Cotard's Syndrome
Published on Nov 18, 2015
No Description
MORE DECKS TO EXPLORE
PRESENTATION OUTLINE
ZOMBIES EXIST!
OR IT'S JUST COTARD'S SYNDROME...
IF YOU DON'T BELIEVE ME...
ASK A SERIAL KILLER!
Season 1 Episode 10 "Buffet Froid": 26:30-27:30
"walking dead syndrome"
- denial of one's existence of themselves or the world around them
- "nihilistic" and distorted sense of reality
- not in the DSM-IV
- very rare
nihilistic meaning without regard to morals because life seems meaningless
Jules Cotard
- 1700s psychologist
- Mademoiselle X
- Discovered Cotard's Delusion or Délire des Négations
- Mlle X, who claimed to have no brain, no nerves, no chest, no stomach, and believed she was immortal-->because she believed she was immortal and had no stomach she didn't eat and died of starvation
-negation delirium
-negation delirium
Three stages of cotard's Delusion
- Founded by Jules Cotard
- Germination (depression and hypochondria)
- Blooming (delusions of negation and full development)
- Chronic (severe delusions and chronic depression)
Other symptoms include: neglect of hygiene and being-->increasing loss of reality and sense of self
Causes
- Risk factors:schizophrenia, bipolar disease
- Reaction to Aciclovir
- Development increases with age
- Women are more vulnerable
- Differs by ethnicity
-do to both conditions already having preexisting delusional behavior
-the most commonly used antiviral, topical drug for chickenpox, shingles and herpes
-in a recent study of 138 cases a reported mean age of 47.7 years
-Stats:
Psychogeriatric population in Hong Kong:
-2 out of 349 patients have Cotard’s syndrome
-about .57% of the population
-including the severely depressed elderly-->3.2%
In a Mexican sample over a 2 year period:
-.11% of patients had Cotard’s syndrome (with mental disturbances)
-the most commonly used antiviral, topical drug for chickenpox, shingles and herpes
-in a recent study of 138 cases a reported mean age of 47.7 years
-Stats:
Psychogeriatric population in Hong Kong:
-2 out of 349 patients have Cotard’s syndrome
-about .57% of the population
-including the severely depressed elderly-->3.2%
In a Mexican sample over a 2 year period:
-.11% of patients had Cotard’s syndrome (with mental disturbances)
Cotard's and the Brain
BRAIN ATROPHY OR LESIONS IN THE AMYGDALA AND FUSIFORM GYRUS
both in temporal lobe
amygdala processes emotion
fusiform gyrus in temporal lobe, recognizes faces and same area affected by face blindness, prosopagnosia
amygdala processes emotion
fusiform gyrus in temporal lobe, recognizes faces and same area affected by face blindness, prosopagnosia
GRAHAM
-9 years ago, a patient identified as Graham experienced a near death experience, yet he survived and is functioning but he claims and truly believes that he is dead and that his brain is missing
