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Psycology » Psychiatry and psychotherapy » Paranoid symptoms and paranoid syndromes » Modern use of the terms: dsm-iiir and ICD-10

In the DSM-IIIR category instead of traditional paranoia included delusional (paranoid) disorder (see: Munro 1987), the main criterion is the presence of which is not absurd and fanciful nonsense, persisting at least a month, while the auditory or visual hallucinations, and if present, the not pronounced. There are five specific subtypes of delirium: persecution, jealousy, love (erotomania), somatic and grandeur (greatness). Somatic form covers a disorder that is sometimes called monosymptomatic hypochondriacal psychosis (Munro 1980). Delusional disorder is apparently relatively rare, it occurs mostly in middle-aged and has a long flow (see: Kendler, Tsuang 1981; Kendler 1982). Review the classification of paranoid disorders in DSM-IIIR was made Kendler (1987).
ICD-10 gives a similar definition of the main categories of chronic delusional disorders, for which the term delusional disorder. But the symptoms must persist for at least 3 months, and not a month as required by DSM-IIIR, and subtypes of delirium are not allocated. The essence of the modern understanding of delusional disorder is that it is stable and unshakable delusional system, gradually developing the person in the middle or old age. Such encapsulated delusional system, and other mental functions are not violated. Often the patient can continue to work, sometimes it is enough to successfully manage to lead a normal social life. In clinical cases, fully meet the above definitions are rare. Paraphrenia term not found in DSM-IIIR and ICD-10, he did maloupotrebitelen in modern psychiatric practice. The authors of this book do not recommend the use of the term, because it indicates a condition that is probably more useful to consider how paranoid schizophrenia with late onset and a good prognosis.


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