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M.Indumathi
M.Sc Medicalsurgical
1st year
CAPGRAS SYNDROME
 Its named by the French psychiatric
jean Maria Joseph Capgras, who
described the first case in 1923.
 Capgras syndrome is classified as
delusional misidentification syndrome
known as DMS or DMI.
DEFINITION
 In this syndrome in which a person holds
a delusion that a friend, parents or
spouse or any family members has been
replaced by an identical looking impostor
,despite recognition of familiarity of their
behavior and appearance.
 It may occur as a part or along with other
disease conditions such as
schizophrenia or other neurological
disorders,
ETIOLOGY
PSYCHOANALYTICAL VIEW-Result
of an Oedipus or electro complex.
 So people with the sexual desire try
to resolve their guilt about these
circumstances by identifying them as
imposter
 PSYCHODYNAMIC THEORIES-
CAPGRAS syndrome has occur with
repressed feelings.
 Many researchers think that result of
an organic cause Such as epilepsy or
Alzheimer's disease.
May be organic cause leads to
breakdown of communication
happening between the part of the
brain that processes the visual
information and the part that controls
the limbic system’s of emotional
response
1
This
syndrome
mostly
occur for
the peoples
after brain
injury or
trauma
1
Causes
cerebral
lesions,
sign of
atrophy or
cerebral
dysfunction
1
Affected the
posterior
areas of
right
hemisphere
where face
recognition
is
performed
as a result
CAPGRAS
But still research arguments is going
whether is a problem of perception or
problem of memory process
SPECIFIC FEATURES
He or she
recognizes that a
person or place is
exactly like the real
one but emotionally
insist it is not
It may extend to
animals or object.
The imposter
always is a person
or place with which
the patient is
familiar not a
strange or a new
one.
The patient is
conscious of their
abnormalities,
there is no
delusions.
ASSOCIATED FEATURES
Although this syndrome is usually
occur with Schizophrenic disease
condition but also in affective and
organic psychic disturbances
Specific features of delusions of
doubles may present with significant
dangerous behavior.
PSYCHIATRIC
MANIFESTATIONS
 Fatigue
 Decrease memory
 Hallucination
 Irritability
 Confusion
 Anxiety
 Ataxic gait
 Delusion
 Depression
Cont…
 Insomnia
 Suspiciousness
 Hearing multiple female voices
 Slow cerebration
 Social withdrawal
TREATMENT
INDIVIDUAL
THERAPY
PHARMACO
-
THERAPHY
BEHAVIOUR
PSYCHO-
THERAPY
COGNITIVE
TECHNIQUE
PHARMACOTHERAPHY
 SSRI at starting
dose.
 Antipsychotic
Haloperidol,
Pimozide
Risperidone
Clozapine,
Olassnzapine
For treating delusions
that is based on
persistent gentle
discussions about
evidence for the
belief, help to
overcome the
problem the person
has believing this
substitution delusion
with the available
evidences
BEHAVIOUR PSYCHOTHERAPHY
TREATMENT
 Three core concepts found within
habilitation therapy can be useful in
dealing with capgras syndrome(Moore
2009),they are
1 Enter into reality of the person,
Acknowledge their feelings,
2Never argue or correct,
Get and stay emotionally connected
.
3Focus on creating positive
emotional experiences to address
challenging behaviors.
Send the imposter away
Putting it all together
CAPGRAS SYNDROME: A Rare Delusional Disorder

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CAPGRAS SYNDROME: A Rare Delusional Disorder

  • 3.  Its named by the French psychiatric jean Maria Joseph Capgras, who described the first case in 1923.  Capgras syndrome is classified as delusional misidentification syndrome known as DMS or DMI.
  • 4. DEFINITION  In this syndrome in which a person holds a delusion that a friend, parents or spouse or any family members has been replaced by an identical looking impostor ,despite recognition of familiarity of their behavior and appearance.  It may occur as a part or along with other disease conditions such as schizophrenia or other neurological disorders,
  • 5. ETIOLOGY PSYCHOANALYTICAL VIEW-Result of an Oedipus or electro complex.  So people with the sexual desire try to resolve their guilt about these circumstances by identifying them as imposter  PSYCHODYNAMIC THEORIES- CAPGRAS syndrome has occur with repressed feelings.
  • 6.  Many researchers think that result of an organic cause Such as epilepsy or Alzheimer's disease. May be organic cause leads to breakdown of communication happening between the part of the brain that processes the visual information and the part that controls the limbic system’s of emotional response
  • 7.
  • 8. 1 This syndrome mostly occur for the peoples after brain injury or trauma 1 Causes cerebral lesions, sign of atrophy or cerebral dysfunction 1 Affected the posterior areas of right hemisphere where face recognition is performed as a result CAPGRAS
  • 9. But still research arguments is going whether is a problem of perception or problem of memory process
  • 10. SPECIFIC FEATURES He or she recognizes that a person or place is exactly like the real one but emotionally insist it is not It may extend to animals or object. The imposter always is a person or place with which the patient is familiar not a strange or a new one. The patient is conscious of their abnormalities, there is no delusions.
  • 11. ASSOCIATED FEATURES Although this syndrome is usually occur with Schizophrenic disease condition but also in affective and organic psychic disturbances Specific features of delusions of doubles may present with significant dangerous behavior.
  • 12. PSYCHIATRIC MANIFESTATIONS  Fatigue  Decrease memory  Hallucination  Irritability  Confusion  Anxiety  Ataxic gait  Delusion  Depression
  • 13. Cont…  Insomnia  Suspiciousness  Hearing multiple female voices  Slow cerebration  Social withdrawal
  • 15. PHARMACOTHERAPHY  SSRI at starting dose.  Antipsychotic Haloperidol, Pimozide Risperidone Clozapine, Olassnzapine
  • 16. For treating delusions that is based on persistent gentle discussions about evidence for the belief, help to overcome the problem the person has believing this substitution delusion with the available evidences BEHAVIOUR PSYCHOTHERAPHY
  • 17. TREATMENT  Three core concepts found within habilitation therapy can be useful in dealing with capgras syndrome(Moore 2009),they are 1 Enter into reality of the person, Acknowledge their feelings,
  • 18. 2Never argue or correct, Get and stay emotionally connected . 3Focus on creating positive emotional experiences to address challenging behaviors. Send the imposter away
  • 19. Putting it all together