Dergi Ara >>
Yıl:2008; Cilt: 2; Sayı: 3-4>> Özet
TAM METİN
Psikiyatride Derlemeler, Olgular ve Varsayımlar (RCHP); 2008;2(3-4):57-63
Capgras Sendromu ve Tekrarlayıcı Ciddi Suçları Olan Bir Adli Psikiyatri Olgusu
H Aksu, E Aksu, F Öncü, N Uygur
Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi
Capgras sendromu, sanrısal yanlış tanıma bozuklukları içinde tanımlanan, az rastlanan ve inatçı sanrılar ile
giden bir bozukluktur. Hasta, yakın bir akrabasının bazen de kendisinin tıpatıp benzerleri ile değiştirildiğine inanır.
Sendrom, nadiren saf bir şekilde ortaya çıkar ve genelde şizofreni veya organik bir psikozla birliktedir. Olguların
çoğunda psikoz, paranoid tiptedir. Bu yazıda tekrarlayıcı ciddi suçları (adam öldürme) olan bir Capgras sendromu
olgusu sunulmuştur. Hastamızın daha önce bildirilen olgular gibi aile üyelerinden abla ve annesinin benzerleri
ile yer değiştirdiğine inanması, bu hezeyanlarına perseküsyon hezeyanlarının eşlik etmesi, progresif ve inatçı
seyretmesi nedeniyle tanıda Şizofreni (Paranoid tip) zemininde Capgras sendromu düşünülmüştür. Klinisyenler,
Capgras sendromuna perseküsyon hezeyanlarının eşlik etmesinin şiddet davranışına ve suça neden olabileceğini
dikkate almalıdırlar.
A Forensic Psychiatric Case Who Has Capgras Syndrome And Serious Repetetive Crimes
Capgras syndrome is placed among the group of delusional
misidentification syndromes and is characterized
by delusions which are rare and resistant to treatment. The patient believes one of his close relatives, and even
himself to be changed with a doppelganger. It is commonly
accompanied by schizophrenia or an organic psychosis
and is very rare in its pure form. The psychosis is of the paranoid type in most of the cases. In this paper,
a case who has Capgras Syndrome and seriously repetetive crimes are presented. Because of the facts that our
patient believed his mother and elder sister to be changed with their doppelganger, this delusion was together
with delusions of persecution, being both progressive and resistant. Capgras syndrome with Schizophrenia
(paranoid type) was diagnosed. It is consider that clinicians must take into account Capgras syndrome with
Schizophrenia together with delusions of persecution that may cause violent behaviour and crime

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