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Results for “Paranoid Disorders”

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PubMed1977

Three types of paranoid processes.

In classical descriptive psychiatry the term 'paranoid' is often used ambiguously -- referring to a variety of clinical processes which should be more clearly differentiated. Specifically, in this paper, we have differentiated three distinct sets of clinical phenomena all usually lumped together as 'paranoid': 1. Paranoid from a Sense of Guilt, 2. Paranoid from a sense of Low Self-Esteem, and 3. Paranoid from a Sense of Persecution. These three processes are distinct descriptively, dynamically and genetically. Further, this differentiation is most significant pragmatically as the treatment is different for each type.

Central Nervous System Stimulants↗
PubMed1983

[Clinical features of acute polymorphic paroxysms of puberal schizophrenia].

Forty-five patients aged 12 to 17 years suffering from acute pubertal schizophrenia characterized by polymorphic paroxysms were studied. This group was heterogeneous and included recurrent schizophrenia with affective-oneiroid and affective-delusional disturbances in paroxysms and paroxysmal progressive schizophrenia with catatono-oneiroid and paranoid disorders. An extensive description of psychopathologic disturbances in affective-oneiroid and acute affective-delusional paroxysms of pubertal schizophrenia is presented. Acute pubertal schizophrenia with affective-oneiroid disturbances in paroxysms is often characterised by a serial course (42%). Diseases of this sub-group displayed a tendency toward a regressive course and resembled schizoaffective psychoses most closely.

Acute Disease↗
PubMed1980

[The Othello syndrome].

A case is described and 7 others are discussed of the Othello Syndrome, characterized by cognitive, affective and conative manifestations plus non-specific psychosomatic accesory symptoms. The nuclear symptom is the delusional or delusion-like idea of jealousy. The syndrome is seen in both sexes, as part of a number of clinical entities (paranoia, psychoses, organic brain syndromes, neuroses and personality disorders). Premorbid personality and family history are always abnormal. Cases of cocaine abuse, involutional melancholia and borderline syndrome are remarkers. The management of this syndrome and of its social sequelae is emphasized.

Adult↗
PubMed1989

Long-term course and outcome in unipolar affective and schizoaffective psychoses.

Of 301 first-time admitted patients with delusional psychoses, 50 met DSM-III criteria for major depressive disorder (MDD), 33 schizoaffective disorder, depressive type (SADD), and 94 schizophrenia. At personal follow-up after 3-39 (mean 22) years, the SADD group was recorded in between on course and outcome variables, but closer to MDD. The findings in MDD and SADD were respectively: remission 66% vs. 42%, personality disorders 14% vs. 12%, anxiety disorder or alcohol abuse 2% vs. 6%, psychosis 18% vs. 36% (with bipolar development in 2% vs. 6%, paranoid disorder 2% vs. 3%, schizophrenia 4% vs. 3%). Chronic psychosis was recorded in 10% vs. 27%. No significant outcome difference was found between early onset MDD and SADD cases and those who fell ill at a higher age. The assumption that antidepressants may induce mania could not be confirmed. Normal premorbid personality seemed to predict a favourable course.

Adult↗
PubMed1991

Prevalence of delusional jealousy in different psychiatric disorders. An analysis of 93 cases.

The prevalence of delusional jealousy in 8134 psychiatric in-patients was 1.1%. Delusions of jealousy were most frequent in organic psychoses (7.0%), paranoid disorders (6.7%), alcohol psychosis (5.6%) and schizophrenia (2.5%), while in affective disorder delusions of jealousy could be found in only 0.1%. Because schizophrenia and affective disorder were the most common diagnoses, most patients with delusions of jealousy were schizophrenics. In schizophrenia, women were more likely to suffer from delusional jealousy, while in alcohol psychosis, men were more likely than women to suffer from delusional jealousy.

Adult↗
PubMed1987

Two cases of erotomania (de Clérambault's syndrome) in bipolar affective disorder.

Two female patients with longstanding bipolar affective disorder demonstrated de Clérambault's paradigm of erotomania during the euthymic phase of their illness. Although a diagnosis of schizophrenia or paranoid disorder is often given, a review of the literature shows that many cases have features of a major affective disorder, probably bipolar affective disorder and its spectrum.

Bipolar Disorder↗