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Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia

INTRODUCTION: Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close at...

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Autores principales: Gedevani, E., Kopeiko, G., Borisova, O., Popovich, U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567254/
http://dx.doi.org/10.1192/j.eurpsy.2022.1812
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author Gedevani, E.
Kopeiko, G.
Borisova, O.
Popovich, U.
author_facet Gedevani, E.
Kopeiko, G.
Borisova, O.
Popovich, U.
author_sort Gedevani, E.
collection PubMed
description INTRODUCTION: Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close attention. OBJECTIVES: To analyze psychopathological specifics of KSRDP and to identify the prognosis, dynamics of schizophrenia with KSRDP. METHODS: Thirty four patients (18 women; 16 men; the average age 28 ± 9,5 years) with schizophrenia (F20.0, F20.01, F20.02 according to ICD-10) were examined by psychopathological, psychometrical and statistical methods RESULTS: The specifics of the syndrome is delusional belief in possession by demonic or divine ‘spiritual being’, invaded within the body. This possession is interpreted by patients as the totality of mind, body and soul control; and in several cases – as the appearance of a new identity. According to the “classical” Kandinsky–Clérambault syndrome, KSRDP accompanied by extensive psychic automatisms (ideational, cenestopathic, kinaesthetic), haptic and olfactory pseudo-hallucinations. Furthermore the specific hallucinations for KSRDP (Hallucinationen der Gemeingefühlsempfindun by von Krafft-Ebing, R.) are observed, which based on sensory-spatial imaginary sensations, with a clear localization in the field of a visceral sensitivity (as a material object with a certain shape, consistency, size, and weight). CONCLUSIONS: In contrast with “classical” paranoid syndrome of Kandinsky–Clérambault when negative effect is usually perceived by patients as external influence, KSRDP is characterized by delusional idea of ‘spiritual being’s invasion inside the body, mind and soul to control the whole human’s existence. Patients with KSRDP require specific treatment and management due to the religious content of delusion. DISCLOSURE: No significant relationships.
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spelling pubmed-95672542022-10-17 Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia Gedevani, E. Kopeiko, G. Borisova, O. Popovich, U. Eur Psychiatry Abstract INTRODUCTION: Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close attention. OBJECTIVES: To analyze psychopathological specifics of KSRDP and to identify the prognosis, dynamics of schizophrenia with KSRDP. METHODS: Thirty four patients (18 women; 16 men; the average age 28 ± 9,5 years) with schizophrenia (F20.0, F20.01, F20.02 according to ICD-10) were examined by psychopathological, psychometrical and statistical methods RESULTS: The specifics of the syndrome is delusional belief in possession by demonic or divine ‘spiritual being’, invaded within the body. This possession is interpreted by patients as the totality of mind, body and soul control; and in several cases – as the appearance of a new identity. According to the “classical” Kandinsky–Clérambault syndrome, KSRDP accompanied by extensive psychic automatisms (ideational, cenestopathic, kinaesthetic), haptic and olfactory pseudo-hallucinations. Furthermore the specific hallucinations for KSRDP (Hallucinationen der Gemeingefühlsempfindun by von Krafft-Ebing, R.) are observed, which based on sensory-spatial imaginary sensations, with a clear localization in the field of a visceral sensitivity (as a material object with a certain shape, consistency, size, and weight). CONCLUSIONS: In contrast with “classical” paranoid syndrome of Kandinsky–Clérambault when negative effect is usually perceived by patients as external influence, KSRDP is characterized by delusional idea of ‘spiritual being’s invasion inside the body, mind and soul to control the whole human’s existence. Patients with KSRDP require specific treatment and management due to the religious content of delusion. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9567254/ http://dx.doi.org/10.1192/j.eurpsy.2022.1812 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Gedevani, E.
Kopeiko, G.
Borisova, O.
Popovich, U.
Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_full Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_fullStr Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_full_unstemmed Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_short Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_sort specifics of kandinsky–clérambault syndrome with religious delusion of possession in schizophrenia
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567254/
http://dx.doi.org/10.1192/j.eurpsy.2022.1812
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