DSA showed process of appreciation of the entire sound. the right side. an fed MONICA MAZZONI arterio-venous malformation (AVM), POLICARPO MORETTI On 5 January 1988, he came under our by right sylvian branches. LUCIA PARDOSSI observation. He still complained of a recep- On 16 June 1990, he developed left MARCO VISTA tive musical impairment, although less hemianopia and headache due to a haemor- ALBERTO MURATORIO http://jnnp.bmj.com/ Neuropsychology Laboratory, Institute ofClinical Neurology, University ofPisa MICHELE PUGLIOLI Department ofNeuroradiology, Pisa, Italy Correspondence to: Dr Mazzoni, Istituto di Clinica Neurologica, Via Roma 67, 56126 Pisa, Italy. on October 2, 2021 by guest. Protected copyright. 1 Benton AL. Le amusie. In: Critchley M, Henson RA, eds. La Musica e il Cervello. Padova: Piccin, 1987:397-417. 2 Wertheim N. Esiste una localizzazione anatomica per le facolta' musicali? In Critchley M, Henson RA, eds. La musica e il cervello. Padova: Piccin, 1987:294-310. 3 Mazzucchi A, Marchini C, Budai R, Parma M. A case of receptive amusia with promi- nent timbre perception defect. Journal Neurol, Neurosurg Psychianty 1982;45:644-7. 4 Judd T, et al. (unpublished research) quoted by Kaplan JA, Gardner H. Artistry after uni- lateral brain disease. In: Boller F, Grafman J, eds. Handbook of neuropsychology. Amsterdam: Elsevier, 1989:147. 5 Gates A, Bradshaw JL. Music perception and cerebral asymmetries. Cortex 1977;13: 390-401. Fr6goli delusion and erotomania Figure Left: CT scan (2 May 1988) showing a ribbon-shaped malacic area in the right temporo-parietal region, the posterior part ofwhich has absorbed contrast agent The Fregoli delusion involves the belief that Right: MRI (5 May 1988) showing the malacic area involving the plica curva and the a familiar person disguises himself or herself supramarginal gyrus. as others. It was named after an Italian Letters to the Editor 323 actor, Leopoldo Fregoli, who was famous absence of a previous scar on his face. She some years previously the patient had a long for his ability to impersonate people. was convinced that Erik Estrada was in love love affair with this cousin (lasting over 20 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.56.3.322-a on 1 March 1993. Downloaded from In their original description of this delu- with her and planned to marry her one day. years, and leading to the birth of her only sion, Courbon and Fail' noted that their Past medical history revealed childhood child). patient experienced other delusions whose epilepsy until the age of 9 years, phenobar- Data for this previous case are also pre- content was mainly erotic. The association bitone being stopped at the age of 11 years. sented in the table, for comparison with the of Fregoli delusion and erotomania has only There was no family history of mental dis- patient we describe here. Both patients were been occasionally reported since, though in order. Routine haematological, biochemical impaired at recognising familiar faces, some Fregoli cases erotomania forms an and serological examinations were normal. matching disguised faces, and showed obvious background possibility.2' A review Physical examination revealed no abnormal- much poorer recognition memory for faces of misidentification syndromes and sexuali- ity. An EEG showed a moderate excess of than words. Although an EEG suggested ty by Barton and Barton2 noted that eroto- mixed irregular and rhythmic slow activity bilateral abnormalities for our present mania has been found to be a feature in at 2-6 HZ and 10-30uV in the central and patient, these face processing impairments various forms of delusional misidentifica- post-central regions. She refused neuro- point toward involvement of the right cere- tion, and included an additional description imaging. bral hemisphere, which has been noted as a of a case of a Fregoli-like delusion and ero- Neuropsychological tests of face process- feature in other cases of erotomania and tomania, in which a female patient claimed ing were also carried out. Details of the delusional misidentification.2'5 that another patient was an ex-boyfriend, tests used are given in Young, et al,5 which We gratefully acknowledge the support provided going under an assumed name, and that includes data from 10 male controls aged by ESRC grant R000231922. they were still deeply in love. 25-35 years. Results are summarised in the S WRIGHT We describe a further case for whom the table.
Load more

Recommended publications
  • Paranoid – Suspicious; Argumentative; Paranoid; Continually on The
    Disorder Gathering 34, 36, 49 Answer Keys A N S W E R K E Y, Disorder Gathering 34 1. Avital Agoraphobia – 2. Ewelina Alcoholism – 3. Martyna Anorexia – 4. Clarissa Bipolar Personality Disorder –. 5. Lysette Bulimia – 6. Kev, Annabelle Co-Dependant Relationship – 7. Archer Cognitive Distortions / all-of-nothing thinking (Splitting) – 8. Josephine Cognitive Distortions / Mental Filter – 9. Mendel Cognitive Distortions / Disqualifying the Positive – 10. Melvira Cognitive Disorder / Labeling and Mislabeling – 11. Liat Cognitive Disorder / Personalization – 12. Noa Cognitive Disorder / Narcissistic Rage – 13. Regev Delusional Disorder – 14. Connor Dependant Relationship – 15. Moira Dissociative Amnesia / Psychogenic Amnesia – (*Jason Bourne character) 16. Eylam Dissociative Fugue / Psychogenic Fugue – 17. Amit Dissociative Identity Disorder / Multiple Personality Disorder – 18. Liam Echolalia – 19. Dax Factitous Disorder – 20. Lorna Neurotic Fear of the Future – 21. Ciaran Ganser Syndrome – 22. Jean-Pierre Korsakoff’s Syndrome – 23. Ivor Neurotic Paranoia – 24. Tucker Persecutory Delusions / Querulant Delusions – 25. Lewis Post-Traumatic Stress Disorder – 26. Abdul Proprioception – 27. Alisa Repressed Memories – 28. Kirk Schizophrenia – 29. Trevor Self-Victimization – 30. Jerome Shame-based Personality – 31. Aimee Stockholm Syndrome – 32. Delphine Taijin kyofusho (Japanese culture-specific syndrome) – 33. Lyndon Tourette’s Syndrome – 34. Adar Social phobias – A N S W E R K E Y, Disorder Gathering 36 Adjustment Disorder – BERKELEY Apotemnophilia
    [Show full text]
  • Cotard's Syndrome: Two Case Reports and a Brief Review of Literature
    Published online: 2019-09-26 Case Report Cotard’s syndrome: Two case reports and a brief review of literature Sandeep Grover, Jitender Aneja, Sonali Mahajan, Sannidhya Varma Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India ABSTRACT Cotard’s syndrome is a rare neuropsychiatric condition in which the patient denies existence of one’s own body to the extent of delusions of immortality. One of the consequences of Cotard’s syndrome is self‑starvation because of negation of existence of self. Although Cotard’s syndrome has been reported to be associated with various organic conditions and other forms of psychopathology, it is less often reported to be seen in patients with catatonia. In this report we present two cases of Cotard’s syndrome, both of whom had associated self‑starvation and nutritional deficiencies and one of whom had associated catatonia. Key words: Catatonia, Cotard’s syndrome, depression Introduction Case Report Cotard’s syndrome is a rare neuropsychiatric condition Case 1 characterized by anxious melancholia, delusions Mr. B, 65‑year‑old retired teacher who was pre‑morbidly of non‑existence concerning one’s own body to the well adjusted with no family history of mental illness, extent of delusions of immortality.[1] It has been most with personal history of smoking cigarettes in dependent commonly seen in patients with severe depression. pattern for last 30 years presented with an insidious However, now it is thought to be less common possibly onset mental illness of one and half years duration due to early institution of treatment in patients precipitated by psychosocial stressors.
    [Show full text]
  • Monothematic Delusions: Towards a Two-Factor Account Davies, Martin, 1950- Coltheart, Max
    Monothematic Delusions: Towards a Two-Factor Account Davies, Martin, 1950- Coltheart, Max. Langdon, Robyn. Breen, Nora. Philosophy, Psychiatry, & Psychology, Volume 8, Number 2/3, June/September 2001, pp. 133-158 (Article) Published by The Johns Hopkins University Press DOI: 10.1353/ppp.2001.0007 For additional information about this article http://muse.jhu.edu/journals/ppp/summary/v008/8.2davies.html Access Provided by Australian National University at 08/06/11 11:33PM GMT DAVIES, COLTHEART, LANGDON, AND BREEN / Monothematic Delusions I 133 Monothematic Delusions: Towards a Two-Factor Account Martin Davies, Max Coltheart, Robyn Langdon, and Nora Breen ABSTRACT: We provide a battery of examples of delu- There is more than one idea here, and the sions against which theoretical accounts can be tested. definition offered by the American Psychiatric Then we identify neuropsychological anomalies that Association’s Diagnostic and Statistical Manual could produce the unusual experiences that may lead, of Mental Disorders (DSM) seems to be based on in turn, to the delusions in our battery. However, we argue against Maher’s view that delusions are false something similar to the second part of the OED beliefs that arise as normal responses to anomalous entry: experiences. We propose, instead, that a second factor Delusion: A false belief based on incorrect inference is required to account for the transition from unusual about external reality that is firmly sustained despite experience to delusional belief. The second factor in what almost everyone else believes and despite what the etiology of delusions can be described superficial- constitutes incontrovertible and obvious proof or evi- ly as a loss of the ability to reject a candidate for belief dence to the contrary (American Psychiatric Associa- on the grounds of its implausibility and its inconsis- tion 1994, 765).
    [Show full text]
  • Cotard's Syndrome
    MIND & BRAIN, THE JOURNAL OF PSYCHIATRY REVIEW ARTICLE Cotard’s Syndrome Hans Debruyne1,2,3, Michael Portzky1, Kathelijne Peremans1 and Kurt Audenaert1 Affiliations: 1Department of Psychiatry, University Hospital Ghent, Ghent, Belgium; 2PC Dr. Guislain, Psychiatric Hospital, Ghent, Belgium and 3Department of Psychiatry, Zorgsaam/RGC, Terneuzen, The Netherlands ABSTRACT Cotard’s syndrome is characterized by nihilistic delusions focused on the individual’s body including loss of body parts, being dead, or not existing at all. The syndrome as such is neither mentioned in DSM-IV-TR nor in ICD-10. There is growing unanimity that Cotard’s syndrome with its typical nihilistic delusions externalizes an underlying disorder. Despite the fact that Cotard’s syndrome is not a diagnostic entity in our current classification systems, recognition of the syndrome and a specific approach toward the patient is mandatory. This paper overviews the historical aspects, clinical characteristics, classification, epidemiology, and etiological issues and includes recent views on pathogenesis and neuroimaging. A short overview of treatment options will be discussed. Keywords: Cotard’s syndrome, nihilistic delusion, misidentification syndrome, review Correspondence: Hans Debruyne, P.C. Dr. Guislain Psychiatric Hospital Ghent, Fr. Ferrerlaan 88A, 9000 Ghent, Belgium. Tel: 32 9 216 3311; Fax: 32 9 2163312; e-mail: [email protected] INTRODUCTION: HISTORICAL ASPECTS AND of the syndrome. They described a nongeneralized de´lire de CLASSIFICATION negation, associated with paralysis, alcoholic psychosis, dementia, and the ‘‘real’’ Cotard’s syndrome, only found in Cotard’s syndrome is named after Jules Cotard (1840Á1889), anxious melancholia and chronic hypochondria.6 Later, in a French neurologist who described this condition for the 1968, Saavedra proposed a classification into three types: first time in 1880, in a case report of a 43-year-old woman.
    [Show full text]
  • Uncovering Capgras Delusion Using a Large-Scale Medical Records Database Vaughan Bell, Caryl Marshall, Zara Kanji, Sam Wilkinson, Peter Halligan and Quinton Deeley
    BJPsych Open (2017) 3, 179–185. doi: 10.1192/bjpo.bp.117.005041 Uncovering Capgras delusion using a large-scale medical records database Vaughan Bell, Caryl Marshall, Zara Kanji, Sam Wilkinson, Peter Halligan and Quinton Deeley Background Neuroimaging provided no evidence for predominantly right Capgras delusion is scientifically important but most commonly hemisphere damage. Individuals were ethnically diverse with a reported as single case studies. Studies analysing large clinical range of psychosis spectrum diagnoses. records databases focus on common disorders but none have investigated rare syndromes. Conclusions Capgras is more diverse than current models assume. Aims Identification of rare syndromes complements existing Identify cases of Capgras delusion and associated ‘big data’ approaches in psychiatry. psychopathology, demographics, cognitive function and neuropathology in light of existing models. Declaration of interests Method V.B. is supported by a Wellcome Trust Seed Award in Science Combined computational data extraction and qualitative (200589/Z/16/Z) and the UCLH NIHR Biomedical Research classification using 250 000 case records from South London and Centre. S.W. is supported by a Wellcome Trust Strategic Award ’ Maudsley Clinical Record Interactive Search (CRIS) database. (WT098455MA). Q.D. has received a grant from King s Health Partners. Results We identified 84 individuals and extracted diagnosis-matched Copyright and usage comparison groups. Capgras was not ‘monothematic’ in the © The Royal College of Psychiatrists 2017. This is an open majority of cases. Most cases involved misidentified family access article distributed under the terms of the Creative members or close partners but others were misidentified in Commons Non-Commercial, No Derivatives (CC BY-NC-ND) 25% of cases, contrary to dual-route face recognition models.
    [Show full text]
  • Low-Dose Clozapine for an Adolescent with TBI-Related Fregoli
    f Ps al o ych rn ia u tr o y J Naguy and Al-Tajali, J Psychiatry 2015, 18:5 Journal of Psychiatry DOI: 10.4172/2378-5756.1000306 ISSN: 2378-5756 LetterResearch to Editor Article OpenOpen Access Access Low-Dose Clozapine for an Adolescent with TBI-Related Fregoli Delusions Ahmed Naguy1* and Ali Al-Tajali2 1Child/Adolescent Psychiatrist, Kuwait Centre for Mental Health (KCMH), Kuwait 2General Adult Psychiatrists, Head of Neuromodulation Unit, KCMH, Kuwait Keywords: TBI; Fregoli delusions; Clozapine (80), problems with divided attention were noted. We kept valproate, stopped fluoxetine (self-tapering), gradually tapered quetiapine and To The Editor clonazepam over 2 weeks. A diagnosis of TBI-related psychosis was our ® Fregoli delusion, first described by Courbon and Fail in 1927, working diagnosis. We introduced clozapine (Leponex ), with weekly named after an Italian actor Leopoldo Fregoli, is a rare delusional TLC protocol, at 12.5 mg/d nocte, uptitrated to 100 mg/d (divided) misidentification syndrome which entails that different people are in over 10 days. No EPS reported. After 2 weeks, Fregoli delusions totally fact the same person in disguise who is able to change their appearance disappeared with no residua. He was discharged. Complete remission [1]. It is commonly linked to schizophrenia, schizoaffective disorder, continued with follow-ups at W-4, 8, and 12. BABS was employed and other organic brain syndromes including head trauma, ischaemic throughout to objectify treatment-response on clozapine. strokes, AD, Parkinson’s disease, epilepsy or metabolic derangements Superiority of clozapine in refractory psychosis is well-established [2]. Neurologically, it represents a disconnectivity syndrome of [7].
    [Show full text]
  • Personality Disturbance Gathering, Nr.36 (Mostly-Shakespeare Edition) (Key to Possible Disturbances)
    Personality Disturbance Gathering, nr.36 (Mostly-Shakespeare Edition) (key to possible disturbances) Every person may be used only once, except for a single condition which will apply to three characters; there is also one condition which is not represented at the party. 1. Adjustment Disorder – An adjustment disorder is characterized by the development of emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor. 2. Apotemnophilia / Body Integrity Identity Disorder – A neurological disorder in which otherwise sane and rational individuals express a strong and specific desire for the amputation of a healthy limb or limbs 3. Attention Deficit Hyperactivity Disorder / ADHD – ADHD is a problem with inattentiveness, over- activity, impulsivity, or a combination of these. For these problems to be diagnosed as ADHD, they must be out of the normal range for the child's age and development. 4. Avoidant Personality Disorder – Characterized by a pervasive pattern of social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation, and avoidance of social interaction. 5. Cotard Delusion / Cotard’s Syndrome – a rare neuropsychiatric disorder in which people hold a delusional belief that they are dead (either figuratively or literally), do not exist, are putrefying, or have lost their blood or internal organs. In rare instances, it can include delusions of immortality. 6. Cyclothymic disorder – A mild form of Bipolar, it is characterized by mood swings from mild or moderate depression to euphoria and excitement, but the patient stays connected to reality. 7. Delusional Disorder Grandiose Type / Jerusalem Syndrome – a delusion of having some special relationship with a deity, such as receiving messages from God or being an agent of God.
    [Show full text]
  • Pathologies of Hyperfamiliarity in Dreams, Delusions and Déjà Vu
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Frontiers - Publisher Connector HYPOTHESIS AND THEORY ARTICLE published: 20 February 2014 doi: 10.3389/fpsyg.2014.00097 Pathologies of hyperfamiliarity in dreams, delusions and déjà vu Philip Gerrans* Department of Philosophy, University of Adelaide, Adelaide, SA, Australia Edited by: The ability to challenge and revise thoughts prompted by anomalous experiences depends Jennifer M. Windt, Johannes on activity in right dorsolateral prefrontal circuitry. When activity in those circuits is absent Gutenberg-University of Mainz, or compromised subjects are less likely to make this kind of correction. This appears Germany to be the cause of some delusions of misidentification consequent on experiences of Reviewed by: Lisa Bortolotti, University of hyperfamiliarity for faces. Comparing the way the mind responds to the experience Birmingham, UK of hyperfamiliarity in different conditions such as delusions, dreams, pathological and Elizaveta Solomonova, Université de non-pathological déjà vu, provides a way to understand claims that delusions and dreams Montréal, Canada are both states characterized by deficient “reality testing.” *Correspondence: Philip Gerrans, Department of Keywords: delusions of misidentification, deja vu, dreams, hyperfamiliarity, reality testing Philosophy, University of Adelaide, North Terrace, Adelaide, SA 5005, Australia e-mail: philip.gerrans@ adelaide.edu.au INTRODUCTION background knowledge, thereby establishing whether they cor- The concept of impaired or absent “reality testing” is invoked to respond to the world as it is, independent of the subject’s mind explain conditions characterized by persistent inability to detect (Hohwy, 2004). It is for reasons like these that dreams and delu- and correct misrepresentation of aspects of the world (reality).
    [Show full text]
  • Differences of Thought
    The International Journal of Indian Psychology | ISSN 2348-5396 Volume 2, Issue 1, Paper ID: B00230V2I12014 http://www.ijip.in | Oct to Dec 2014 Differences of thought Dr. Thiyam Kiran Singh*, Ajaz Ahmad**, Akshat Chowdhury*** ABSTRACT: The current study is about thought disorder and its kinds. Disorder of thought refers to the disturbance in one’s thoughts. There are many types of thought disorders. Broadly, thought disorders are classified into four main categories: stream, possession, content and form. The study is regarding these four main categories as well as the other types of disorders of thought that may be regarded as their sub-categories. The authors have tried hard enough to explain each type of disorder of thought with the help of an example, making the comprehension easy especially for those who don’t know much about thought disorders. Furthermore, the authors have tried to illustrate different types of thought disorders using the illustrative pictures. The authors have gathered information through available manuscripts as well as internet. Keywords: Disorders, Thought, Stream, Possession INTRODUCTION Personality is the superstructure of the relatively consistent and enduring innate learned, apparent hidden characteristics of an individual like physical appearance, attitudes and behaviour that combine together and influence one’s way of interaction with the environment (Ahmad, 2012). Differences of thought also influence personality and that makes difference of one personality to another personality. Disorder of thought refers to the disturbance in the processing, organization and relevance of thoughts manifested as illogical, bizarre, unorganized and irrelevant language or communication. Frank Fish, the first professor for Psychiatry at the University of Liverpool, in 1967, classified disorder of thought into: stream, possession, content and form.
    [Show full text]
  • Sphere." That Case Did Not Show Our Ofcomparable Age. Datafrom Another Fregoli Patient,3S Are Presentedfor Comparison (This
    Letters to the Editor 323 actor, Leopoldo Fregoli, who was famous absence of a previous scar on his face. She some years previously the patient had a long for his ability to impersonate people. was convinced that Erik Estrada was in love love affair with this cousin (lasting over 20 In their original description of this delu- with her and planned to marry her one day. years, and leading to the birth of her only J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.56.3.323 on 1 March 1993. Downloaded from sion, Courbon and Fail' noted that their Past medical history revealed childhood child). patient experienced other delusions whose epilepsy until the age of 9 years, phenobar- Data for this previous case are also pre- content was mainly erotic. The association bitone being stopped at the age of 11 years. sented in the table, for comparison with the of Fregoli delusion and erotomania has only There was no family history of mental dis- patient we describe here. Both patients were been occasionally reported since, though in order. Routine haematological, biochemical impaired at recognising familiar faces, some Fregoli cases erotomania forms an and serological examinations were normal. matching disguised faces, and showed obvious background possibility.2' A review Physical examination revealed no abnormal- much poorer recognition memory for faces of misidentification syndromes and sexuali- ity. An EEG showed a moderate excess of than words. Although an EEG suggested ty by Barton and Barton2 noted that eroto- mixed irregular and rhythmic slow activity bilateral abnormalities for our present mania has been found to be a feature in at 2-6 HZ and 10-30uV in the central and patient, these face processing impairments various forms of delusional misidentifica- post-central regions.
    [Show full text]
  • EPA Abstract 629..712
    European Psychiatry EPA 2020 Abstracts, Part 2 www.cambridge.org/epa Oral Communication Abstracts O0050 Construct and concurrent validity of illness and help-seeking behaviour scale Cite this article: (2020). EPA 2020 Abstracts, Part 2. European Psychiatry 63(S1), S629–S712. (IHSBS) in portuguese mental health patients https://doi.org/10.1192/j.eurpsy.2020.95 A. Macedo, C. Silva*, M.J. Soares, A. Araújo, A.T. Pereira, N. Madeira, D. Moura, M. Coroa, S. Morais, I. Rosendo and A.F. Miranda Portugal *Corresponding author. Introduction: Illness behaviour and Help-Seeking behaviour can have great impact on patient’s health and quality of life; therefore, it’s important to have an appropriate scale to assess these constructs. Objectives: To study the psychometric qualities of the IHSBS on Portuguese mental health patients, its reliability, its construct and concurrent validity, measured using the Stigma Scale (SS). Methods: The sample comprised 140 mental health patients, with different psychiatric diagnosis (70% women), with mean age of 39.49 years old (SD=15.71; V=18-78), followed in health centers and hospitals in the central area of the country. They filled out a questionnaire that included the SS and the IHSBS. Results: The KMO was .681 and Bartlett’s test p<.05. The analysis of the main components and scree plot revealed 3 components which was confirmed by Horn’s parallel analysis. The three factors were submitted to a varimax rotation - F1 is Help-Seeking Behaviour (EV=17.97%; α=.69), F2 Health Worries (EV=15.55%; α=.76), F3 Illness Behaviour (EV=9.01%; α=.68), all had acceptable internal consistency and so did the total scale EV=42.53%; α=.64).
    [Show full text]
  • Delusions, Acceptances, and Cognitive Feelings
    DELUSIONS, ACCEPTANCES, AND COGNITIVE FEELINGS BY RICHARD DUB A dissertation submitted to the Graduate School—New Brunswick Rutgers, The State University of New Jersey in partial fulfillment of the requirements for the degree of Doctor of Philosophy Graduate Program in Philosophy Written under the direction of Brian McLaughlin and approved by New Brunswick, New Jersey October, 2013 ABSTRACT OF THE DISSERTATION Delusions, Acceptances, and Cognitive Feelings by Richard Dub Dissertation Director: Brian McLaughlin Psychopathological delusions, such as the Capgras delusion, the Cotard delusion, and the florid delusions that accompany schizophrenia, have a number of features that are curiously difficult to explain. Delusions are resistant to counterevidence and impervious to counterargument. They are theoretically, affectively, and behaviorally circumscribed; delusional individuals tend not to act on their delusions or draw ap- propriate inferences from the content of their delusions. Delusional individuals are occasionally able to distinguish their delusions from other beliefs, sometimes speak- ing of their “delusional reality.” I argue that these features support non-doxasticism about delusions. Non-doxasticism is the thesis that, contrary to appearances, delu- sions are not beliefs at all. After developing the prospects for non-doxasticism, I of- fer a novel non-doxasticist cognitive model. Delusions are pathological acceptances that are caused by powerful and aberrant cognitive feelings. ii Acknowledgements As I have worked through the issues in this dissertation, my committee members have constantly been invaluable wellsprings of inspiration and guidance. I owe much to them. Andy Egan has been a wonderful source of incisive comments about the nature of belief-like mental states. Conversation with him is always immensely fruit- ful; his suggestions on previous drafts have been top-notch.
    [Show full text]