Hirakawa Hirofumi, Terao Takeshi
Department of Neuropsychiatry, Oita University Faculty of Medicine, Yufu, Oita, Japan.
Case Rep Psychiatry. 2025 May 26;2025:7415364. doi: 10.1155/crps/7415364. eCollection 2025.
Delusional misidentification syndromes (DMSs) are a group of disorders, characterized by consistent misidentification of individuals, locations, objects, or events. Four primary subtypes are recognized within this classification: Capgras syndrome, Frégoli syndrome, intermetamorphosis syndrome, and the syndrome of subjective doubles. We report a case of a woman with schizophrenia who experienced a strange delusion that her parents were her babies. This delusion did not arise from visual hallucinations of infants or from prosopagnosia. Furthermore, she denied experiencing auditory hallucinations related to the infants, suggesting that this delusion was not secondary to auditory hallucinations. The delusion that she had her infant was the delusion of maternity, and it was a form of delusional procreational syndrome that consists of sequential delusions in every possible stage of procreation. We concluded the delusion of misidentification that her parents were her own babies exhibited in this case was a subtype of intermetamorphosis syndrome coexisted with delusional procreation syndrome and her coping mechanisms shaped by underlying fears and inner wishes.
妄想性身份识别障碍(DMSs)是一组疾病,其特征是持续对个人、地点、物体或事件进行错误识别。在这一分类中,主要有四种亚型:卡普格拉综合征、弗雷戈里综合征、变身综合征和主观替身综合征。我们报告一例患有精神分裂症的女性病例,她经历了一种奇怪的妄想,认为自己的父母是她的婴儿。这种妄想并非源于婴儿的视幻觉或面孔失认症。此外,她否认经历与婴儿相关的听幻觉,这表明这种妄想并非继发于听幻觉。她认为自己有婴儿的妄想是母性妄想,是妄想性生育综合征的一种形式,该综合征由生育各个可能阶段的连续性妄想组成。我们得出结论,该病例中出现的认为自己的父母是自己婴儿的身份识别妄想是变身综合征的一种亚型,与妄想性生育综合征并存,且其应对机制由潜在恐惧和内心愿望所塑造。