RESUMO
A case of Capgras syndrome in a pregnant patient is described. In addition to perceiving living family members as impostors, she believed that there was a double or twin of her fetus. She conceptualized her "twins" differently than the way she viewed doubles of family members. Her fetus may represent the youngest "person" to have been duplicated. The relationship of Capgras syndrome to misidentification phenomena is discussed.
Assuntos
Síndrome de Capgras/psicologia , Delusões/psicologia , Feto , Complicações na Gravidez/psicologia , Gravidez Múltipla/psicologia , Esquizofrenia Paranoide/psicologia , Adulto , Síndrome de Capgras/diagnóstico , Delusões/diagnóstico , Feminino , Humanos , Recém-Nascido , Masculino , Relações Mãe-Filho , Gravidez , Complicações na Gravidez/diagnóstico , Esquizofrenia Paranoide/diagnóstico , Gêmeos/psicologiaRESUMO
The authors offer psychotherapists a proposed exception to strict acquired immune deficiency syndrome (AIDS)-related confidentiality laws. The proposal is based on previously established exceptions to the psychotherapist-patient privilege. The recommended breach of confidentiality applies only to cases that meet all of the following criteria: (1) A patient knows that he or she has a human immunodeficiency virus (HIV) positive blood test and has been informed of AIDS-related safety precautions, (2) the HIV-positive patient has a mental disorder, and (3) it is reasonable to believe that the mental disorder has significantly impaired or may significantly impair the patient's ability and behavior to follow AIDS-related safety precautions.
