★“冒充者综合征”患者见到爱人、熟人、宠物等无法产生亲切感和熟悉感

painted“Impostor syndrome”Patients see love、acquaintances、Pets can't produce cordial feeling and familiar with the feeling

　　★“恋母情结”认为患者害怕乱伦就把母亲当作冒充者，被指缺乏科学依据

painted“Oedipus complex”Think that patients be afraid incest is considered his mother impostor，Referred to the lack of scientific basis

　　一个女孩的哥哥在车祸中重伤昏迷，当他醒来以后，认为女孩在假冒他的妹妹。原来，哥哥患上了一种罕见的神经心理障碍——卡普格拉妄想症，又名冒充者综合征。患者通常发生过头部损伤，或者罹患阿尔茨海默病(老年痴呆症)或精神分裂症。发病后，他们认为熟人是别人冒充的，甚至连自己养的宠物、自己住的房子都被人换掉了。他们也许没有其他认知障碍，然而就是坚信自己的老婆、老妈、小狗都是冒充的，无论别人怎么解释“那是不可能的”，他就是死活不信。有时，这种冒充者的错觉从最亲近的人开始，然后逐步扩展到其他家人，直到全家人都被认为是冒充的。

A girl's brother in a car accident injury in a coma，When he woke up later，That girl in fake his sister。The original，My brother had a rare nerve psychological obstacles - card PuGe pull paranoia，Also known as the impostor syndrome。Patients often happened head injury，Or suffering from alzheimer's disease(Alzheimer's disease)Or schizophrenia。Incidence after，They think acquaintance be another would-be，Even their pets、Its own home are change off。They may have no other cognitive impairment，However is to believe that his wife、Old mama、The puppy is would-be，No matter what other people explanation“That's impossible”，He is a life and death do not believe。sometimes，The impostor illusion from the most close to people begin to，Then gradually spread to the rest of the family，Until the whole family are considered would-be。

　　有人根据弗洛伊德的精神分析理论对卡普格拉妄想症进行解释：男孩有“俄狄浦斯情结”(恋母情结)，在小时候对母亲产生性的兴趣，但这是犯大忌的，于是男孩的大脑皮层重新“写入”，抑制了这种性的冲动。卡普格拉妄想症患者发生交通事故或者脑血管意外之后，大脑“重启”了皮层网络，结果又对母亲产生“性趣”了。为了应对这种情况，患者别无选择，只好认为母亲是个冒充者，因为对母亲以外的女性产生“性趣”是可以接受的。

Someone according to Freud's psychoanalytic theory to explain PuGe card pull paranoia：Boy has“Oedipus complex”(Oedipus complex)，As a child to the mother produce lack of interest in sex，But this is made of big fear，So the boy's cerebral cortex to“write”，Inhibit the sex impulse。Card PuGe pull delusional disorder in patients with traffic accidents or cerebrovascular accidents，brain“restart”The cortex network，The results and to mother produce“Twice the”the。In order to deal with this situation，Patients have no choice but，Had to think mother is a fake，Because the mother outside of the women produce“Twice the”Is acceptable。

　　新西兰奥克兰大学临床与神经心理学教授詹妮·奥格登博士认为，精神分析理论对卡普格拉妄想症的解释缺乏说服力，取而代之的是各种神经心理学的解释：当我们看到一张熟悉的脸并认出是谁，位于大脑颞叶的视觉神经通路被激活，同时被激活的还有另外一条可能通向大脑“杏仁核”的通路，引起了对这张脸的情绪反应。卡普格拉妄想症患者由于大脑受损，脸部视觉识别区域与情感反应区域之间的神经联系中断。例如，一个老公认出了老婆的脸，却没有伴随产生温情的感觉，感受不到昔日的亲切感，于是他形成了一个信念——这个人肯定不是我老婆，而是一个冒充者，尽管她看上去跟老婆长得一模一样，而且还知道我俩的私房事。常识告诉他，这是不可能的，但是亲切感、熟悉感实在太重要了，缺失之后导致他以为冒充者为了骗取自己的信任，故意打探各种关于老婆的事情，以达到冒充的目的。

University of Auckland, New Zealand clinical and neural psychology professor Jenny Ogden doctor thinks，Psychoanalytic theory to card PuGe pull paranoia explain the lack of convincing，Instead, all kinds of neuropsychology explanation：When we see a familiar face and who is recognized，Is located in the brain temporal lobe visual neural pathways activated，At the same time be activated and another may lead to the brain“Amygdaloid nucleus”access，The cause of this face of emotional response。Card PuGe pull delusional disorder patients with brain damage，Face visual identification area and emotional response between the region nerve contact interrupt。For example，A husband recognized the wife face，But no with produce the feeling of warmth，Feel less than past kindness，So he formed a faith - this person is certainly not my wife，But an impostor，Although she looks with wife peas in a pod，But also know our private things。Common sense tells him，It is not possible，But cordial feeling、Familiar with the feeling is too important，After missing led to his thought masquerader in order to cheat their trust，Deliberately find out all kinds of things about his wife，In order to achieve the purpose of pretend to be。

　　大脑视觉识别的故障越来越严重，患者会认为自己住的房子尽管跟以前一模一样，位置也在原地，但已经不是自己的房子了，原因是看到房子后的情绪反应没有了，不再感到熟悉。当他觉得连小狗都不是过去的小狗，尽管不至于说狗也故意来骗自己，但是会认为那个冒充自己老婆的人偷偷把小狗换掉了。

The brain visual identification of the fault is more and more serious，Patients will think you live in a house with a same although before，Position also in situ，But has not own the house，The reason is see after the house without the emotional reaction，No longer feel familiar with。When he felt that even the puppy is not the past the dog，Although not said the dog also deliberately to deceive ourselves，But will think that pretend to be his wife's man slipped the puppy has replaced。

　　美国加利福尼亚大学圣地亚哥分校神经学家维拉扬努·拉马坎得安教授描述了一个卡普格拉妄想症患者的表现：他见到老爸就认为是冒充者，但是接到老爸的电话却知道真的是自己的老爸。原来，他的听觉与情感反应区域的联系还是好的，但视觉是人类的主要感觉，他面对面和老爸谈话的时候，视觉压倒了听觉，最后的感觉就是：那人是冒充的。

The university of California, San Diego, neuroscientists villa Yang's camp · vladimir radmanovic to professor Ann described a card PuGe pull delusional disorder patients performance：He saw dad will think is impostor，But to dad's call but you know is really his dad。The original，His hearing and emotional response area contact or good，But vision is the main human feeling，His face to face and dad talk，Visual overwhelm the hearing，The last feeling is：Is the person that would-be。

　　卡普格拉妄想症的机理似乎很有趣，但对于患者的家庭绝对是一场悲剧。对于患者本人来说，认为照顾自己的人不是自己的老婆而是一个冒充者，而且是不怀好意的，感觉必然极其糟糕。

Card PuGe pull paranoia mechanism seems to be very interesting，But for patients family absolute is a tragedy。For the person concerned，Think to take care of their own people are not his wife but a impostor，And it is up to no good of，Feel inevitable extremely bad。

　　在治疗上，有学者认为，认同或者反对患者“冒充”的想法都是不恰当的，而应该接纳患者，同情他们的感受。在此基础上可运用认知的技术，让他们验证自己的想法符不符合现实，然后重构他们的信念。抗精神病药物治疗也有一定的疗效。　(编译 伍君仪）

In the treatment，Some scholars think，Identity or against patients“Pretend to be”The idea is not appropriate，But should accept patients，Sympathy for their feelings。Based on this may use cognitive technology，Let them verify his idea character does not conform to reality，Then reconstruct their faith。Antipsychotic drug therapy also has certain curative effect。(Compiling WuJunYi）