ABSTRACT
Capgras syndrome is one of the misidentification syndromes. In this phenomenon the patient has a delusional belief that familiar persons have been replaced by imposters. We report a middle aged schizophrenic female who believed that the lower half of her body has been replaced by that of another person, known as prostitute by the patient. She also reported hallucination of sexual intercourse. Rare variants of Capgras syndromes have been reported so far, but there is no report of delusion of half of body replacement. The mentioned case can be considered as incomplete Capgras syndrome that is another variant of this syndrome
Subject(s)
Humans , Female , Schizophrenia , DelusionsABSTRACT
Self-mutilation is defined as intentional damaging of the body without intention to die. Patients with borderline personality disorder frequently mutilate themselves by means of cutting, burning and abrading their skin. In this case report, a patient with borderline personality disorder is described who has cut his skin and suck his blood several times. He had also the history of killing pigeons and sucking their blood. One time he had sucked his wife's blood. Blood sucking is the main theme of Bram Stocker's novel in which the character of the novel, Dracula, sucked the blood of human beings. Here we present blood sucking as a real symptom and not an imaginary one. This symptom associated with self- cutting is well understood in borderline personality disorder
ABSTRACT
Self-mutilation is defined as intentional damaging of the body without intention to die. Patients with borderline personality disorder frequently mutilate themselves by means of cutting, burning and abrading their skin. In this case report, a patient with borderline personality disorder is described who has cut his skin and suck his blood Several times. He had also the history of killing pigeons and sucking their blood. One time he had sucked his wife's blood. Blood sucking is the main theme of Bram Stocker's novel in which the character of the novel, Dracula, sucked the blood of human beings. Here we present blood sucking as a real symptom and not an imaginary one. This symptom associated with self cutting is well understood in borderline personality disorder
Subject(s)
Humans , Male , Self Mutilation , Signs and SymptomsABSTRACT
Many psychiatric patients have nicotine and other substance dependence. To determine the prevalence of nicotine and opium dependence among psychiatric in-patients in Kerman, a city in southwestern Iran. Three groups of psychiatric inpatients, chronic medical patients and a sample from local population, each including 400 subjects were selected. Nicotine dependence was evaluated by Fagerstrom test for nicotine dependence. Scores >7 were considered positive for nicotine dependence. Opium dependence was evaluated by a semi-structured interview based on DSM IV. 115 [28.75%] out of 400 psychiatric patients had nicotine dependence which was significantly higher than that of the two other groups [p<0.0001]. 140 [35%] of psychiatric patients had opium dependence that did not differ from chronic medical patient but was higher than the control group [p<0.0001]. Frequencies of nicotine and opium dependence were higher among males in all three groups. The highest frequencies of nicotine and opium dependence were observed among patients with post-traumatic stress disorder. Psychiatric patients are predisposed to substance dependence. One plausible reason for opium dependence in our patients is cultural factors. Substance dependence associated with other psychiatric disorders should be considered whenever treatment plan is made