摘要:

Regarding the definition of the concept of delusion it is stated that up to now delusions can be diagnosed only with the aid of phenomenological intuition. The decisive criterion is the high subjective certainty in the sense of an elimination of the possibility of chance coincidences without any narrowing of affect. The current hypotheses are presented, concerning the choice of theme, the acute elimination of chance without narrowing of affect, the persistence of certainty and incorrigibility. The relationship between age at the onset of the illness and the choice of theme are discussed in the light of my own findings. Reasons emerge to believe that, depending on the respective cultural setting, certain age specific themes can play a role in the formation of the content of delusions. The acute subjective certainty, as well as the incorrigibility are linked with organic or endogenous syndromes.

ISSN:0254-4962    

DOI:10.1159/000283607

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

A brief review is given of the relative weight attributed to biographical factors in the origin of various delusional formations. The life history of a patient with sensitive delusions of reference is presented as an example to illustrate how in his particular case the delusions had grown out of certain life events and connections.

ISSN:0254-4962    

DOI:10.1159/000283610

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

The author stresses the lack of nosological entities in psychiatry, and also the necessity of a classification system. Paranoid symptoms are found in most types of psychoses, both functional and organic psychoses. Among the functional psychoses the schizophrenias often have a paranoid picture, and paranoid traits may be found even in the affective psychoses. The Scandinavian concept of reactive psychoses is presented, including reactive psychoses of paranoiac, paranoid and schizophreniform type. Finally, the author presents his own personal follow-up study of paranoid psychoses after an observation time of 5–18 years. This study demonstrates 81 % cured, of the patients with the discharge diagnosis of reactive psychoses, as against 23 % cured, of the patients with the discharge diagnosis of schizophrenia. The author suggests a continuum of the paranoid psychoses from the schizophrenias via the schizophreniform and paranoid reactive psychoses to the more affective psychoses with slight tendency to paranoid symptomatolog

ISSN:0254-4962    

DOI:10.1159/000283611

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Delusion of skin-parasitosis is a very characteristic disorder, and it can appear as an independent syndrome or as a concomitant phenomenon of other psychiatric illnesses. Like most delusional formations it can also be induced and appear as a symbiontic psychosis; the involutional age seems to be an essential precondition for this psychopathological phenomenon.

ISSN:0254-4962    

DOI:10.1159/000283612

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

The prognostic and therapeutic aspects of catathymic delusional formations, excluding those associated with organic psychoses, are comprehensively presented from five points of view: (1) the present possibilities of psychiatric prognostication; (2) prognostic implications of nosological classifications; (3) prognostic significance of nosographic characteristics; (4) relationship to general rules of psychiatric prognostics; (5) therapeutic points. Under (3) we report our own findings concerning the long-term development of delusional formations and the long-term course of delusional illnesses classified as ‘schizophrenia of late onset’; we report their relationships to the formation of defect syndromes and to the psycho-organic deterioration in old

ISSN:0254-4962    

DOI:10.1159/000283613

出版商:S. Karger AG    

年代:1975

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000283614

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

In order to circumscribe the concept of delusional perception as the essential element in the diagnosis of delusional states we have firstly reviewed the already well-known views in the literature. The results of two experimental psychological investigations are discussed, which are believed to underline the importance of perceptual disorders in patients with delusion.

ISSN:0254-4962    

DOI:10.1159/000283615

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Clinical-psychopathological and electroencephalographic investigations are reported, carried out on patients with delusions of the paranoic and of the paraphrenic types. Abnormal EEGs were found more frequently in patients with a paraphrenic syndrome, and there was also a relatively more frequent response to flickering lights than in the paranoic group. There was also a more frequent response to flicker in patients with auditory hallucinations. Psychopathologically more florid delusional syndromes appear to produce abnormalities in the EEG more readily than do psychopathologically less elaborate syndromes.

ISSN:0254-4962    

DOI:10.1159/000283616

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Two groups of patients with delusional illnesses (previous paranoics and previous ‘late schizophrenics’ with delusional syndromes) with similar backgrounds, were followed up after many years and were re-examined in the same way. They were compared with each other as regards further developments of delusional formations and their psycho-pathological determinants. In the group of ‘late schizophrenics’ the delusions disappeared more frequently than in the groups of paranoics, and the delusional productivity diminished more often. On examination of various psychopathological characteristics and their influence on the further development of delusional formations (core syndromes of the general psychiatric symptomatology, appearance of affective changes, further development of the delusional productivity) only tendencies are shown, never obligatory relationships. The order of the relationships which we found remains uncertain; it is not likely that we are dealing with relationships of the firs

ISSN:0254-4962    

DOI:10.1159/000283617

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

After pointing to the heterogeneous results of past investigations into the genetics of catathymic delusional illnesses we present our own findings. By grouping the primary probands according to their psychopathology we showed that the relatively few schizophrenic secondary probands are fairly equally distributed over all the subgroups of the case material, whereas the relatively frequent manic depressive secondary probands are related exclusively to those primary probands whose general psychiatric symptomatology, irrespective of the catathymic delusional syndrome, was classified psychopathologically as manic-depressive.

ISSN:0254-4962    

DOI:10.1159/000283618

出版商:S. Karger AG    

年代:1975

数据来源: Karger