Tajima-Pozo Kazuhiro, Zambrano-Enriquez Diana, de Anta Laura, Moron María Dolores, Carrasco Jose Luis, Lopez-Ibor Juan José, Diaz-Marsá Marina
Department of Psychiatry, Hospital Clinico San Carlos, Madrid, Spain.
BMJ Case Rep. 2011 Feb 15;2011:bcr1020092350. doi: 10.1136/bcr.10.2009.2350.
Historically, many cases of demonic possession have masked major psychiatric disorder. Our aim is to increase awareness that symptoms of schizophrenia are still being classified as demonic possession by priests today. We report the case of a 28-year-old patient who had been diagnosed 5 years previously with paranoid schizophrenia (treated with clozapine, risperidone, ziprasidone and onlanzapine without a complete response) and was also receiving treatment in a first episode psychosis unit in Spain. The patient was led to believe by priests that her psychotic symptoms were due to the presence of a demon. This was surprising because some of the priests were from the Madrid archdiocese and knew the clinical situation of the patient; however, they believed that she was suffering from demonic possession, and she underwent multiple exorcisms, disrupting response to clinical treatment. Patient insight is an important factor in response to treatment, so religious professionals should encourage appropriate psychiatric treatment and learn about mental illnesses.
从历史上看，许多被恶魔附身的案例其实掩盖了严重的精神疾病。我们的目的是提高人们的认识，即如今精神分裂症的症状仍被牧师归类为恶魔附身。我们报告一例28岁患者的病例，该患者5年前被诊断为偏执型精神分裂症（曾使用氯氮平、利培酮、齐拉西酮和奥氮平治疗，但未完全缓解），当时正在西班牙一家首发精神病单元接受治疗。牧师让患者相信她的精神病症状是由恶魔作祟所致。这令人惊讶，因为有些牧师来自马德里大主教区，了解患者的临床情况；然而，他们认为她是被恶魔附身了，她接受了多次驱魔仪式，干扰了临床治疗的效果。患者的洞察力是治疗反应的一个重要因素，因此宗教专业人士应鼓励进行适当的精神科治疗，并了解精神疾病。
