Download - Fregoli Syndrome- Psych Reporting
-
8/13/2019 Fregoli Syndrome- Psych Reporting
1/15
PSY101 NEWS REPORTFregoli Syndrome
Submitted by:
Angela Abao
Miguel Benavides
Section E
Jan. 6, 2014
-
8/13/2019 Fregoli Syndrome- Psych Reporting
2/15
WHAT is Fregoli Syndrome?
- When a person holds
delusional belief that
different people are in fact a
single person in disguised
- Classed as monothematic
delusion and as a delusional
misidentification syndrome
-
8/13/2019 Fregoli Syndrome- Psych Reporting
3/15
Named after an Italian actor, Leopold Fregoli
-
8/13/2019 Fregoli Syndrome- Psych Reporting
4/15
Symptoms:
- Misidentifying unfamiliar people or places asfamiliar ones
- Visual-spatial perception and memory
impairments
- Prosopagnosia i.e. facial recognition impairment
- Violent behavior
-
8/13/2019 Fregoli Syndrome- Psych Reporting
5/15
Causes/ Etiology: Cognitive
- Paranoid schizophrenia
- Seizures - often associated
in many cases years after an
attack
- Epileptogenic activity
- Abnormal decision-making
or reasoning ability
-
8/13/2019 Fregoli Syndrome- Psych Reporting
6/15
- Psychosis with organic etiology (i.e. neurological
abnormalities)
- cortical atrophy in frontal and temporal areas (i.e. tissue
degradation on the outer foldings of the brain)
- damage to the occipital-temporal area leading to visual
spatial perception and memory impairments
- bifrontal/ right hemisphere lesions leading to facialrecognition impairment
- hyperfamiliarity - overactivity in right perirhinal cortex
Causes/ Etiology: Cognitive
-
8/13/2019 Fregoli Syndrome- Psych Reporting
7/15
Causes/ Etiology: Psychodynamic- Ambivalence theory - ambivalent feelings toward the supposed
imposter manifest as denial and displacement;
- Depersonalization/derealization theory - affected patients
perceive their environment and their bodies in an unusual way
that is experienced more strongly with objects or people theyhave strong affinities for.
- Regression theory - a compromise in higher brain function
leads to a return to primitive modes of thinking characterized
by themes of doubles and dualisms usually found in myth,primitive religion, and literature.
-
8/13/2019 Fregoli Syndrome- Psych Reporting
8/15
Comorbidities- Intermetamorphosis - patients believe they see people
change physically and personally
- Affective disorders (i.e. dramatic mood changes)
- Capgras syndrome
- Syndrome of subjective doubles - the delusional belief that
physical duplicates of the self exist but with their own
psychological identities
- Erotomania - the delusional belief that one is loved by
someone else
-
8/13/2019 Fregoli Syndrome- Psych Reporting
9/15
Treatment- A typical Antipsychotics such as olanzapine, sulpiride,
quetiapine
- Anticonvulsant and Antidepressants
- Treatment often use trifluperazine if other
psychological disorders are present
-
8/13/2019 Fregoli Syndrome- Psych Reporting
10/15
Case 1: Mr. A (21 yrs. old)
- he believed that his facial cream strongly attractsfemale students and that it perfects his looks
- He spent a lot of time in Facebook, where he met
a young woman whom he want to have anintimate relationship with but the woman
withdrew
- He developed a belief that every time a woman
would contact her in Facebook, it was the same
woman from before whos just disguising herself.
-
8/13/2019 Fregoli Syndrome- Psych Reporting
11/15
Case 2: Mr. F (37 yrs. old)
- special case of Fregoli because the copy of the own mind is
believed to inhabit the body of others
- complained about hearing voices which caused him to feel
fearful of others.
- When he was arrested, he believed that there are machines
in the jail that could copy ones brain, including his own
- He also believed that copies of his brain were place insidepeople whom he havent met before
- He identifies them through mannerisms that are similar to
his
-
8/13/2019 Fregoli Syndrome- Psych Reporting
12/15
Case 3: 22 yrs old Hungarian
- Met a woman in Hungary and thought that she loved him
after talking for a while
- Knowing that girls hometown and school, he went to
Germany to look for her
- Misidentified his neighbour's daughter as the woman he
was looking for (Fregoli Syndrome)
- Harassed the family and threatened her father
-
8/13/2019 Fregoli Syndrome- Psych Reporting
13/15
Case 3: 22 yrs old Hungarian
- Had delusions that the woman is dead and that the body is
hidden in the attic (Cotard Syndrome)
- In the hospital, he claimed to be someone else having German
origins rather than Hungarian
- Didnt recognized his original parents
- Thought that they were replaced by physically identical
persons (Capgrass Syndrome)
-
8/13/2019 Fregoli Syndrome- Psych Reporting
14/15
Bibliography
1. Yalin, ., Varol Ta, F., & Gunevr, T. (2008). The Coexistence of Capgras, Fregoliand Cotard's Syndromes in an Adolescent Case.Archives Of Neuropsychiatry /
Noropsikiatri Arsivi, 45(4), 149-151.
2. Silva, J. A., & Leong, G. B. (1991). A case of "subjective" Frgoli
syndrome.Journal of Psychiatry and Neuroscience, 16(2), 103
3. Phillips, M. L., & David, A. S. (1995). Facial processing in schizophrenia and
delusional misidentification: cognitive neuropsychiatric approaches.Schizophrenia
research, 17(1), 109-114.
4. Edelstyn, N. J., Riddoch, M. J., Oyebode, F. F., Humphreys, G. ., & Forde, E. E.
(1996). Visual Processing in Patients with Fregoli Syndrome. Cognitive
Neuropsychiatry, 1(2), 103-124. doi:10.1080/135468096396587
5. Hintzen, A., Wilhelm-Gling, C., & Garlipp, P. (2008). Combined DelusionalSyndromes in a Patient with Schizophrenia: Erotomania, Delusional
Misidentification Syndrome, Folie Deux and Nihilistic Delusion.Unverffentlichtes
Manuskript.
-
8/13/2019 Fregoli Syndrome- Psych Reporting
15/15
Bibliography
6. Delavenne, H., & Garcia, F. D. (2011). Fregoli syndrome associated with violentbehavior.J Bras Psiquiatr, 60(1), 67-70.
7. Devinsky, O., Davachi, L., Santchi, C., Quinn, B. T., Staresina, B. P., & Thesen, T.
(2010). Hyperfamiliarity for faces. Neurology, 74(12), 970-974.
8. Wright, S., Young, A. W., & Hellawell, D. J. (1993). Frgoli delusion and
erotomania.Journal of neurology, neurosurgery, and psychiatry, 56(3), 322.9. Jocic, M. D. (2011). Delusional misidentification syndromes.Jefferson Journal of
Psychiatry, 10(1), 4.
10. Physicians Postgraduate Press, Inc. (2012, January 26). A Contemporary Case
of Frgoli Syndrome. Retrieved from National Center for Biotechnology
Information: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357570/