In recent times, explanations of the Capgras delusion have tended to emphasise the cognitive dysfunction that is believed
to occur at the second stage of two-stage models. This is generally viewed as a response to the inadequacies of the one-stage
account. Whilst accepting that some form of cognitive disruption is a necessary part of the aetiology of the Capgras delusion,
I nevertheless argue that the emphasis placed on this second-stage is to the detriment of the important role played by the
phenomenology underlying the disorder, both in terms of the formation and maintenance of the delusional belief. This paper
therefore proposes an interactionist two-stage model in which the phenomenal experience of the Capgras patient is examined,
emphasised, and its relation to top-down processing discussed.
Key words Capgras delusion - phenomenal experience - lack and loss of familiarity - recognition - experiential reorientation - bottom-up and top-down processing