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“科塔尔综合征”:两例病例描述。忧郁症中的虚无妄想与偏执狂中的虚无妄想。

"Cotard's Syndrome", a Description of Two Cases. Delusion of Negation in Melancholia Versus Delusion of Negation in Paranoia.

作者信息

López Andrea C Casas

机构信息

Psiquiatría, Universidad del Valle, Cali, Colombia.

出版信息

Rev Colomb Psiquiatr (Engl Ed). 2021 Jan 30. doi: 10.1016/j.rcp.2020.10.012.

Abstract

In 1880, Jules Cotard described a set of delusions in the form of negations that later became his eponymous syndrome. Cotard's syndrome is an uncommon condition characterised by the presence of nihilistic delusions in which the person thinks that "they are dead or that the world no longer exists". This document describes two cases in which a broad and enriching semiology is evidenced from a descriptive point of view, which allows us to review them together with Cotard's syndrome in the light of modern psychiatry. The first case corresponds to a depressive disorder and the other occurs in the context of a non-affective psychotic disorder. A review of the literature is presented from what Cotard described until the current psychiatric classifications.

摘要

1880年,朱尔斯·科塔尔描述了一组以否定形式出现的妄想,后来这组妄想以他的名字命名为综合征。科塔尔综合征是一种罕见的病症,其特征是存在虚无妄想,患者认为“自己已经死亡或世界已不复存在”。本文描述了两例病例,从描述性角度展现了广泛而丰富的症状学,这使我们能够结合现代精神病学对其与科塔尔综合征进行综合审视。第一例病例为抑郁症,另一例发生在非情感性精神障碍的背景下。本文呈现了从科塔尔最初描述到当前精神病学分类的文献综述。

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