DELUSION(Paranoid Disorder)

What is Delusion

Ch

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risti

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Fixed , false beliefs,

Cannot be corrected by logic

and are not Consistent with

Culture and education of the

patient

MAJOR TYPES OF DELUSIONS

(DSM-IV)

PERSECUTORY TYPE:

• Some kind of malevolent treatment , such as spying,

stalking, or the spreading of false rumors of illegal or

immoral behavior.

• Extreme cases dangerous and counteraction attempted

(murder)

JEALOUS TYPE:

• Predominant theme is that, one’s sexual partner is being

unfaithful.

EROTOMATIC TYPE:

• Some other person of higher status, is in love with one

and want to start sexual liaison

DSM-IV

Somatic Type:

• Unshakable Belief in having some physical illness or disorder,

(Esoteric or exotic)

Grandiose Type:

• Thinking of Person of extraordinary status, power,

ability, talent, beauty, etc.

• Special relationship with celebrity

Mixed Type:

• Combination of above but no single theme predominate.

Main Category of people those

who fall into this…….

Exploited inventors

Fanatical reformers

Self-styled prophets

Morbidly Jealous

spouse

Persecuted teachers

Business executives

Other professionals

Clinical picture

A paranoid person fells singled out and taken

advantages of, mistreated, plotted against,

stolen from, spied on, ignored, or otherwise

mistreated by enemies.

Delusion system creating a “pseudo community”

to carry out some action against him or her.

“Mode of thinking”-suspicious, protective

thinking, Hostility, Paranoid illumination.

Suspicious:

Individual mistrusts the

motive of others, fears

he/she taken advantage

Protective

thinking:

Selectively perceives the

action of others to

confirm and blames

others for his/her failure

Paranoid

illumination:

Moment when everything

falls into place –

understand the strange

feelings and events being

experienced

Hostility:

Individual responds to

alleged injustices and

mistreatment with anger

Some Cases

Vadakunokiyentharam cinema- “Sreeni

vasan”

One who went to Washington to get

presidential assistance in obtain a patent

for flame thrower that he claimed ,could

destroy all the enemies in united states.

Saying he is God

One Engineer in San Francisco…..fog,

reflctor, steel by others, police ,

hospitalized

Columbus said Earth is round –15th

Treatments and Outcome

Do not have empirically

validated approaches

Well established paranoid

persons- extremely difficult to

dismantle

Usually impossible to

communicate in a rational

way(about the problem)

If forcefully hospitalized,(regard

themselves as superior than

staff)

So prognosis for complete

recovery from paranoia has

reference

Abnormal Psychology and Modern

Life by Robert.C.Carson,

James.N.Butcher, Susan Mineka.

Google Images

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