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Writer's pictureSAS Research Team

A hypothesis on Cotard’s syndrome as an evolution of obsessive-compulsive disorder

Research analyze Cotard’s syndrome (aka walking corpse syndrome) in relation to obsessive compulsive disorder and investigate whether the syndrome is an evolution of OCD (Fabrazzo et al., 2021).


Cotard’s syndrome normally presents as multiple symptoms that occur in a large series of neurological, psychiatric and medical disorder with severe depression being the most frequent. In this disorder, patients usually hold the belief they are dead, do not exist or have lost their internal organs or blood. Author’s state Cotard’s syndrome has never been described to date in patients with a history of OCD. Researchers follow a case of a 49-year-old woman with obsessive symptoms and related compulsions, and Cotard’s syndrome appeared three years from a tragic event that resulted in psychological trauma. Since she has developed this syndrome, she believes she is dead, and her obsessive thoughts changed. This transition from obsession to delusion occurred when resistance was abandoned. Once the syndrome has stabilized, OCD wasn’t present. Another feature was the absence of psychiatric family history and the repeated nature of psychosis. They concluded that Cotard’s syndrome represented the evolution of initial OCD.


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Closed access: https://doi-org.ezproxy.library.uvic.ca/10.1080/09540261.2020.1810425




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