Silva J A, Leong G B, Garza-Treviño E S, Le Grand J, Oliva D, Weinstock R, Bowden C L
University of Texas Health Science Center at San Antonio.
J Forensic Sci. 1994 Nov;39(6):1455-67.
The hallmark of the delusional misidentification syndromes is the presence of a misidentification delusion of the self or others. Delusional misidentification may present with an increased risk for dangerous behaviors. Individuals suffering from delusional misidentification syndromes may express hostility in ways ranging from serious verbal threats to homicidal acts. The causes of dangerous misidentification delusions remain for the most part undetermined. In this article, we report a series of six cases of individuals who harbored dangerous misidentification delusions. These individuals were studied phenomenologically and forensically. They were also studied biologically, including neuropsychological testing. A cognitive hypothesis aimed at explaining dangerousness and delusional misidentification is proposed. Implications of the hypothesis for further research are briefly outlined.
妄想性错认综合征的标志是存在对自我或他人的错认妄想。妄想性错认可能会增加危险行为的风险。患有妄想性错认综合征的个体可能会以从严重言语威胁到杀人行为等各种方式表达敌意。危险的错认妄想的成因在很大程度上仍未确定。在本文中,我们报告了一系列六例怀有危险错认妄想的个体。对这些个体进行了现象学和法医方面的研究。还对他们进行了生物学研究,包括神经心理学测试。提出了一个旨在解释危险性和妄想性错认的认知假说。简要概述了该假说对进一步研究的意义。