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Capgras' syndrome.

R J Berson

    The American Journal of Psychiatry
    |August 1, 1983
    PubMed
    Summary

    Capgras' syndrome involves the delusion of doubles. This review of 133 cases explores organic and functional causes, proposing a psychodynamic hypothesis for better understanding and treatment of this rare delusion.

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    Area of Science:

    • Neurology
    • Psychiatry
    • Psychology

    Background:

    • Capgras' syndrome is a rare delusional misidentification whereby individuals believe familiar people are impostors or doubles.
    • This syndrome can manifest in various psychotic states, affecting both genders.

    Purpose of the Study:

    • To review the existing English-language literature on Capgras' syndrome, encompassing 133 reported cases.
    • To define the syndrome based on original and subsequent descriptions.
    • To explore potential organic and functional etiologies and propose a novel psychodynamic hypothesis.

    Main Methods:

    • Comprehensive literature review of 133 English-language case reports of Capgras' syndrome.
    • Analysis of original and later descriptions to define syndrome characteristics.
    • Integration of a new case report to formulate a psychodynamic hypothesis.

    Main Results:

    • The review consolidates definitions and discusses diverse etiological factors, including organic and functional causes.
    • A new case report is presented to illustrate the syndrome's complexity.
    • A psychodynamic hypothesis is suggested for enhanced understanding and treatment.

    Conclusions:

    • Capgras' syndrome, characterized by the "doubles" delusion, requires a multifaceted approach to understanding its origins.
    • The proposed psychodynamic hypothesis offers a framework for potentially improving diagnostic and therapeutic interventions.
    • Further research is warranted to validate the psychodynamic model in clinical practice.

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