Accounting for delusional misidentifications

Br J Psychiatry. 1990 Aug;157:239-48. doi: 10.1192/bjp.157.2.239.


Accounts of the major DMSs are given using theoretical models of the functional components underlying recognition of familiar people. Thus, Capgras' syndrome is suggested to involve impairment of processes that can support 'covert' recognition of familiar faces in prosopagnosia. It therefore forms a potential 'mirror image' of the impairments underlying prosopagnosia, and earlier attempts to link the two conditions directly are questioned. Frégoli syndrome and intermetamorphosis are explained as defects at different stages of an information-processing chain. Not only are these accounts consistent with the association of different DMSs with different brain injuries, but they also offer both suggestions for new inquiries and predictions about possible preserved and impaired abilities.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Brain Damage, Chronic / psychology
  • Capgras Syndrome / psychology*
  • Delusions / psychology*
  • Face
  • Humans
  • Neurocognitive Disorders / psychology
  • Pattern Recognition, Visual*
  • Psychiatric Status Rating Scales