{"id":10450,"date":"2021-05-13T22:12:17","date_gmt":"2021-05-13T19:12:17","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=10450"},"modified":"2021-05-13T22:12:19","modified_gmt":"2021-05-13T19:12:19","slug":"en-yakinlarina-yabancilasmak-capgras-sendromu","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/en-yakinlarina-yabancilasmak-capgras-sendromu\/","title":{"rendered":"EN YAKINLARINA YABANCILA\u015eMAK: CAPGRAS SENDROMU"},"content":{"rendered":"\n

Bir sabah, g\u00fcne annenizin \u201cBu benim \u00e7ocu\u011fum de\u011fil!!\u201d \u00e7\u0131\u011fl\u0131klar\u0131yla ba\u015flad\u0131\u011f\u0131n\u0131z\u0131 ve ne yaparsan\u0131z yap\u0131n onu \u201csiz\u201d oldu\u011funuza inand\u0131ramad\u0131\u011f\u0131n\u0131z\u0131 d\u00fc\u015f\u00fcn\u00fcn. Kula\u011fa korku filmi senaryosu gibi gelse de Capgras sendromuna sahip bireylerin yak\u0131nlar\u0131 i\u00e7in bu senaryo maalesef ki ger\u00e7e\u011fe d\u00f6n\u00fc\u015febiliyor. Peki bu ilgin\u00e7 sendrom nedir, ne de\u011fildir, nas\u0131l ortaya \u00e7\u0131kar ve nas\u0131l tedavi edilir? Gelin bu sorulara birlikte cevap arayal\u0131m.<\/em><\/p>\n\n\n\n

CAPGRAS SENDROMU NED\u0130R?<\/h3>\n\n\n\n

Capgras Sendromu; insanlar\u0131n, yak\u0131n olduklar\u0131 ki\u015filerin kendilerine birebir benzeyen \u201csahtekarlar\u201d ile de\u011fi\u015ftirildi\u011fine inanmas\u0131na sebep olan bir bozukluktur.  Sanr\u0131sal yanl\u0131\u015f tan\u0131ma bozukluklar\u0131 i\u00e7erisinde yer al\u0131r. Toplumda olduk\u00e7a nadir g\u00f6r\u00fcl\u00fcr. S\u0131kl\u0131kla paranoid \u015fizofreni ile birlikte g\u00f6r\u00fclse de demans (\u00f6zellikle Lewy cisimcikli demans), n\u00f6rodejeneratif hastal\u0131klar, organik beyin lezyonlar\u0131, illegal ila\u00e7 kullan\u0131m\u0131 ve serebrovask\u00fcler olaylarla birlikte de g\u00f6r\u00fclebilir. Genellikle haftalar hatta aylar s\u00fcren ataklarla karakterizedir. Di\u011fer sanr\u0131sal yanl\u0131\u015f tan\u0131ma bozukluklar\u0131 gibi Capgras sendromu da selektiftir yani sadece se\u00e7ilmi\u015f birka\u00e7 ki\u015fiye y\u00f6nelik alg\u0131 bozukluklar\u0131 ortaya \u00e7\u0131kar\u0131r. Ayn\u0131 zamanda spesifiktir yani bir ki\u015fi bir kez \u201csahtekar\u201d olarak addedildikten sonraki ataklarda da yine bu ki\u015filer su\u00e7lanacakt\u0131r.<\/p>\n\n\n\n

\"\"
pixabay.com<\/figcaption><\/figure>\n\n\n\n

CAPGRAS SENDROMU NE DE\u011e\u0130LD\u0130R?<\/h3>\n\n\n\n

Bu soruya yan\u0131t verebilmek i\u00e7in Capgras sendromunun tan\u0131mland\u0131\u011f\u0131 d\u00f6nemlere do\u011fru bir yolculu\u011fa \u00e7\u0131kmak gerekiyor. Bu sendrom ad\u0131n\u0131, kendisini 1923 y\u0131l\u0131nda Madame Macabre isimli hastas\u0131n\u0131n bulgular\u0131n\u0131 ayr\u0131 bir sendrom olarak tan\u0131mlayan Frans\u0131z psikiyatrist Joseph Capgras\u2019tan al\u0131yor. Bu y\u0131llarda sendroma tamamen psikiyatrik temellere dayanan ve sadece kad\u0131n hastalarda g\u00f6r\u00fclebilen bir durum g\u00f6z\u00fcyle bak\u0131lm\u0131\u015f olsa da g\u00fcn\u00fcm\u00fczde bu sendromun \u00e7o\u011funlukla n\u00f6rolojik olaylar\u0131n sonucu olarak kar\u015f\u0131m\u0131za \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ve kad\u0131n hastalarda daha s\u0131kl\u0131kla g\u00f6r\u00fclmekle birlikte erkeklerde de g\u00f6r\u00fclebildi\u011fini art\u0131k biliyoruz.<\/p>\n\n\n\n

NASIL ORTAYA \u00c7IKAR?<\/h3>\n\n\n\n

Bu sorunun yan\u0131t\u0131 ise insan beyninin en karma\u015f\u0131k mekanizmalar\u0131ndan bir tanesi olan y\u00fcz tan\u0131ma mekanizmas\u0131nda gizli. Hala tam olarak anla\u015f\u0131lamam\u0131\u015f olan y\u00fcz tan\u0131ma mekanizmas\u0131, bilim d\u00fcnyas\u0131nda yayg\u0131n kabul g\u00f6ren hipoteze g\u00f6re iki farkl\u0131 basamaktan olu\u015fuyor: ilk basamak, y\u00fcz\u00fcn sahip oldu\u011fu g\u00f6r\u00fcnt\u00fcy\u00fc duyusal olarak tan\u0131mlad\u0131\u011f\u0131m\u0131z a\u015fama iken ikinci basamak, duyusal olarak alg\u0131lad\u0131\u011f\u0131m\u0131za duygusal anlam y\u00fckleyerek yak\u0131nlar\u0131m\u0131z\u0131 tan\u0131d\u0131\u011f\u0131m\u0131z a\u015famay\u0131 ifade ediyor. Bir ba\u015fka deyi\u015fle ilk basamak bireyi d\u0131\u015f g\u00f6r\u00fcn\u00fc\u015f olarak tan\u0131ma anlam\u0131na gelirken ikinci basamak i\u00e7sel bir tan\u0131ma s\u00fcrecini g\u00f6steriyor. \u0130lk a\u015faman\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131nda, daha \u00e7ok occipitotemporal b\u00f6lgelerin g\u00f6rev ald\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcrken ikinci a\u015famada ise frontal ve limbik b\u00f6lgelerin daha bask\u0131n oldu\u011fu d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. Bu karma\u015f\u0131k sistemin ilk basama\u011f\u0131nda meydana gelen de\u011fi\u015fimler sonucu prosopagnosia, bir di\u011fer deyi\u015fle y\u00fczleri tan\u0131yamama durumu olu\u015furken ikinci basama\u011f\u0131nda bir problem oldu\u011funda ise Capgras sendromu, hastalar\u0131n y\u00fczleri tan\u0131d\u0131\u011f\u0131 fakat duygusal ba\u011flant\u0131y\u0131 kuramad\u0131\u011f\u0131 durum kar\u015f\u0131m\u0131za \u00e7\u0131kmaktad\u0131r.<\/p>\n\n\n\n

Peki Capgras sendromunun ortaya \u00e7\u0131kmas\u0131nda bahsetti\u011fimiz b\u00f6lgelerdeki sorunlar tek ba\u015f\u0131na yeterli mi diye soruyorsan\u0131z cevap: Hay\u0131r! Olduk\u00e7a karma\u015f\u0131k ve hen\u00fcz tam olarak ayd\u0131nlat\u0131lamam\u0131\u015f bir mekanizman\u0131n \u00fcr\u00fcn\u00fc olan Capgras sendromunun bir\u00e7ok farkl\u0131 durumdan etkilendi\u011fi d\u00fc\u015f\u00fcn\u00fcl\u00fcyor. \u00d6rne\u011fin ak\u0131l y\u00fcr\u00fctme ve muhakeme yetene\u011finde azalmaya sebep olan organik durumlar\u0131n da bu sendromun ortaya \u00e7\u0131kmas\u0131n\u0131 kolayla\u015ft\u0131rd\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclmekte.<\/p>\n\n\n\n

\"\"
pixabay.com<\/figcaption><\/figure>\n\n\n\n

NASIL TEDAV\u0130 ED\u0130L\u0130R?<\/h3>\n\n\n\n

Bu sendromun tedavisine y\u00f6nelik g\u00fcn\u00fcm\u00fczde bilinen bir y\u00f6ntem bulunmamakla birlikte, altta yatan organik nedenlerin tedavi edilmesi ile hastal\u0131\u011f\u0131n geriledi\u011fi literat\u00fcrde \u00e7e\u015fitli vaka raporlar\u0131 ile g\u00f6sterilmi\u015ftir. Bunun yan\u0131nda demans hastalar\u0131nda da s\u0131kl\u0131kla kullan\u0131lan, hastan\u0131n inand\u0131\u011f\u0131 ger\u00e7ekli\u011fin yanl\u0131\u015fl\u0131\u011f\u0131n\u0131 hastaya ispatlamaya \u00e7al\u0131\u015fmak yerine onlarla empati kurmaya \u00e7al\u0131\u015fma temellerine dayanan ge\u00e7erlile\u015ftirme terapisi; tarihler, mekanlar, ya\u015fan\u0131lan olaylar gibi bilgilerin s\u0131kl\u0131kla dile getirildi\u011fi ger\u00e7eklik oryantasyonu terapisi gibi terapi y\u00f6ntemlerinin de k\u0131s\u0131tl\u0131 da olsa fayda sa\u011flad\u0131\u011f\u0131 ifade edilmektedir.<\/p>\n\n\n\n

Beyin, say\u0131s\u0131z gizemlerle dolu bir organ olarak bilim insanlar\u0131 taraf\u0131ndan ke\u015ffedilmeyi bekleyen pek \u00e7ok \u00f6zelli\u011fe sahip. Bu yaz\u0131da s\u00f6z etti\u011fimiz Capgras sendromu gibi nadir ve ilgi \u00e7ekici sendromlar da bilim d\u00fcnyas\u0131na birbirinden \u00e7ok farkl\u0131, esrarengiz ara\u015ft\u0131rma alanlar\u0131 yarat\u0131yorlar ve g\u00f6r\u00fcnen o ki beynin t\u00fcm s\u0131rlar\u0131n\u0131 a\u00e7\u0131\u011fa \u00e7\u0131karmaya hi\u00e7 niyeti yok!<\/p>\n\n\n\n

KAYNAK\u00c7A<\/h3>\n\n\n\n

Bhandari, S. (2013, November 12). Unusual psychiatric syndromes. Retrieved May 11, 2021, from https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780702033971000239<\/p>\n\n\n\n

Menon P, Saldanha D, Mehta SK, Agrawal M. Capgras delusion in a case of schizophrenia. Is it a cause for concern? . Med J DY Patil Univ 2014;7:100-1<\/p>\n\n\n\n

Nhs choices. (n.d.). Retrieved May 11, 2021, from https:\/\/www.nhs.uk\/conditions\/face-blindness\/<\/p>\n\n\n\n

Gotter, A. (2017, May 02). Capgras syndrome: Causes, treatment, and caregiving. Retrieved May 11, 2021, from https:\/\/www.healthline.com\/health\/capgras-syndrome<\/p>\n\n\n\n

Capgras delusion. (2021, April 30). Retrieved May 11, 2021, from https:\/\/en.wikipedia.org\/wiki\/Capgras_delusion<\/p>\n\n\n\n

Capgras syndrome (impostor syndrome): Symptoms, treatment & more. (n.d.). Retrieved May 11, 2021, from https:\/\/www.webmd.com\/mental-health\/impostor-syndrome-capgras<\/p>\n\n\n\n

Keith A. Josephs, M. (2007, December 01). Capgras syndrome and its relationship to neurodegenerative disease. Retrieved May 11, 2021, from https:\/\/jamanetwork.com\/journals\/jamaneurology\/fullarticle\/794900<\/p>\n\n\n\n

Pietrini, P., Salmon, E., & Nichelli, P. (2009, February 23). Consciousness and dementia: How the brain loses its self. Retrieved May 11, 2021, from https:\/\/www.sciencedirect.com\/science\/article\/pii\/B9780123741684000162<\/p>\n","protected":false},"excerpt":{"rendered":"

Bir sabah, g\u00fcne annenizin \u201cBu benim \u00e7ocu\u011fum de\u011fil!!\u201d \u00e7\u0131\u011fl\u0131klar\u0131yla ba\u015flad\u0131\u011f\u0131n\u0131z\u0131 ve ne yaparsan\u0131z yap\u0131n onu \u201csiz\u201d oldu\u011funuza inand\u0131ramad\u0131\u011f\u0131n\u0131z\u0131 d\u00fc\u015f\u00fcn\u00fcn. Kula\u011fa<\/p>\n","protected":false},"author":390,"featured_media":10452,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,19],"tags":[70,2054,249,2055],"acf":[],"views":1012,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10450"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/390"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=10450"}],"version-history":[{"count":3,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10450\/revisions"}],"predecessor-version":[{"id":10456,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/10450\/revisions\/10456"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/10452"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=10450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=10450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=10450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}