Skip to main content

Capgras Syndrome

  • Chapter
  • First Online:
An Experiential Approach to Psychopathology

Abstract

Capgras syndrome is one of the delusional misidentification syndromes. It is best described as the false and incorrigible belief that a familiar person has been replaced by an impostor. The subject recognizes that the person in question looks identical to the familiar but holds the firm that they have been replaced. Capgras syndrome occurs in a variety of psychiatric disorders including schizophrenia, mood disorders, and organic brain diseases such as Alzheimer's dementia, fronto-temporal dementia and Parkinson’s disease. In this chapter I draw attention to the contributions of the anomalies in right hemispheric function, impairments in face processing and the role of the covert face recognition pathways in the pathogenesis of Capgras syndrome. I conclude that Capgras syndrome exemplifies the need for a holistic approach that involves the integration of descriptive psychopathology, the subjective and lived world of the patient, the social and cultural context and the neurobiology of psychiatric disorders for a full understanding of psychiatric phenomena.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Abbate, C., Trimarchi, P. D., Salvi, G. P., Quarenghi, A. M., Vergani, C., & Luzzatti, C. (2012). Delusion of inanimate doubles: Description of a case of focal retrograde amnesia. Neurocase, 18(6), 457–477. doi:10.1080/13554794.2011.627344.

    Article  PubMed  Google Scholar 

  • Anderson, D. N., & Williams, E. (1994). The delusion of inanimate doubles. Psychopathology, 27(3–5), 220–225.

    Article  CAS  PubMed  Google Scholar 

  • Barton, J. L., & Barton, E. S. (1986). Misidentification syndromes and sexuality. Bibliotheca Psychiatrica, 164, 105–120.

    PubMed  Google Scholar 

  • Bauer, R. M. (1984). Autonomic recognition of names and faces in prosopagnosia: A neuropsychological application of the guilty knowledge test. Neuropsychologia, 22(4), 457–469. Retrieved from Google Scholar.

    Article  CAS  PubMed  Google Scholar 

  • Berson, R. J. (1983). Capgras’ syndrome. The American Journal of Psychiatry, 140(8), 969–978.

    Article  CAS  PubMed  Google Scholar 

  • Bidault, E., Luauté, J. P., & Tzavaras, A. (1986). Prosopagnosia and the delusional misidentification syndromes. Bibliotheca Psychiatrica, 164, 80–91.

    PubMed  Google Scholar 

  • Bouckoms, A., Martuza, R., & Henderson, M. (1986). Capgras syndrome with subarachnoid hemorrhage. The Journal of Nervous and Mental Disease, 174(8), 484–488.

    Article  CAS  PubMed  Google Scholar 

  • Breen, N., Caine, D., & Coltheart, M. (2000). Models of face recognition and delusional misidentification: A critical review. Cognitive Neuropsychology, 17(1), 55–71. doi:10.1080/026432900380481.

    Article  CAS  PubMed  Google Scholar 

  • Cercy, S. P., & Marasia, J. C. (2012). Journal of Neuropsychiatry and Clinical Neurosciences, 24, E3–4). United States. doi:10.1176/appi.neuropsych.11010016

    Google Scholar 

  • Christodoulou, G. N. (1978). Syndrome of subjective doubles. The American Journal of Psychiatry, 135, 249–251.

    Article  CAS  PubMed  Google Scholar 

  • Christodoulou, G. N., & Malliara-Loulakaki, S. (1981). Delusional misidentification syndromes and cerebral ‘dysrhythmia’. Psychiatria Clinica, 14(4), 245–251.

    CAS  PubMed  Google Scholar 

  • Christodoulou, G. N., Margariti, M., Kontaxakis, V. P., & Christodoulou, N. G. (2009). The delusional misidentification syndromes: Strange, fascinating, and instructive. Current Psychiatry Reports, 11(3), 185–189.

    Article  PubMed  Google Scholar 

  • Coleman, S. M. (1933). Misidentification and non-recognition. Journal of Mental Science, 79, 42–51.

    Google Scholar 

  • Crane, D. L. (1976). More violent capgras. The American Journal of Psychiatry, 133(11), 1350.

    CAS  PubMed  Google Scholar 

  • Cutting, J. (1991). Delusional misidentification and the role of the right hemisphere in the appreciation of identity. The British Journal of Psychiatry. Supplement, (14), 70–5.

    Google Scholar 

  • Dally, P., & Gomez, J. (1979). Capgras: Case study and reappraisal of psychopathology. The British Journal of Medical Psychology, 52(3), 291–295.

    Article  CAS  PubMed  Google Scholar 

  • de Pauw, K. W. (1994). Delusional misidentification: A plea for an agreed terminology and classification. Psychopathology, 27(3–5), 123–129.

    Article  PubMed  Google Scholar 

  • De Pauw, K. W., & Szulecka, T. K. (1988). Dangerous delusions. Violence and the misidentification syndromes. The British Journal of Psychiatry, 152, 91–96.

    Article  PubMed  Google Scholar 

  • de Pauw, K. W., Szulecka, T. K., & Poltock, T. L. (1987). Frégoli syndrome after cerebral infarction. The Journal of Nervous and Mental Disease, 175(7), 433–438.

    Article  PubMed  Google Scholar 

  • Edelstyn, N. M. J., Oyebode, F., & Barrett, K. (1998). Delusional misidentification: A neuropsychological case study in dementia associated with parkinson’s disease. Neurocase, 4(3), 181–188.

    Google Scholar 

  • Edelstyn, N. M., Riddoch, M. J., Oyebode, F., Humphreys, G. W., & Forde, E. (1996). Visual processing in patients with frégoli syndrome. Cognitive Neuropsychiatry, 1(2), 103–124. doi:10.1080/135468096396587.

    Article  CAS  PubMed  Google Scholar 

  • Ellis, H. D. (1994). The role of the right hemisphere in the capgras delusion. Psychopathology, 27(3–5), 177–185.

    Article  CAS  PubMed  Google Scholar 

  • Ellis, H. D. (1998). Cognitive Neuropsychiatry, 3: 81–89. England. doi:10.1080/135468098396170

    Google Scholar 

  • Ellis, H., De Pauw, K., Christodoulou, G. N., Luaute, J. P., Bidault, E., & Szulecka, K. (1992). Recognition memory in psychotic patients. Behavioural Neurology, 5(1), 23–26. doi:10.3233/BEN-1992-5104.

    Article  CAS  PubMed  Google Scholar 

  • Ellis, H. D., Luauté, J. P., & Retterstøl, N. (1994). Delusional misidentification syndromes. Psychopathology, 27(3-5), 117–120.

    Article  CAS  PubMed  Google Scholar 

  • Ellis, H. D., Young, A. W., Quayle, A. H., & De Pauw, K. W. (1997). Reduced autonomic responses to faces in capgras delusion. Proceedings. Biological Sciences/The Royal Society, 264(1384), 1085–1092. doi:10.1098/rspb.1997.0150.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Enoch, M. D. (1963). The capgras syndrome. Acta Psychiatrica Scandinavica, 39(3), 437–462.

    Article  CAS  PubMed  Google Scholar 

  • Enoch, M. D., Trethowan, W. H., & Barker, J. C. (1967). Some uncommon psychiatric syndromes. Bristol: John Wright.

    Google Scholar 

  • Feinberg, T. E., & Roane, D. M. (2005). Delusional misidentification. The Psychiatric Clinics of North America, 28(3), 665–683. doi:10.1016/j.psc.2005.05.002. 678–679.

    Article  PubMed  Google Scholar 

  • Fiacconi, C. M., Barkley, V., Finger, E. C., Carson, N., Duke, D., Rosenbaum, R. S., et al. (2014). Nature and extent of person recognition impairments associated with capgras syndrome in lewy body dementia. Frontiers in Human Neuroscience, 8, 726. doi:10.3389/fnhum.2014.00726.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fleminger, S. (1992). Seeing is believing: The role of ‘preconscious’ perceptual processing in delusional misidentification. The British Journal of Psychiatry, 160, 293–303.

    Article  CAS  PubMed  Google Scholar 

  • Fleminger, S. (1994). Delusional misidentification: An exemplary symptom illustrating an interaction between organic brain disease and psychological processes. Psychopathology, 27(3–5), 161–167.

    Article  CAS  PubMed  Google Scholar 

  • Förstl, H., Besthorn, C., Burns, A., Geiger-Kabisch, C., Levy, R., & Sattel, A. (1994). Delusional misidentification in alzheimer’s disease: A summary of clinical and biological aspects. Psychopathology, 27(3–5), 194–199.

    Article  PubMed  Google Scholar 

  • Förstl, H., Burns, A., Jacoby, R., & Levy, R. (1991). Neuroanatomical correlates of clinical misidentification and misperception in senile dementia of the Alzheimer type. The Journal of Clinical Psychiatry, 52(6), 268–271.

    PubMed  Google Scholar 

  • Hirstein, W. (2010). The misidentification syndromes as mindreading disorders. Cognitive Neuropsychiatry, 15(1), 233–260. doi:10.1080/13546800903414891.

    Article  PubMed  Google Scholar 

  • Hirstein, W., & Ramachandran, V. S. (1997). Capgras syndrome: A novel probe for understanding the neural representation of the identity and familiarity of persons. Proceedings. Biological Sciences/the Royal Society, 264(1380), 437–444. doi:10.1098/rspb.1997.0062.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hudson, A. J., & Grace, G. M. (2000). Misidentification syndromes related to face specific area in the fusiform gyrus. Journal of Neurology, Neurosurgery, and Psychiatry, 69(5), 645–648.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ismail, Z., Nguyen, M.-Q., Fischer, C. E., Schweizer, T. A., & Mulsant, B. H. (2012). Neuroimaging of delusions in Alzheimer’s disease. Psychiatry Research, 202(2), 89–95. doi:10.1016/j.pscychresns.2012.01.008.

    Article  PubMed  Google Scholar 

  • Jackson, R. S., Naylor, M. W., Shain, B. N., & King, C. A. (1992). Capgras syndrome in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 31(5), 977–983.

    Article  CAS  PubMed  Google Scholar 

  • Jedidi, H., Daury, N., Capa, R., Bahri, M. A., Collette, F., Feyers, D., et al. (2013). Brain metabolic dysfunction in capgras delusion during alzheimer's disease: A positron emission tomography study. American Journal of Alzheimer’s Disease and Other Dementias. doi:10.1177/1533317513495105.

    PubMed  Google Scholar 

  • Jocic, Z., & Staton, R. D. (1993). Reduplication after right middle cerebral artery infarction. Brain and Cognition, 23(2), 222–230. doi:10.1006/brcg.1993.1056.

    Article  CAS  PubMed  Google Scholar 

  • Joseph, A. B. (1985). Focal central nervous system abnormalities in patients with misidentification syndromes. Bibliotheca Psychiatrica, 164, 68–79.

    Google Scholar 

  • Joseph, A. B. (1994). Observations on the epidemiology of the delusional misidentification syndromes in the Boston metropolitan area: April 1983-june 1984. Psychopathology, 27(3–5), 150–153.

    Article  CAS  PubMed  Google Scholar 

  • Joseph, A. B., O’Leary, D. H., Kurland, R., & Ellis, H. D. (1999). Bilateral anterior cortical atrophy and subcortical atrophy in reduplicative paramnesia: A case-control study of computed tomography in 10 patients. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 44(7), 685–689.

    CAS  PubMed  Google Scholar 

  • Kirov, G., Jones, P., & Lewis, S. W. (1994). Prevalence of delusional misidentification syndromes. Psychopathology, 27(3–5), 148–149.

    Article  CAS  PubMed  Google Scholar 

  • Lewis, S. W. (1987). Brain imaging in a case of capgras’ syndrome. The British Journal of Psychiatry, 150(1), 117–121.

    Article  CAS  PubMed  Google Scholar 

  • Luauté, J. P., & Bidault, E. (1994). Capgras syndrome: Agnosia of identification and delusion of reduplication. Psychopathology, 27(3-5), 186–193.

    Article  PubMed  Google Scholar 

  • Madoz-Gúrpide, A., & Hillers-Rodríguez, R. (2010). Capgras delusion: A review of aetiological theories. Revista De Neurologia, 50(7), 420–430.

    PubMed  Google Scholar 

  • Margariti, M. M., & Kontaxakis, V. P. (2006). Approaching delusional misidentification syndromes as a disorder of the sense of uniqueness. Psychopathology, 39(6), 261–268. doi:10.1159/000095730.

    Article  PubMed  Google Scholar 

  • Mentis, M. J., Weinstein, E. A., Horwitz, B., McIntosh, A. R., Pietrini, P., Alexander, G. E., et al. (1995). Abnormal brain glucose metabolism in the delusional misidentification syndromes: A positron emission tomography study in Alzheimer disease. Biological Psychiatry, 38(7), 438–449.

    Article  CAS  PubMed  Google Scholar 

  • Moselhy, H., & Oyebode, F. (1997). Delusional misidentification syndromes: A review of the Anglophone literature. Neurology Psychiatry and Brain Research, 5(1), 21–26.

    Google Scholar 

  • Moskowitz, J. A. (1972). Capgras’ symptom in modern dress. International Journal of Child Psychotherapy, 1, 45–64.

    Google Scholar 

  • Munro, A. (1994). Delusional disorders are a naturally occurring ‘experimental psychosis’. Psychopathology, 27(3–5), 247–250.

    Article  CAS  PubMed  Google Scholar 

  • Oyebode, F. (2008). The neurology of psychosis. Medical Principles and Practice, 17(4), 263–269. doi:10.1159/000129603.

    Article  PubMed  Google Scholar 

  • Oyebode, F., & Sargeant, R. (1996). Delusional misidentification syndromes: A descriptive study. Psychopathology, 29(4), 209–214.

    Article  CAS  PubMed  Google Scholar 

  • Pagonabarraga, J., Llebaria, G., García-Sánchez, C., Pascual-Sedano, B., Gironell, A., & Kulisevsky, J. (2008). A prospective study of delusional misidentification syndromes in Parkinson’s disease with dementia. Movement Disorders, 23(3), 443–448. doi:10.1002/mds.21864.

    Article  PubMed  Google Scholar 

  • Paillère-Martinot, M. L., Dao-Castellana, M. H., Masure, M. C., Pillon, B., & Martinot, J. L. (1994). Delusional misidentification: A clinical, neuropsychological and brain imaging case study. Psychopathology, 27(3–5), 200–210.

    Article  PubMed  Google Scholar 

  • Papageorgiou, C., Lykouras, L., Alevizos, B., Ventouras, E., Mourtzouchou, P., Uzunoglu, N., et al. (2005). Psychophysiological differences in schizophrenics with and without delusional misidentification syndromes: A P300 study. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 29(4), 593–601. doi:10.1016/j.pnpbp.2005.01.016.

    Article  PubMed  Google Scholar 

  • Papageorgiou, C., Lykouras, L., Ventouras, E., Uzunoglu, N., & Christodoulou, G. N. (2002). Abnormal P300 in a case of delusional misidentification with coinciding capgras and frégoli symptoms. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 26(4), 805–810.

    Article  PubMed  Google Scholar 

  • Papageorgiou, C., Ventouras, E., Lykouras, L., Uzunoglu, N., & Christodoulou, G. N. (2003). Psychophysiological evidence for altered information processing in delusional misidentification syndromes. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 27(3), 365–372. doi:10.1016/S0278-5846(02)00353-6.

    Article  PubMed  Google Scholar 

  • Ranjan, S., Chandra, P. S., Gupta, A. K., & Prabhu, S. (2007). Clonal pluralization of self, relatives and others. Psychopathology, 40(6), 465–467. doi:10.1159/000108126.

    Article  PubMed  Google Scholar 

  • Ratcliffe, M. (2008a). Feelings of being: Phenomenology, psychiatry and the sense of reality. Oxford: Oxford University Press. Retrieved from Library of Congress or OCLC Worldcat.

    Book  Google Scholar 

  • Ratcliffe, M. (2008b). The phenomenological role of affect in the capgras delusion. Continental Philosophy Review, 41(2), 195–216. doi:10.1007/s11007-008-9078-5.

    Article  Google Scholar 

  • Roane, D. M., Rogers, J. D., Robinson, J. H., & Feinberg, T. E. (1998). Delusional misidentification in association with parkinsonism. The Journal of Neuropsychiatry and Clinical Neurosciences, 10(2), 194–198.

    Article  CAS  PubMed  Google Scholar 

  • Roessner, V., & Rössner, V. (2002). A new classification of the delusional misidentification syndromes. Psychopathology, 35(1), 3–7.

    Article  PubMed  Google Scholar 

  • Salviati, M., Bersani, F. S., Macrì, F., Fojanesi, M., Minichino, A., Gallo, M., et al. (2013). Capgras-like syndrome in a patient with an acute urinary tract infection. Neuropsychiatric Disease and Treatment, 9, 139–142. doi:10.2147/NDT.S39077.

    PubMed  PubMed Central  Google Scholar 

  • Sidoti, V., & Lorusso, L. (2007). Multiple sclerosis and capgras’ syndrome. Clinical Neurology and Neurosurgery, 109(9), 786–787. doi:10.1016/j.clineuro.2007.05.022.

    Article  PubMed  Google Scholar 

  • Silva, J. A., & Leong, G. B. (1992). The capgras syndrome in paranoid schizophrenia. Psychopathology, 25(3), 147–153.

    Article  CAS  PubMed  Google Scholar 

  • Silva, J. A., & Leong, G. B. (1994). Comprehensive Psychiatry, 35, 244. United States.

    Google Scholar 

  • Silva, J. A., & Leong, G. B. (1995). Visual-perceptual abnormalities in delusional misidentification. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 40(1), 6–8.

    CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., Garza-Treviño, E. S., Le Grand, J., Oliva, D., Weinstock, R., & Bowden, C. L. (1994a). A cognitive model of dangerous delusional misidentification syndromes. Journal of Forensic Sciences, 39(6), 1455–1467.

    CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., Weinstock, R., Sharma, K. K., & Klein, R. L. (1994b). Delusional misidentification syndromes and dangerousness. Psychopathology, 27(3-5), 215–219.

    Article  CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., Weinstock, R., & Klein, R. L. (1995). Psychiatric factors associated with dangerous misidentification delusions. The Bulletin of the American Academy of Psychiatry and the Law, 23(1), 53–61.

    CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., Weinstock, R., & Wine, D. B. (1993). Delusional misidentification and dangerousness: A neurobiologic hypothesis. Journal of Forensic Sciences, 38(4), 904–913.

    CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., & Shaner, A. L. (1990). A classification system for misidentification syndromes. Psychopathology, 23(1), 27–32.

    Article  CAS  PubMed  Google Scholar 

  • Silva, J. A., Leong, G. B., & Weinstock, R. (1992). The dangerousness of persons with misidentification syndromes. The Bulletin of the American Academy of Psychiatry and the Law, 20(1), 77–86.

    CAS  PubMed  Google Scholar 

  • Sno, H. N. (1994). A continuum of misidentification symptoms. Psychopathology, 27(3-5), 144–147.

    Article  CAS  PubMed  Google Scholar 

  • Solomon, R. C. (1993). The passions: Emotions and the meaning of life. Indianapolis: Hackett Publishing. Retrieved from Google Scholar.

    Google Scholar 

  • Thaipisuttikul, P., Lobach, I., Zweig, Y., Gurnani, A., & Galvin, J. E. (2013). Capgras syndrome in dementia with lewy bodies. International Psychogeriatrics/IPA, 25(5), 843–849. doi:10.1017/S1041610212002189.

    Article  PubMed  Google Scholar 

  • Thompson, A. E., & Swan, M. (1993). Capgras’ syndrome presenting with violence following heavy drinking. The British Journal of Psychiatry, 162, 692–694.

    Article  CAS  PubMed  Google Scholar 

  • Todd, J., Dewhurst, K., & Wallis, G. (1981). The syndrome of capgras. The British Journal of Psychiatry, 139, 319–327.

    Article  CAS  PubMed  Google Scholar 

  • Vogel, B. F. (1974). The capgras syndrome and its psychopathology. The American Journal of Psychiatry, 131(8), 922–924.

    CAS  PubMed  Google Scholar 

  • Walther, S., Federspiel, A., Horn, H., Wirth, M., Bianchi, P., Strik, W., & Müller, T. J. (2010). Performance during face processing differentiates schizophrenia patients with delusional misidentifications. Psychopathology, 43(2), 127–136. doi:10.1159/000277002.

    Article  PubMed  Google Scholar 

  • Weinstein, E. A. (1994). The classification of delusional misidentification syndromes. Psychopathology, 27(3-5), 130–135.

    Article  CAS  PubMed  Google Scholar 

  • Woytassek, L. E., & Atwal, S. S. (1985). Capgras syndrome in court. The Nebraska Medical Journal, 70(11), 392–394.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Femi Oyebode .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Oyebode, F. (2016). Capgras Syndrome. In: Stanghellini, G., Aragona, M. (eds) An Experiential Approach to Psychopathology. Springer, Cham. https://doi.org/10.1007/978-3-319-29945-7_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-29945-7_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29943-3

  • Online ISBN: 978-3-319-29945-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics