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Results for “Paranoid Behavior”

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At least 343 records · Page 19Linked to original sources
PubMed1995

State psychiatric hospital patients with past arrests for violent crimes.

OBJECTIVE: This study examined associations between four types of major psychopathology--schizophrenia, schizoaffective disorder, and bipolar and unipolar affective disorders--and history of violent crime. The effects of demographic variables, substance abuse, psychosis, and paranoia on history of violent crime were also determined. METHODS: Diagnostic assessments using the Schedule for Affective Disorders and Schizophrenia and Research Diagnostic Criteria identified 172 state hospital inpatients with the four diagnoses of interest, as well as those with co-existing substance use disorders. Based on arrest records, patients were categorized according to the most violent crime for which they had been arrested. RESULTS: Patients with schizoaffective disorder were significantly more likely than those in the other diagnostic groups to have been arrested for a violent crime. Similar results were found for psychotic patients compared with nonpsychotic patients, patients who had paranoid schizophrenia compared with patients who had schizophrenia without paranoid features, and patients who had co-existing substance abuse compared with those with no history of substance abuse. Patients from racial minority groups and male patients were also more likely than white patients and female patients to have been arrested for a violent crime. CONCLUSIONS: Demographic features, a diagnosis of schizoaffective disorder, psychosis, paranoid symptoms, and substance abuse may all be associated with violent behavior.

Adolescent↗
PubMedDate not supplied

[Acute psychosis with aggressive behavior as a consequence of MDMA (Ecstasy) consumption].

Presented is a case of acute paranoid psychosis in a patient who took MDMA (Ecstasy), became violent and was prosecuted by law. After the repeated intake of MDMA, the second psychotic episode occurred, or maybe even several episodes (about which we have no data). The patient reacted well and fast to the therapy was normal. Those who had psychotic reactions after taking MDMA have a great chance to react in the same way when taking the drug again. Other authors present similar observations. This article is aimed to warn our expert population to seemingly approaching greater wave of Ecstasy drug, as well as to point to its consequences and treatment.

Acute Disease↗
PubMed1975

The portrait of a murderer.

A portrait is presented of an impulsive, violent and paranoid young murderer. A review of the psychiatric literature for indicators which address themselves to predicting murderous behavior yields a broad spectrum of theories and observations. The portrait presented includes a composite of many of the indicators which the various authors have described. The patient presented is felt to represent a discernable stereotype, and the predisposing factors which are viewed as contributiing to his murderous behavior are offered and given priorities.

Adolescent↗
PubMedDate not supplied

Addiction and paranoid process: psychoanalytic perspectives.

Multiple aspects of the problem of drug abuse and addiction are formulated in terms of the dynamics of the paranoid process, specifically emphasizing the complex interactions of introjection, projection, and the paranoid construction. The effect of projection is to modify the experience of the drug substance so qualities and capacities, often powerful and magical, are attributed to it, allowing it to serve as an external agency contributing to the maintenance of internal introjective configurations and correspondingly to the preservation of an inner sense of self-cohesion. The projective dynamics deal primarily with the vicissitudes of aggression and narcissism, and are given a sense of organization and meaningful integration by the cognitive elaboration of the paranoid construction. They also serve to locate the drug-taking behavior in a larger matrix of familial, social, and other environmental influences, which tend to give support to the projective system. The interaction of these projective psychological dynamics with the pharmacological action of drug substances completes the drug equation and helps to shed further light on the selection of specific drug substances as having addictive potential.

Adult↗
PubMed1980

De Clerambault syndrome (erotomania): a review and case presentation.

A syndrome which was first described by G.G. De Clerambault in 1885 is reviewed and a case is presented. Popularly called erotomania, the syndrome is characterized by the delusional idea, usually in a young woman, that a man whom she considers to be of higher social and/or professional standing is in love with her. She develops an elaborate delusional process about this man, his love for her, his pursuit of her, and her inability to escape his "affectionate clutches." This syndrome may persist for a period of a few weeks to a few months in the recurrent form and be replaced by a similar delusion about another man. In the fixed form, which is the example of the case being presented here, it may persist for several years. The patient presented here has experienced this syndrome for eight years; there are reports in the literature of persons maintaining the syndrome for longer than 25 years.Patients with this syndrome may be diagnosed as having paranoid vera or other forms of paranoid disorder, or as paranoid schizophrenic. In light of the overwhelming nature of the delusional process affecting this patient's total life experience with marked delusions of persecution, grandeur, jealously, and self-depreciation as well as ideas of reference (illusions), and agitated and sometimes bizarre behavior, it seems quite appropriate that her diagnosis may be termed schizophrenic reaction, paranoid type.The literature is surveyed in depth and the case is presented in sequential detail.

Adult↗
PubMed2006

Vexatious litigants and unusually persistent complainants and petitioners: from querulous paranoia to querulous behaviour.

Querulous paranoia was once of considerable clinical and academic interest in psychiatry. Over the last 40 years, however, it has virtually disappeared from the professional landscape. This decline occurred at the very time that a proliferation of complaint organizations and agencies of accountability were drawing more and more people into asserting their individual rights through the pursuit of claims and grievances. Querulous behaviour, as a result, far from declining, is on the increase, bringing with it suffering for the querulous and disruption to the organizations through which they seek their vision of justice. This article examines querulous behaviour in the vexatious litigant and in abnormally persistent complainants and petitioners. The phenomenological and nosological issues are outlined and the risks of the emergence of threatening and violent behaviour is emphasized. Threats should not be ignored, for a variety of reasons. Approaches to managing querulous behaviour in the courts and the complaint organizations are discussed, together with the utility of individual therapy. Querulous behaviour should once more take its place among the legitimate concerns of mental health professionals. Those caught up in a querulous pursuit of their notion of justice are amenable to management that can ameliorate their suffering and reduce the disruption they create.

Cognition Disorders↗
PubMed1992

Severe disturbance occurring during treatment for depression of a bulimic patient with fluoxetine.

We report on a 32-year old woman with bulimia nervosa treated with fluoxetine for depression. Fluoxetine is the only drug currently recommended for the treatment of bulimia. The patient became severely disturbed with tension, irritability, self-damage by cutting and violent, intense, suicidal and paranoid ideation qualitatively different to previous symptoms in the course of her illness. Clinical impression was of a striking association between fluoxetine and these symptoms. We suggest caution when using fluoxetine in bulimic patients with depression who have additional impulsive behaviours such as self-cutting, alcohol and/or drug abuse and shop-lifting.

Adult↗
PubMed1981

Territorial behavior of schizophrenics. A phylogenetic approach.

Utilizing Tinbergen's concept of increasing phenotypic adjustability on the evolutionary scale leading to man and the ethological concept of territoriality, five Territorial Behavior Scales were designed to reflect increasing levels of adaptive behavior in humans. Twenty recently admitted schizophrenics were studied in an active therapeutic milieu during 2 drug-free weeks, followed by 14 weeks of neuroleptic treatment. Four trained raters scored each patient weekly from 0 to 3 on each scale. Ward nursing staff independently rated social behavior and obtained measures reflecting psychomotor activation and autonomic arousal. Two major types of maladaptive behaviors were identified. The first, involving a breakdown of the ability to make any territorial distinctions in structuring social relationships, correlated directly with psychomotor activation as well as autonomic arousal and was a labile, i.e., treatment-responsive, behavior. The second, involving restrictive territoriality in which the individual occupies physical space to the exclusion of social interactions with others, was unrelated to autonomic arousal but correlated inversely with psychomotor activation and was a stable, i.e., treatment-resistant, behavior. Restrictive territoriality most characterized the total group throughout the study. Adaptive territorial behaviors expected in healthy humans were rare. Following treatment, hebephrenics showed the least favorable overall territorial profile. Untreated catatonics showed the highest levels of undifferentiated or chaotic territorial behavior, but with treatment their profile approached that of the paranoids, who were the least impaired. The data support the concept that two distinct pathological processes are involved in schizophrenia and that the three diagnostic subtypes of this syndrome are meaningful clinicopathological entities.

Adult↗
PubMed1991

Paranoid disorders following war brain damage. Preliminary report.

Roughly 3,000 war veterans with moderate or severe brain injury have suffered from a psychiatric disturbance. Psychotic disorders are found in approximately 750 cases. The material of this preliminary report consists of the first 100 veterans with paranoid disorders. Delusional psychosis is the most common main diagnosis (28% of veterans), followed by major depression (21%), delirium (18%) and paranoid schizophrenia (14%). Paranoid schizophrenia and paranoid schizophreniform psychosis develop earlier (in 23% of cases within 1 year) than delusional psychosis (4%). Delusional psychosis lasted less than a year in 28% of the cases and more than 5 years in 40% of cases. The corresponding figures for paranoid schizophrenia and paranoid schizophreniform psychoses are 26 and 63%. Jealousy or fear of being sexually betrayed constitutes the most prominent individual content of delusions.

Adult↗