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persecutorial type delusional disorder

Hiroshi Kataoka, Kazuma Sugie
Othello syndrome (OS) is a type of paranoid delusional jealousy, characterized by the false absolute certainty of the infidelity of a partner. Because OS has infrequently occurred in patients with Parkinson's disease (PD), the characteristics of OS in PD remain unclear. We reviewed the clinical characteristics of this syndrome in PD. We reviewed 67 patients who had PD with OS. OS was more common in men (45 patients) than in women (22 patients), and it frequently occurred in middle-aged patients. Until the onset of OS, the duration of PD (range, 2-19...
2018: Frontiers in Neurology
Montserrat G Delgado, Julien Bogousslavsky
Non-bizarre delusion, defined as a false belief possible although highly unlikely, is the main manifestation of delusional disorders, previously known as paranoia. Based on the predominant delusional themes, 5 main subtypes may be described - erotomanic, grandiose, jealous, persecutory, and somatic. We present here 2 main delusional disorders, the De Clérambault syndrome and the Othello syndrome, and another closely related to the previous ones - Folie à deux. In the De Clérambault syndrome, the main delusional theme is erotomanic type, related to passional delirium where the patient has strong sexual feelings towards another person and has the belief that this other person is deeply in love with him or her...
2018: Frontiers of Neurology and Neuroscience
Chad A Bousman, Rebecca McKetin, Richard Burns, Steven Paul Woods, Erin E Morgan, J Hampton Atkinson, Ian P Everall, Igor Grant
BACKGROUND AND OBJECTIVES: Understanding methamphetamine associated psychotic (MAP) symptom typologies could aid in identifying individuals at risk of progressing to schizophrenia and guide early intervention. METHODS: Latent class analysis (LCA) of psychotic symptoms collected from 40 (n = 40) methamphetamine dependent individuals with a history of psychotic symptoms but no history of a primary psychotic disorder. RESULTS: Three typologies were identified...
March 2015: American Journal on Addictions
Ravi Philip Rajkumar
Supersensitivity psychosis is a recognized complication of long-term antipsychotic treatment, in which patients develop new or reemergent psychotic symptoms, generally accompanied by dyskinetic movements, due to prolonged dopamine receptor blockade and resultant supersensitivity. Though it is most closely associated with schizophrenia and the use of typical antipsychotic agents, it has also been documented in patients with other diagnoses, and in those receiving atypical antipsychotics. There is no established treatment for this condition...
2014: Case Reports in Psychiatry
József Gerevich, Gabor S Ungvari
OBJECTIVE: To illustrate the use of fiction in understanding psychiatric disorders and refocus attention towards fiction as a valuable source of psychopathology, thereby contributing to the restoration of the narrative in psychiatry. METHOD: A psychopathological analysis of the novella Michael Kohlhaas written by Heinrich von Kleist, one of the outstanding literary figures of the German romantic movement of the early 19th century. RESULTS: The protagonist of Kleist's novella, Michael Kohlhaas, a querulant horse trader, carries out an armed uprising disproportionate to the minor injustice of the unlawful seizure of his horses...
2015: Psychopathology
Chad A Bousman, Rebecca McKetin, Richard Burns, Steven Paul Woods, Erin E Morgan, J Hampton Atkinson, Ian P Everall, Igor Grant
BACKGROUND AND OBJECTIVES: Understanding methamphetamine associated psychotic (MAP) symptom typologies could aid in identifying individuals at risk of progressing to schizophrenia and guide early intervention. METHODS: Latent class analysis (LCA) of psychotic symptoms collected from 40 (n = 40) methamphetamine dependent individuals with a history of psychotic symptoms but no history of a primary psychotic disorder. RESULTS: Three typologies were identified...
September 22, 2014: American Journal on Addictions
Christopher F Fear, Susan E Libretto
INTRODUCTION: The overlap between diagnostic criteria for schizophrenia and delusional disorder (DD) may cause diagnostic confusion. This is important if response to treatment differs. Risperidone, an atypical antipsychotic, is established in the treatment of schizophrenia, although less so in other psychotic conditions. METHOD: We report the case of a woman who developed DD, persecutory type, at the age of 50 years. Treatment with sulpiride 200-800 mg daily caused side-effects of drowsiness and 'hangover' and, consequently, non-compliance...
2002: International Journal of Psychiatry in Clinical Practice
Raíssa B Barboza, Gabriel R De Freitas, Fernanda Tovar-Moll, Leonardo F Fontenelle
Although the prevalence of neuropsychiatric disorders among patients with cerebrovascular illness is relatively high, there are only few case reports describing post-stroke psychotic symptoms. In general, post-stroke psychoses have been reported to emerge few days after the vascular event and to vanish soon afterwards. In this report, we describe delayed-onset post-stroke delusional disorder, persecutory type. A middle-aged female patient developed a persistent delusional disorder with homicidal behavior about one year after a cerebrovascular accident affecting the right fronto-temporo-parietal region and a long period of chronic post-stroke mixed anxiety and depressive symptoms...
January 1, 2013: Behavioural Neurology
Enrique de Portugal, Nieves González, Miriam Vilaplana, Josep M Haro, Judit Usall, Jorge A Cervilla
OBJECTIVE: We aim to describe psychosocial and clinical correlates of delusional disorder (DD) and its types. This approach is important because most knowledge on DD does not come from empirical data collected using a validated systematic research method. METHODS: A cross-sectional study was conducted in a sample of 86 patients fulfilling DSM-IV criteria for DD as established using the SCID-I. Variables were evaluated using a systematic methodology and standardized instruments, and included possible psychosocial risk factors (low socioeconomic status or social isolation, immigration, sensory deficits, older age at onset), family history of psychiatric disorders and premorbid personality (SAP), psychotic psychopathology (PANSS), depressive syndrome (MADRS), global cognitive functioning (MMSE), axis I comorbidity (MINI) and other clinical aspects such as global functionality (GAF), and disability (SDI)...
April 2009: Revista de Psiquiatrí́a y Salud Mental
Lay Ling Tan, Kok Han Seng
INTRODUCTION: In tandem with our ageing population, it is observed there is a growing trend of elderly patients presenting for the first time with psychotic symptoms. Clinical experience suggests differences in the phenomenology of late-onset psychosis in our Asian context compared to studies done in the West. This study aimed to analyse the characteristics and psychopathology of first presentation psychosis in our local elderly and to determine the treatment outcome over a 12-month period...
July 2012: Singapore Medical Journal
S Hebbar, N Ahuja, R Chandrasekaran
Epidemiology and the study of subtypes of delusional disorders is a poorly researched area. This study tries to fill this lacuna and provides the evidence contrary to the accepted fact that the persecutory type is the most common subtype of persistent delusional disorder (paranoia). Out of 4234 patients who attended psychiatry outpatient department during the year 1994-1997, 45 patients received the ICD-10 diagnosis of persistent delusional disorder. Charts of these patients were used for the study. The prevalence of delusional disorder and delusional parasitosis were around 1% and 0...
April 1999: Indian Journal of Psychiatry
George C Zografos, Flora Zagouri, Theodoros N Sergentanis, Marios Panou, Dimitrios Dardamanis, Georgia Giannakopoulou, George M Filippakis, George Papadimitriou, Sophia Stamouli
INTRODUCTION: Vacuum-assisted breast biopsy is a minimally invasive technique that has been used increasingly in the treatment of mammographically detected, non-palpable breast lesions. Clip placement at the biopsy site is standard practice after vacuum-assisted breast biopsy. CASE PRESENTATION: We present the case of a 62-year-old woman with suspicious microcalcifications in her left breast. The patient was informed about vacuum-assisted breast biopsy, including clip placement...
2008: Journal of Medical Case Reports
D Freeman, M Gittins, K Pugh, A Antley, M Slater, G Dunn
BACKGROUND: In recent years a close association between anxiety and persecutory ideation has been established, contrary to the traditional division of neurosis and psychosis. Nonetheless, the two experiences are distinct. The aim of this study was to identify factors that distinguish the occurrence of social anxiety and paranoid thoughts in an experimental situation. METHOD: Two hundred non-clinical individuals broadly representative of the UK general population were assessed on a range of psychological factors, experienced a neutral virtual reality social environment, and then completed state measures of paranoia and social anxiety...
August 2008: Psychological Medicine
Enrique de Portugal, Nieves González, Josep M Haro, Jaume Autonell, Jorge A Cervilla
OBJECTIVE: A few empirically based studies' data on delusional disorder (DD) exist. We aim to describe sociodemographic and clinical correlates of DD and to identify clinical profiles associated to DD and its subtypes. METHODS: This is a case-register study based on all those subjects attending community mental health services within a geographically well-defined area. Four hundred and sixty-seven patients had been diagnosed as DD cases at psychiatric services serving a catchment area of some 607,494 inhabitants living in South Barcelona (Spain) during a three-year period (2001-2003)...
March 2008: European Psychiatry: the Journal of the Association of European Psychiatrists
Suzanne Jolley, Philippa Garety, Paul Bebbington, Graham Dunn, Daniel Freeman, Elizabeth Kuipers, David Fowler, David Hemsley
People holding persecutory beliefs have been hypothesised to show a self-serving attributional style, which functions to protect self-esteem Bentall, Corcoran, Howard, Blackwood, and Kinderman (2001). Experimental support for this has been mixed. Freeman et al. (1998) suggested depressed and grandiose subgroups of those with persecutory beliefs might explain events differently. In this study, 71 participants completed measures of delusional beliefs, depression and attributional style. We hypothesised that those with persecutory beliefs would form grandiose and depressed subgroups, and that a self-serving attributional style would characterise only the grandiose subgroup...
November 2006: Behaviour Research and Therapy
Mitsue Shimizu
OBJECTIVE AND METHOD: Since the 19th century, many studies have reported on folie à deux (FAD) in subjects with endogenous psychosis. However, the etiology of FAD in patients with schizophrenia has remained unclear, primarily because the possible psychogenic or reactive mechanisms of delusional contagion supposed in FAD were not compatible with the classical concept of endogenous psychosis. However, possible psychogenic mechanisms of FAD in schizophrenia were argued by Bleuler, E and Bleuler, M...
2004: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Paul E Mullen
Mass killings can be of a variety of types including family slayings, cult killings, and the by-product of other criminal activities. This article focuses on massacres where the perpetrators indiscriminately kill people in pursuit of a highly personal agenda arising from their own specific social situation and psychopathology. Five cases are presented of this type of autogenic (self-generated) massacre, all of whom survived and were assessed by the author. Not only do these massacres follow an almost stereotypical course, but the perpetrators tend to share common social and psychological disabilities...
2004: Behavioral Sciences & the Law
G Maina, U Albert, A Badà, F Bogetto
The present study investigated the occurrence and the clinical correlates of psychiatric co-morbidity in a sample of 64 patients with delusional disorder (DD). Subjects were evaluated with a semi-structured interview for the collection of demographic and clinical features of the disorder; co-morbid axis 1 disorders were determined according to the clinical interview using DSM-IV by Othmer and Othmer. Delusional disorder subjects with and without co-morbid diagnoses were compared to investigate whether the presence of another psychiatric disorder influenced the clinical features of the illness...
June 2001: European Psychiatry: the Journal of the Association of European Psychiatrists
M C Hsiao, C Y Liu, Y Y Yang, E K Yeh
Patients who visited the psychiatric outpatient service of Chang Gung Medical Centre, Tao-Yuan, Taiwan during an 8-year period were studied retrospectively. Among the 10,418 outpatients, 86 (0.83%) were diagnosed as having DSM-IV delusional disorder (DD), including 61 (70.9%) with persecutory type, 12 (14.0%) with the mixed type, seven (8.1%) with jealous type, two (2.3%) with somatic type, two (2.1%) with unspecified type, one (1.2%) with erotomanic type, and another one with grandiose type. The ratio of women to men was 0...
December 1999: Psychiatry and Clinical Neurosciences
R T Waska
Using a case example, I have explored a particular type of difficult patient. This individual has typically suffered poor attachment with his maternal object and through projective identification has developed highly conflicted object ties within the ego. These relations produce cycles of intense persecutory and depressive anxieties, forcing the subject to rely on excessive splitting and other primitive defenses. As part of these protective maneuvers, the ego begins to build internal bargains and treaties with the adversarial objects...
1999: Journal of the American Academy of Psychoanalysis
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