The Doppelgänger phenomenon and death:a peculiar case of homicide by a subject with first-episode psychosis  

作　　者：Cristiano Barbieri Gabriele Rocca Caterina Bosco Lucia Tattoli Ignazio Grattagliano Giancarlo Di Vella 

机构地区：[1]Section of Forensic Medicine and Forensic Sciences,University of Pavia,Pavia,Italy [2]Department of Health Sciences,University of Genoa,Genoa,Italy [3]S.C.Medicina Legale U,A.O.U.Cittàdella Salute e della Scienza di Torino,Turin,Italy [4]Department of Education,Psychology,Communication University Aldo Moro of Bari,Bari,Italy [5]Department of Public Health and Pediatric Sciences,Legal Medicine Unit,University of Turin,Turin,Italy

出　　处：《Forensic Sciences Research》2022年第4期798-802,共5页法庭科学研究（英文）

摘　　要：The Doppelgänger phenomenon refers to the experience of a direct encounter with one’s self,characteriswed by:(i)the perception of a figure with one’s own identical physical features;or(ii)the apprehension that the perceived figure shares the same personality and identity.The Doppelgänger does not only look like the same person,it is his/her double.The perceptual element is usually a hallucination,although occasionally a false perception of an actual figure may be involved.This phenomenon has been described in individuals suffering from overwhelming fear,severe anxiety or intoxication,epilepsy,as well as in the sleep-wakefulness transition.It has also been reported in major psychoses.The fear of imminent death often precedes the Doppelgänger experience.This report presents the case of a 30-year-old man,Mr.Y,who was stabbed to death by Mr.X,his“double”.The aggressor and his victim,although not related,were truly doubles;remarkably,they shared the same name and surname,age,professional activity and place of work.Moreover,they attended the same sports center but barely knew each other.The forensic psychiatric evaluations in Mr.X,subsequent to the crime committed,were suggestive of a psychotic condition.This case is unique in the scientific literature.In the most serious psychotic forms,the issue of the“double”calls into question not only the dissociative processes involved in the etiopathogenesis of the disorder,but also bio-psycho-social elements,as well as personal data in this case,which made the victim and the aggressor“identical”.In the context of psychopathological functioning,the delusional mood(Wahnstimmung)that precedes the development of delirium is a sort of gateway to an impending psychotic illness,involving delusional awareness or mood(atmosphere).In psychosis,splitting is the main issue and this influence is seen as an evil,foreign,apocalyptic and unknown side no longer recognised as belonging to the self even in a physical sense.In such a situation,it is felt that the only way to sur

关 键 词：Forensic sciences forensic psychiatry HOMICIDE first-episode psychosis Doppelgänger delusional disorder criminal responsibility 

分 类 号：R749[医药卫生—神经病学与精神病学]