Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-26T00:58:19.619Z Has data issue: false hasContentIssue false

Delusional misidentification syndromes in a woman with mild learning disabilities

Published online by Cambridge University Press:  13 June 2014

Sally-Ann Cooper
Affiliation:
Rockingham Forest NHS Trust, Learning Disabilities, St Mary's Hospital, Kettering, Northants. NN15 7PW, England
Richard A Collacott
Affiliation:
Department of Psychiatry, University of Leicester, England

Abstract

Schizophrenia is thought to be the commonest setting in which delusional misidentification syndromes occur. Although schizophrenia is said to occur more commonly in people with learning disabilities, when compared to the general population, reports of delusional misidentification syndromes are extremely limited. The case of a 31 year old woman with mild learning disabilities and first episode of acute schizophrenia is described. She had both Capgras and Fregoli syndromes, and a rare variant of Capgras syndrome in which the misidentification was of a cat, rather than a significant person in her life. Aetiological factors are discussed.

Type
Case Reports
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Capgras, J, Reboul-Lachaux, J. Illusion des sosies dans un delire systematise chronique. Bulletine de la Societe Clinique de Medecine Mentale, 1923; 2: 616.Google Scholar
2.Courbon, P, Fail, G. Syndrome ‘d'illusion de Fregoli’ et schizophrenie. Bulletin de la Societe Clinique de Medicine Mentale, 1927; 15: 121–4.Google Scholar
3.Förstl, H, Almeida, OP, Owen, AM, Burnes, A, Howard, R. Psychiatric, neurological and medical aspects of misidentification syndromes: a review of 260 cases. Psychological Medicine 1991; 21: 205–10.CrossRefGoogle ScholarPubMed
4.Enoch, MD, Trethowan, WH. Uncommon psychiatric syndromes. 3rd ed. Oxford: Butterworth & Heinemann Ltd, 1991:123.Google Scholar
5.Coleman, SM. Misidentification and non-recognition. Journal of Mental Science 1933; 79:4251.CrossRefGoogle Scholar
6.Enoch, MD. The Capgras syndrome. Acta Psychiatrica Scandinavica 1963; 39: 437–62.CrossRefGoogle ScholarPubMed
7.Christodoulou, GN. The syndrome of Capgras. Br J of Psych 1977; 130: 556–64.CrossRefGoogle ScholarPubMed
8.Anderson, DN. The delusion of inanimate doubles. Implications for understanding the Capgras phenomenon. Br J of Psych 1988; 153: 674–99.CrossRefGoogle ScholarPubMed
9.Green, BH. Capgras syndrome. Br J of Psych 1989; 154: 270–71.Google Scholar
10.O'Shea, B, Falvey, J, Matthews, G, Murphy, P. Capgras syndrome: a nonspecific, often organic phenomenon. Ir J of Psych 1989; 10(1): 13.Google Scholar
11.Rastogi, SC. A variant of Capgras syndrome with substitution of inanimate objects. Br J of Psych 1990; 156: 883–4.CrossRefGoogle ScholarPubMed
12.Abed, RT, Fewtrell, WD. Delusional misidentification of familiar inanimate objects. A rare variant of Capgras syndrome. Br J of Psych 1990; 157: 915917.CrossRefGoogle ScholarPubMed
13.Staton, RD, Brumback, RA, Wilson, H. Reduplicative paramnesia: a disconnection syndrome of memory. Cortex 1982; 18: 2336.CrossRefGoogle ScholarPubMed
14.Wright, B, Mindham, R, Bum, W. Canine Capgras. Ir J of Psych Med 1994; 11: 31–3.CrossRefGoogle Scholar
15.Ireland, WW. On idiocy and imbecility. London: J & A Churchill 1877.Google Scholar
16.Reid, AH. Schizophrenia in mental retardation: clinical features. Research in developmental disabilities 1989; 10: 241–49.CrossRefGoogle ScholarPubMed
17.Meadows, G, Turner, T, Campbell, L, Lewis, SW, Reveley, MA, Murray, RM. Assessing schizophrenia in adults with mental retardation. A comparative study. Br J of Psych 1991; 158: 103–5.CrossRefGoogle ScholarPubMed
18.Capgras, J, Carrette, P. Illusion des sosies et complexe d'Oedipe. Annales Medico-Psychologiques 1924; 82: 4868.Google Scholar
19.Collacott, RA, Napier, EM. Erotomania and Fregoli-like state in Down's syndrome: dynamic and developmental aspects. J of Mental Deficiency Research 1991;35:481–6.Google Scholar
20.Christodoulou, GN. The delusional misidentification syndromes. Br J of Psych 1991; 159(Suppl 14): 65–9.CrossRefGoogle Scholar
21.Cutting, J. Delusional misidentification and the role of the right hemisphere in the appreciation of identity. Br J of Psych 1991; 159(Suppl 14): 70–5.CrossRefGoogle Scholar
22.Anderson, DN. Williams, E. Delusion of inanimate doubles. Br J of Psych 1994; 165: 412.CrossRefGoogle ScholarPubMed
23.Ellis, HD, Young, AW. Accounting for delusional misidentifications. Br J of Psych 1990; 157: 239–48.CrossRefGoogle ScholarPubMed