Fregoli syndrome FS is commonly associated with verbal threats and aggressive behavior. We present a case of Fregoli syndrome leading to an assault. We discuss the possible underdiagnosis of FS, associated risk for aggression, and strategies to reduce that risk. The delusional misidentification syndromes DMSs include the Capgras delusion, Fregoli syndrome, the syndrome of Intermetamorphosis, and the syndrome of Subjective Doubles.
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The syndrome has been associated with organic cerebral dysfunction, in particular of the right hemisphere; however, most cases occur in the setting of schizophrenia. Case report. Mr A, a year-old man, was referred to our psychiatric outpatient service in with a first episode of schizophrenia DSM-IV criteria.
He had developed the belief that his daily facial cream strongly attracted female students and claimed that this cream was able to perfect his facial look. He spent an excessive amount of time on Facebook, where he met a young woman with whom he wished to engage in an intimate relationship, but the young woman withdrew.
Subsequently, he developed the belief that each time he was contacted by other young women via Facebook, it was in fact the young woman with whom he had been in contact before and who now was disguising herself. He strongly believed that she was applying the same cream as he did himself to transform her facial looks.
Thus, he was convinced that, despite her withdrawal, she was actually interested in pursuing a relationship with him. Full neurologic assessments, including cerebral magnetic resonance imaging, revealed no abnormalities. National Center for Biotechnology Information , U. Published online Jan Simon , MD. Author information Copyright and License information Disclaimer. Corresponding author. Email: hc. Potential conflicts of interest: None reported.
References 1. Courbon P. Bull Soc Clin Med Ment. Christodoulou G. The delusional misidentification syndrome: strange, fascinating, and instructive. Curr Psych Rep. Walther S. Performance during face processing differentiates schizophrenia patients with delusional misidentifications.
A “Contemporary” Case of Frégoli Syndrome
The syndrome has been associated with organic cerebral dysfunction, in particular of the right hemisphere; however, most cases occur in the setting of schizophrenia. Case report. Mr A, a year-old man, was referred to our psychiatric outpatient service in with a first episode of schizophrenia DSM-IV criteria. He had developed the belief that his daily facial cream strongly attracted female students and claimed that this cream was able to perfect his facial look.
Fregoli Syndrome: An Underrecognized Risk Factor for Aggression in Treatment Settings
ABSTRACT: During the past 80 years, delusional misidentification syndromes DMS , especially the Fregoli a syndromes, have posed challenges to mental health professionals due to a lack of comprehensive understanding of the syndromes and a lack of effective treatment. During the past two decades, neurophysiological and neuroimaging studies have pointed to the presence of identifiable brain lesions, especially in the right front parietal and adjacent regions, in a considerable proportion of patients with DMS. Prior to the advent of such studies, DMS phenomena were explained predominantly from the psychodynamic point of view. Deficits in working memory due to abnormal brain function are considered to play causative roles in DMS. A person with the Fregoli delusion can also inaccuratelyreplicate places, objects, and events. This disorder can be explained by "associative nodes.