Importance of Capgras syndrome in shared psychotic disorder: a case report.

J Int Med Res

Department of Psychiatry and Psychological Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, Republic of Serbia.

Published: March 2024

AI Article Synopsis

  • Shared psychotic disorder with Capgras syndrome is rare, with limited research; a case involving two sisters illustrates its complexities.
  • The younger sister, who has schizophrenia, transfers her Capgras delusion to the older sister after their father's death, leading to a violent crime and their involuntary psychiatric admission.
  • After initial improvement from treatment, they stop medications, disappear, and years later re-emerge after another violent incident, highlighting the need for effective treatment and continuous support to prevent recurrence and violence.

Article Abstract

Shared psychotic disorder characterized by Capgras syndrome is an extremely rare condition. To our knowledge, there are only a few published papers on this condition. This paper presents a case of shared Capgras syndrome in two sisters. The inducer was a younger sister with schizophrenia, who passed on her Capgras delusion to her older sister after the death of their father. After committing a violent offense caused by Capgras delusion, a court ordered the sisters' involuntary admission to a psychiatric hospital. After being separated and receiving antipsychotic treatment, the sisters showed substantial improvement. However, shortly after hospital discharge, they stopped taking their medication and disappeared. After 15 years, their mother died and shortly afterwards, the sisters were re-admitted for forensic psychiatric evaluation after another violent crime caused by Capgras delusion. Timely recognition, adequate treatment and maintaining a therapeutic alliance could contribute to a better clinical course and outcome of this disorder, and reduce the risk of violent behavior.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10938619PMC
http://dx.doi.org/10.1177/03000605241233526DOI Listing

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