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

Published online by Cambridge University Press:  01 September 2022

E. Gedevani ,
G. Kopeiko ,
O. Borisova  and
U. Popovich
E. Gedevani*
Affiliation:
FSBSI «Mental Health Research Centre», Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
G. Kopeiko
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
O. Borisova
Affiliation:
FSBSI Mental Health Research Center, Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
U. Popovich
Affiliation:
Mental Health Research Center, Adolescent Psychiatry, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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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.

Keywords

Kandinsky–Clérambault syndromeschizophréniareligious delusiondelusion of possession
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S704
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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