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Capgras 증후군에 대한 임상적 고찰

The Capgras Syndrome

고려대학교의과대학잡지 1979년 16권 2호 p.369 ~ 376
서광윤,
소속 상세정보
서광윤 (  ) - 고려대학교 의과대학 신경정신과교실

Abstract


Six cases of the Capgras syndrome, a rare psychopathological manifestation, were encountered past 5 year period at the neuropsychiatric department of the Korea University Hospital.
All of these cases were studied clinically and analytically.
The results were as follows ;
1. Four of all patients were female and two were male.
2. The ages of all patients were in the twenties.
3. For all patients, the main misidentified objects in their delusional system were the father
or the mother, or both and the secondary objects were the siblings and other relatives.
4. All patients were psychotic, and the nosological setting in which the syndrome developed
was manic-depressive psychosis in four cases and schizophrenia in two cases.
5. None of the patients had any clinical symptoms and signs suggesting organic brain disor-
ders.
6. Three of all patients developed the syndrome years after the onset of basic illness and
the syndrome developed simultaneously with the basic illness in another three cases.
7. The outcome of the syndrome in these subjects seemed to be dependent upon the ther-
apeutic success with the psychosis of wich the syndrome was only an aspect.
8. The illusion of Fregoli associated with the Capgras syndrome was seen in one case.
9. The psychodynamic factors as the main role in the syndrome-formation of the subjects
seemed to be ambivalent conflicts and unresolved Oedipal complex to the principal misid-
entified person.

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