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Some Clinical and Aetiological Aspects of Depersonalization with a Case Report of Identical Twins

Ashley A. Robin, E. J. Harrison

Journal of Mental Science July 1, 1952 DOI: 10.1192/bjp.98.412.469 (opens in new tab)

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AI-extracted from the abstract
Characteristics Case report Peer reviewed
Key points No prior report of depersonalization syndrome in identical twins was found, though Palmer (1946) described twins whose symptoms included unreality, depression, and fear of mental disintegration; the author notes these cases appeared essentially depressive and later progressed to a hypochondriacal state.

Abstract

A search of the literature has not revealed a report of the depersonalization syndrome occurring in identical twins, although Palmer (1946) published a report of twins in which one patient was described as suffering from “all round loss of interest with some depression…. His thoughts … milled round in a ceaseless turmoil concerning his loss of contact with people and things. There was some complaint of unreality and loss of sexual desire…. His condition was one of distressed perplexity. The illness had come on gradually.” The second patient had “tried to get his twin brother to ‘pull himself together,’ when one Saturday he became intoxicated and for a wager attempted bestiality. He woke up next morning feeling unutterably guilty and depressed, and rapidly developed feelings of unreality. His compelling symptom was the fear that his mind was disintegrating.”These cases appear essentially depressive and progressed to a woeful, hypochondriacal state six years later.

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