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“科塔尔综合征”,两例病例描述。忧郁症中的否定妄想与偏执狂中的否定妄想。

"Cotard's syndrome", a description of two cases. Delusion of negation in melancholia versus delusion of negation in paranoia.

机构信息

Psiquiatría, Universidad del Valle, Cali, Colombia.

出版信息

Rev Colomb Psiquiatr (Engl Ed). 2022 Apr-Jun;51(2):158-162. doi: 10.1016/j.rcpeng.2020.10.009. Epub 2022 Jun 23.

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(Jules Cotard)描述了一系列以否定形式出现的妄想,后来这些妄想以他的名字命名为科塔尔综合征。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经不复存在”。本文描述了两个案例,从描述性角度来看,这两个案例表现出广泛而丰富的症状,使我们能够根据现代精神病学对它们进行重新评估。第一个案例对应于抑郁症,另一个案例则发生在非情感性精神病性障碍的背景下。本文回顾了从科塔尔所描述的内容到当前精神病学分类的相关文献。

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