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-- Delusions


Posted by Yan on Aug-27-2007 20:52:

Delusions

Thought it was interesting so I'm going to post 2 that still shock me when I read/hear about them.

Cotard delusion

quote:
The Cotard delusion or Cotard's syndrome, also known as nihilistic or negation delusion, is a rare neuropsychiatric disorder in which a person holds a delusional belief that he or she is dead, does not exist, is putrefying or has lost his/her blood or internal organs. Rarely, it can include delusions of immortality.

It is named after Jules Cotard (1840–1889), a French neurologist who first described the condition, which he called le délire de négation ("negation delirium"), in a lecture in Paris in 1880.

In this lecture, Cotard described a patient with the moniker of Mademoiselle X, who denied the existence of God, the Devil, several parts of her body and denied she needed to eat. Later she believed she was eternally damned and could no longer die a natural death.

Young and Leafhead (1996, p155) describe a modern-day case of Cotard delusion in a patient who suffered brain injury after a motorcycle accident:
[The patient's] symptoms occurred in the context of more general feelings of unreality and being dead. In January, 1990, after his discharge from hospital in Edinburgh, his mother took him to South Africa. He was convinced that he had been taken to hell (which was confirmed by the heat), and that he had died of septicaemia (which had been a risk early in his recovery), or perhaps from AIDS (he had read a story in The Scotsman about someone with AIDS who died from septicaemia), or from an overdose of a yellow fever injection. He thought he had "borrowed my mother's spirit to show me round hell", and that he was asleep in Scotland.

It can arise in the context of neurological illness or mental illness and is particularly associated with depression and derealisation.

Treatment is difficult, and tricyclic and serotoninergic antidepressant drugs have shown little efficacy. Electroconvulsive therapy has shown greater promise, "curing" Cotard's sufferers in five studies of its efficacy with that treatment.



Capgras delusion

quote:
The Capgras delusion (or Capgras's syndrome) is a rare disorder in which a person holds a delusional belief that an acquaintance, usually a spouse or other close family member, has been replaced by an identical looking impostor. The Capgras delusion is classed as a delusional misidentification syndrome, a class of delusional beliefs that involves the misidentification of people, places or objects. It can occur in acute, transient, or chronic forms.

The delusion is most common in patients diagnosed with schizophrenia, although it can occur in a number of conditions including after brain injury and dementia. Although the Capgras delusion is commonly called a syndrome, because it can occur as part of, or alongside, various other disorders and conditions, some researchers have argued that it should be considered as a symptom, rather than a syndrome or classification in its own right.

History

It is named after Joseph Capgras (1873-1950), a French psychiatrist who first described the disorder in a 1923 paper by Capgras and Reboul-Lachaux. They used the term l'illusion des sosies (the illusion of doubles) to describe the case of a French woman who complained that various "doubles" had taken the place of people she knew. However, the term illusion has a subtly different meaning from delusion in psychiatry so "the Capgras delusion" is used as a more suitable name.

Presentation

This case is taken from a 1991 report by Passer and Warnock:

Mrs. D, a 74-year old married housewife, recently discharged from a local hospital after her first psychiatric admission, presented to our facility for a second opinion. At the time of her admission earlier in the year, she had received the diagnosis of atypical psychosis because of her belief that her husband had been replaced by another unrelated man. She refused to sleep with the impostor, locked her bedroom and door at night, asked her son for a gun, and finally fought with the police when attempts were made to hospitalize her. At times she believed her husband was her long deceased father. She easily recognized other family members and would misidentify her husband only.

Causes

Some of the first clues to the possible causes of the Capgras delusion were suggested by the study of brain-injured patients who had developed prosopagnosia. In this condition, patients are unable to consciously recognise faces despite being able to recognise other types of visual objects. However, a 1984 study by Bauer showed that even though conscious face recognition was impaired, patients with the condition showed autonomic arousal (measured by a galvanic skin response measure) to familiar faces, suggesting that there are two pathways to face recognition - one conscious and one unconscious.

In a 1990 paper published in the British Journal of Psychiatry, psychologists Hadyn Ellis and Andy Young hypothesised that patients with Capgras delusion may have a 'mirror image' of prosopagnosia, in that their conscious ability to recognise faces was intact, but they might have damage to the system which produces the automatic emotional arousal to familiar faces. This might lead to the experience of recognising someone, while feeling something wasn't 'quite right' about them.

In 1997 Hadyn Ellis and colleagues published a study of five patients with Capgras delusion (all diagnosed with schizophrenia) and confirmed that although they could consciously recognise the faces, they did not show the normal automatic emotional arousal response.

The same year, Hirstein and Ramachandran reported similar findings in a paper published on a single case of a patient with Capgras delusion after brain injury. Ramachandran also portrays this case in his book Phantoms in the brain. Since the patient was capable of feeling emotions and recognizing faces but couldn't feel emotions when recognizing familiar faces, Ramachandran hypothesizes that the origin of Capgras syndrome is a disconnection between the temporal cortex, where faces are usually recognized (see temporal lobe), and the limbic system, involved in emotions. Because the patient couldn't put together memories and feelings, he believed objects in a photograph were new on every viewing, even though they normally should have evoked feelings (e.g. a person close to him, a familiar object, or even himself). Ramachandran therefore believed there was a relationship between Capgras syndrome and a more general difficulty in linking successive episodic memories, since it is believed that emotion is critical for creating memories.

It is likely that more than an impairment of the automatic emotional arousal response is necessary to form Capgras delusion, as the same pattern has been reported in patients showing no signs of delusions. Ellis and colleagues suggested that a second factor explains why this unusual experience is transformed into a delusional belief; this second factor is thought to be an impairment in reasoning, although no definitive impairment has been found to explain all cases.


ITT, you tl;dr/Too long; didn't read/any variation on the previous two/./any variation on the previous one, you lose.


Do some research and find some that you find surprising.


Posted by Sunsnail on Aug-27-2007 20:55:

That 2nd one freaks me out


Posted by nchs09 on Aug-27-2007 23:25:

these sound like very rare delusions. interesting non the less.

would be interesting to see the research done by both.


Posted by MrJiveBoJingles on Aug-28-2007 01:22:

Fascinating.

quote:
The Fregoli delusion or Fregoli syndrome is a rare disorder in which a person holds a delusional belief that different people are in fact a single person who changes appearance or is in disguise. The syndrome may be related to a brain lesion and is often of a paranoid nature with the delusional person believing that he or she is being persecuted by the person he or she believes to be in disguise.

The condition is named after the Italian actor Leopoldo Fregoli who was renowned for his ability to make quick changes of appearance during his stage act.

It was first reported in a paper by P. Courbon and G. Fail in 1927 (Syndrome d’illusion de Frégoli et schizophrénie). They discussed the case study of a 27-year-old woman who believed she was being persecuted by two actors whom she often went to see at the theatre. She believed that these people "pursued her closely, taking the form of people she knows or meets".

The Fregoli delusion is classed both as a monothematic delusion, since it only encompasses one delusional topic, and as a delusional misidentification syndrome, a class of delusional beliefs that involves the misidentification of people, places or objects. Like Capgras delusion, it is thought to be related to a breakdown in normal face perception.


http://en.wikipedia.org/wiki/Fregoli_delusion

quote:
Reduplicative paramnesia is the delusional belief that a place or location has been duplicated, existing in two or more places simultaneously, or that it has been 'relocated' to another site. It is one of the delusional misidentification syndromes and, although rare, is most commonly associated with acquired brain injury, particularly simultaneous damage to the right cerebral hemisphere and to both frontal lobes.


http://en.wikipedia.org/wiki/Reduplicative_paramnesia


Posted by Krypton on Aug-28-2007 01:55:

Sometimes, the LSD stored in my spinal fluid releases, and I start seeing reality as a children's cartoon in which my sole purpose is to find a way out. ANy characters I find I annihilate with my mind. There is no wily-coyote chasing the roadrunner. I destroy roadrunners with the mind. When I find the cat smoking the bong, I've found my way out of the cartoons.


Posted by Krypton on Aug-28-2007 02:07:

Oh oh, can someone find the disorder in which the person lives only in the present?

Description: This mental ailment is marked by the inability to remember anything from the past including a conversation. The subject can engage in conversation but will not remember anything anyone else said, or what they themselves may have said. There are absolutely no memories, and the person can even forget their own identity. This disorder is mainly marked by the inability to remember anything, thus the person always lives in the present second.


Posted by Ygrene on Aug-28-2007 02:11:

Cotard - (noun); retard's sidekick/companion. Can be seen in proximity of the main retard.


Posted by MrJiveBoJingles on Aug-28-2007 02:14:

LSD being stored in spinal fluid is a myth.

The memory thing is anterograde amnesia:

http://en.wikipedia.org/wiki/Anterograde_amnesia


Posted by tubularbills on Aug-28-2007 02:14:

quote:
Originally posted by Ygrene
Cotard - (noun); retard's sidekick/companion. Can be seen in proximity of the main retard.



lololololo

ps, the 2nd one freaks me out too. almost like vanilla sky or some shit


Posted by MrJiveBoJingles on Aug-28-2007 02:16:

quote:
Originally posted by Ygrene
Cotard - (noun); retard's sidekick/companion. Can be seen in proximity of the main retard.


Posted by Krypton on Aug-28-2007 02:21:

quote:
Originally posted by MrJiveBoJingles
LSD being stored in spinal fluid is a myth.

The memory thing is anterograde amnesia:

http://en.wikipedia.org/wiki/Anterograde_amnesia


I know, but wouldn't it be cool if it wasn't a myth?


Posted by MrJiveBoJingles on Aug-28-2007 02:37:

Nah, I'd rather not experience the effects of acid at random times. I like it to be somewhat predictable.


Posted by Domesticated on Aug-28-2007 02:52:

I like this one:

"Prosopagnosia (sometimes known as face blindness) is a disorder of face perception where the ability to recognize faces is impaired, while the ability to recognize other objects may be relatively intact. The term usually refers to a condition following acute brain damage, but recent evidence suggests that a congenital form of the disorder may exist. The specific brain area usually associated with prosopagnosia is the fusiform gyrus.[1]"

There was another rare one, not so much a syndrome as a pure freak, about a woman with a PERFECT memory. Every day since she was about five years old, she can remember in perfect clarity. If you asked her what she ate for breakfast on the 10th March 1982, she can tell you.

The woman told doctors that her life was hell, because it was like having a movie playing in head all day, with no way to escape/forget.

This, synaesthesia and certain forms of autism amaze me as to what the human body is capable of.

Imagine if in 500 years, reciting pi to 5000 decimal places was the norm for ten-year old kids, like timetables are today, and anyone who couldn't was considered dumb.


Posted by Krypton on Aug-28-2007 03:27:

quote:
Originally posted by Beat Blog
I like this one:

"Prosopagnosia (sometimes known as face blindness) is a disorder of face perception where the ability to recognize faces is impaired, while the ability to recognize other objects may be relatively intact. The term usually refers to a condition following acute brain damage, but recent evidence suggests that a congenital form of the disorder may exist. The specific brain area usually associated with prosopagnosia is the fusiform gyrus.[1]"

There was another rare one, not so much a syndrome as a pure freak, about a woman with a PERFECT memory. Every day since she was about five years old, she can remember in perfect clarity. If you asked her what she ate for breakfast on the 10th March 1982, she can tell you.

The woman told doctors that her life was hell, because it was like having a movie playing in head all day, with no way to escape/forget.

This, synaesthesia and certain forms of autism amaze me as to what the human body is capable of.

Imagine if in 500 years, reciting pi to 5000 decimal places was the norm for ten-year old kids, like timetables are today, and anyone who couldn't was considered dumb.


In 500 years, our brains will bionic. Any information we needed to know could simply be downloaded into our brains. We will be able to connect our brains to external computers, and download data, play games, and control things with just simple thought. Anyone without a digital brain will considered a noob.


Posted by DJ Shibby on Aug-28-2007 06:12:

quote:
Originally posted by Krypton
Oh oh, can someone find the disorder in which the person lives only in the present?


Uhhhh... reality?

btw, it's called amnesia.


Posted by MrJiveBoJingles on Aug-28-2007 21:59:

quote:
Originally posted by Beat Blog
There was another rare one, not so much a syndrome as a pure freak, about a woman with a PERFECT memory. Every day since she was about five years old, she can remember in perfect clarity. If you asked her what she ate for breakfast on the 10th March 1982, she can tell you.

The woman told doctors that her life was hell, because it was like having a movie playing in head all day, with no way to escape/forget.

Interesting. Eidetic memory is usually found among men. For example:

quote:
Solomon Veniaminovich Shereshevskii (1886 - 1958?) (Russian: Соломон Шерешевский, also known simply as 'S' ('Ш'), was a Russian journalist and mnemonist. He became famous after an anecdotic event in which he was told off for not taking any notes while attending a speech in the mid-1920s. To the astonishment of everyone there (and to his own also, due to his belief that everybody had such an ability to recall), he could recall the speech perfectly, word by word.

Shereshevskii participated in many behavioral studies, most of them carried by the neuropsychologist Alexander Luria over a thirty year time span. Shereshevskii was asked to memorize complex mathematical formulae, huge matrices and even poems in foreign languages and did so in a matter of minutes. Despite his astounding memory performance, Shereshevskii scored absolutely average in intelligence tests, arguing against a strong link between these two capacities.


I found that last part especially interesting.

And of course there's the real life "Rain Man":

http://en.wikipedia.org/wiki/Kim_Peek


Posted by Cloudburst on Aug-28-2007 22:08:

I've had a course where a brain surgeon had guest lectures (among others). He presented all these disorders and more too. One of the coolest courses I've had.



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