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Psycology » Paranoid symptoms and paranoid syndromes

Treatment of patients with paranoid symptoms

When conducting a patient with paranoid symptoms should consider applying as psychological techniques and biological therapy. Psychological impact is often difficult. The patient may be suspicious and distrustful, in which case it is usually believed that psychiatric treatment aims to harm him. Even if the patient is alien to suspicion, he usually finds his delusional beliefs justified and therefore sees no need for treatment. Sometimes the psychiatrist has to mobilize all their skills, show considerable patience and tact to persuade the patient with paranoid symptomatic

Paranoid conditions manifested in certain situations

Below is information about some special situations arising in the states, since the induced psychosis. Induced psychosis (FOLIEADEUX) On induced psychosis say if paranoid delusional system develops in humans through close contact with another person who already has an established delusional system of a similar type. Almost always it delusions of persecution. In DSM-IIIR such cases are classified as induced psychotic disorder, and the ICD-10 as induced delusional disorder. Although the incidence of induced psychosis is not installed, it is obvious that he is a rare yavl

Special paranoid state: Capgras delusion

Although the reported cases have been in the past, the state now known as Capgras syndrome, first described in detail Capgras and Reboul-Lachaux in 1923 (see: Serieux, Capgras 1987). They called it VillnsionDesSosies (double illusion). Strictly speaking, this is not a syndrome, and the only symptom, and it is more appropriate term Brad (illusion) twin. The patient believes that a person very close to him usually husband (wife) or relative spoofed window. He admits that the one who mistakenly identified them as twin, very similar to the changeling, but still convinced that this is a different person. This condition is extremely rare, it is more common among women

Special paranoid state delusions Fregoli

This condition is commonly referred to as syndrome Fregoli named actor has an uncanny ability to transform, to change its appearance. This condition occurs more rarely than Capgras delusion. Originally it was described Courbon and Fail in 1927. The patient mistakenly identifies different people he meets with the same person known to him (usually with those whom he considers his persecutor). He argues that although there is no external resemblance between the two men and a man whom he knew, however, they are identical psychologically. This symptom is usually associated with schizophrenia. There are also clinical signs of psychological testing and

Paranoid symptoms: assessment and diagnosis

The process of evaluation of the patient with paranoid symptoms includes two phases: identification of symptoms and diagnosis themselves responsible for their disease. Sometimes having the patient ideas or delusions of persecution obvious to everyone around you, but there are times when to recognize the symptoms of paranoid extremely difficult. The patient may be angry or suspicious. Sometimes the patient does not wish to join the conversation and just stares at the doctor, or it can smoothly and convincingly argue on extraneous topics, moving away from talking about the delusions and beliefs or categorically denying them. Requires considerable skill to pull out

Special paranoid state: sutyazhny and reformist delusions

Sutyazhny delirium was the subject of a special study Krafft-Ebing in 1888. Patients with this kind of nonsense being drawn into the expanded campaign of accusations and complaints against the authorities. Many similarities between these patients and paranoid-Sutyajnik who instigate a series of trials involved in countless trials, and during the hearing sometimes become angry and threaten judges. Baruk (1959) described the reformist delusions, which focuses on religious, philosophical or political topics. People with this nonsense constantly criticize society, and sometimes taking elaborate steps that can

Erotic delirium syndrome (Clérambault, delirium love charm)

Kperambo (De Clerambault 1921, see also 1987) proposed a distinction between paranoid delusions and delirium of passion. Last distinguished by its pathogenesis and that is accompanied by excitation. Also characterized by the presence of idea about the purpose: all patients in this category, regardless of whether they have seen erotomania, vexatious behavior or morbid jealousy since the onset of the disease is the exact purpose of which from the outset drives the will. It is a distinctive feature of this disease. This distinction is only Inter from a historical point of view, since it is now not available. However syndrome Eros

Special paranoid states: pathological jealousy

Defining an integral feature of the pathological, or painful, jealousy is abnormal conviction that conjugal partner incorrect. Pathological condition called because this conviction, which may be associated with delusions or overvalued with the idea does not have sufficient grounds and can not be reasonable arguments. Pathological jealousy was considered in Shepherd (1961) and Mullen, Maack (1985). Such a belief is often accompanied by strong emotions and characteristic behavior, but by themselves they do not constitute the essence of pathological jealousy. Husband found his wife in bed with her lover, can feel extremely

Special paranoid state

Some paranoid state recognized by certain characteristic features. You can divide them into two groups: the state with specific symptoms and conditions manifested in special situations. Specific symptoms include delusions of jealousy and erotic sutyazhny delirium and delirium, whose name is associated with the names of Capgras (Capgras) and Fregoli (Fregoli). Special situations include close contacts close (family, family, etc.) relations (Folie a Deux (* Insanity reviews (Fr.) *), migration and imprisonment. Many of these symptoms are of particular interest in French psychiatrists (see .: Pichot 1982, 1984). Neither the DSM-IIIR, or in the draft ICD-10

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 primarily on
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