Capgras syndrome, mania and delusionally motivated assaults
Titel:
Capgras syndrome, mania and delusionally motivated assaults
Auteur:
Driscoll, Richard Ramalingam, Chithiramohan Brockman, Bee
Verschenen in:
The journal of forensic psychiatry & psychology
Paginering:
Jaargang 2 (1991) nr. 1 pagina's 49-57
Jaar:
1991-05-01
Inhoud:
Two men with a DSM-III-R diagnosis of mania, and no previous psychiatric history, presented having made life-threatening assaults on the subjects of their Capgras delusions. Although delusionally motivated assaults are a feature of the misidentification syndromes, sustained violent assaults are unusual in manic illness. Capgras Syndrome has been described as a feature of a number of psychotic states but, in the English literature, has only rarely been reported occurring in the manic phase of a bipolar mood disorder. On those occasions, the clinical picture and resultant behaviour differed from that presented here. In these two cases, Capgras Syndrome arising in mania was characterized by a delusion of doubles, with paranoid beliefs about the subject, altered mood, grandiosity and a manic drive. The presence of the manic drive to act on a delusion of doubles is a particularly dangerous combination of symptoms.