A sense of being inserted by the original self: A distinctive manifestation of delusional misidentification of the self, a case report

These symptoms suggest that a pathophysiology underlying a marked disruption of SoA, accompanied by delusional compensatory mechanisms, may contribute to profound psychological changes in the self. Bodily alterations and a comorbid Capgras delusion may represent additional key pathophysiological features that further disturb the sense of self. A delusional agent may come to significantly dominate the original SoA, and paradoxically, this dominance may generate a unified sense of self centered on the delusional agent.