McKay Ryan, Cipolotti Lisa
Department of Neuropsychology, The National Hospital for Neurology and Neurosurgery, London, UK.
Conscious Cogn. 2007 Jun;16(2):349-59. doi: 10.1016/j.concog.2006.06.001. Epub 2006 Jul 18.
Young and colleagues (e.g. Young, A. W., & Leafhead, K. M. (1996). Betwixt life and death: case studies of the Cotard delusion. In P. W. Halligan & J. C. Marshall (Eds.), Method in madness: Case studies in cognitive neuropsychiatry. Mahway, NJ: Lawrence Erlbaum Associates.) have suggested that cases of the Cotard delusion (the belief that one is dead) result when a particular perceptual anomaly (caused by a disruption to the affective component of visual recognition) occurs in the context of an internalising attributional style. This hypothesis has not previously been tested directly. We report here an investigation of attributional style in a 24-year-old woman with Cotard delusion ("LU"). LU's attributional style (and that of ten healthy control participants) was assessed using the Internal, Personal and Situational Attributions Questionnaire (Kinderman, P., & Bentall, R. P. (1996). A new measure of causal locus: the internal, personal and situational attributions questionnaire. Personality and Individual Differences, 20(2), 261-264.). LU showed a significantly greater proportion of internalising attributions than the control group, both overall and for negative events specifically. The results obtained thus support an association of Cotard delusion with an internalising attributional style, and are therefore consistent with the account of Young and colleagues. The potential brain basis of Cotard delusion is discussed.
扬及其同事（例如扬，A. W.，& 利夫黑德，K. M.（1996 年）。介于生与死之间：科塔尔妄想症的案例研究。载于 P. W. 哈利根 & J. C. 马歇尔（编），《疯狂中的方法：认知神经精神病学案例研究》。马哈瓦，新泽西：劳伦斯·埃尔拉姆联合公司。）提出，当一种特定的感知异常（由视觉识别情感成分的破坏引起）在一种内化归因风格的背景下出现时，就会导致科塔尔妄想症（认为自己已死的信念）。这一假设此前尚未得到直接检验。我们在此报告对一名患有科塔尔妄想症的 24 岁女性（“LU”）的归因风格的调查。使用内部、个人和情境归因问卷（金德曼，P.，& 本塔尔，R. P.（1996 年）。因果 locus 的一种新测量方法：内部、个人和情境归因问卷。《个性与个体差异》，20(2)，261 - 264。）评估了 LU 的归因风格（以及十名健康对照参与者的归因风格）。总体而言，特别是对于负面事件，LU 表现出比对照组显著更高比例的内化归因。因此获得的结果支持科塔尔妄想症与内化归因风格之间的关联，因此与扬及其同事的观点一致。文中还讨论了科塔尔妄想症潜在的脑基础。
