Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia

Introduction Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close at...

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Main Authors: E. Gedevani, G. Kopeiko, O. Borisova, U. Popovich
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822018120/type/journal_article
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author E. Gedevani
G. Kopeiko
O. Borisova
U. Popovich
author_facet E. Gedevani
G. Kopeiko
O. Borisova
U. Popovich
author_sort E. Gedevani
collection DOAJ
description Introduction Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close attention. Objectives To analyze psychopathological specifics of KSRDP and to identify the prognosis, dynamics of schizophrenia with KSRDP. Methods Thirty four patients (18 women; 16 men; the average age 28 ± 9,5 years) with schizophrenia (F20.0, F20.01, F20.02 according to ICD-10) were examined by psychopathological, psychometrical and statistical methods Results The specifics of the syndrome is delusional belief in possession by demonic or divine ‘spiritual being’, invaded within the body. This possession is interpreted by patients as the totality of mind, body and soul control; and in several cases – as the appearance of a new identity. According to the “classical” Kandinsky–Clérambault syndrome, KSRDP accompanied by extensive psychic automatisms (ideational, cenestopathic, kinaesthetic), haptic and olfactory pseudo-hallucinations. Furthermore the specific hallucinations for KSRDP (Hallucinationen der Gemeingefühlsempfindun by von Krafft-Ebing, R.) are observed, which based on sensory-spatial imaginary sensations, with a clear localization in the field of a visceral sensitivity (as a material object with a certain shape, consistency, size, and weight). Conclusions In contrast with “classical” paranoid syndrome of Kandinsky–Clérambault when negative effect is usually perceived by patients as external influence, KSRDP is characterized by delusional idea of ‘spiritual being’s invasion inside the body, mind and soul to control the whole human’s existence. Patients with KSRDP require specific treatment and management due to the religious content of delusion. Disclosure No significant relationships.
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spelling doaj.art-d0a9463ebcfa4a03bed3415ce4480c262023-11-17T05:07:03ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S704S70410.1192/j.eurpsy.2022.1812Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophreniaE. Gedevani0G. Kopeiko1O. Borisova2U. Popovich3FSBSI «Mental Health Research Centre», Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian FederationFSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian FederationFSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian FederationMental Health Research Center, Adolescent Psychiatry, Moscow, Russian Federation Introduction Kandinsky–Clérambault syndrome with religious delusion of possession (KSRDP) in schizophrenia is insufficiently explored phenomenon. The syndrome characterized by significant severity of clinical state, high social risks and resistance to psychopharmacotherapy and requires the close attention. Objectives To analyze psychopathological specifics of KSRDP and to identify the prognosis, dynamics of schizophrenia with KSRDP. Methods Thirty four patients (18 women; 16 men; the average age 28 ± 9,5 years) with schizophrenia (F20.0, F20.01, F20.02 according to ICD-10) were examined by psychopathological, psychometrical and statistical methods Results The specifics of the syndrome is delusional belief in possession by demonic or divine ‘spiritual being’, invaded within the body. This possession is interpreted by patients as the totality of mind, body and soul control; and in several cases – as the appearance of a new identity. According to the “classical” Kandinsky–Clérambault syndrome, KSRDP accompanied by extensive psychic automatisms (ideational, cenestopathic, kinaesthetic), haptic and olfactory pseudo-hallucinations. Furthermore the specific hallucinations for KSRDP (Hallucinationen der Gemeingefühlsempfindun by von Krafft-Ebing, R.) are observed, which based on sensory-spatial imaginary sensations, with a clear localization in the field of a visceral sensitivity (as a material object with a certain shape, consistency, size, and weight). Conclusions In contrast with “classical” paranoid syndrome of Kandinsky–Clérambault when negative effect is usually perceived by patients as external influence, KSRDP is characterized by delusional idea of ‘spiritual being’s invasion inside the body, mind and soul to control the whole human’s existence. Patients with KSRDP require specific treatment and management due to the religious content of delusion. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822018120/type/journal_articleKandinsky–Clérambault syndromeschizophréniareligious delusiondelusion of possession
spellingShingle E. Gedevani
G. Kopeiko
O. Borisova
U. Popovich
Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
European Psychiatry
Kandinsky–Clérambault syndrome
schizophrénia
religious delusion
delusion of possession
title Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_full Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_fullStr Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_full_unstemmed Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_short Specifics of Kandinsky–Clérambault syndrome with religious delusion of possession in schizophrenia
title_sort specifics of kandinsky clerambault syndrome with religious delusion of possession in schizophrenia
topic Kandinsky–Clérambault syndrome
schizophrénia
religious delusion
delusion of possession
url https://www.cambridge.org/core/product/identifier/S0924933822018120/type/journal_article
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