{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T18:05:52Z","timestamp":1775239552967,"version":"3.50.1"},"reference-count":0,"publisher":"Il Pensiero Scientifico Editore","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,5,1]]},"abstract":"<jats:p>SUMMARY. Cotard\u2019s syndrome is a delusional disorder, first described in the 1880ies by Jules Cotard, characterized by the intense nihilistic belief that the patient\u2019s entire body or parts of it are disintegrated or dead. The syndrome is always associated with severe depression. Koro was described a little later from Asia and consisted in the belief that one\u2019s own genitalia are shrinking or disappearing and death will ensue thereafter, but there are many cultural variants and the syndrome may present in an incomplete form. We report a Koro-like syndrome sharing more features with annihilation delusions, such as Cotard\u2019s syndrome. In Koro-like syndromes, the d\u00e9lire de n\u00e9gation may be limited to localized systems or organs. We believe that some complete and incomplete forms of Koro, when embedded in a depressive core, may represent a variant of Cotard\u2019s delusion.&lt;BR&gt;The intense affective condition would restrict consciousness, thereby producing altered perceptual constancy, which in turn would result in a delusional perception of a body segment. In fact, our patient did not reach a complete denial of his entire body, but rather focused on sexual identity.&lt;BR&gt;We analysed the psychosexual issues of our case according to Kretschmer\u2019s 1918 view of a \u201cbipolar setting\u201d between sthenic and asthenic characters of a patient suffering from sensitive delusions of (self-) reference. This view may allow us to relate the personological character to the genetic comprehensibility of the delusion.<\/jats:p>","DOI":"10.1708\/889.9813","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T19:13:40Z","timestamp":1769454820000},"source":"Crossref","is-referenced-by-count":1,"title":["Chronic Koro-Like Syndrome (KLS) in recurrent depressive disorder as a variant of Cotard\u2019s delusion in an Italian male patient. &lt;BR&gt;A case report and historical review"],"prefix":"10.1708","volume":"46","author":[{"given":"Pier Luca","family":"Bandinelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela","family":"Trevisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio Demetrio","family":"Kotzalidis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Manfredi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Rapinesi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Ducci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"55112","container-title":["Rivista di Psichiatria"],"original-title":[],"deposited":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T19:13:41Z","timestamp":1769454821000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.rivistadipsichiatria.it\/articoli.php?archivio=yes&vol_id=889&id=9813"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5,1]]}},"URL":"https:\/\/doi.org\/10.1708\/889.9813","relation":{"is-cited-by":[{"id-type":"doi","id":"10.52965\/001c.70165","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/26318318211028845","asserted-by":"object"}]},"ISSN":["0035-6484"],"issn-type":[{"value":"0035-6484","type":"print"}],"subject":[],"published":{"date-parts":[[2011,5,1]]}}}