Paraphrenia

Classification

See also the article Psychosis.

Paraphrenia is a discussed clinical entity; it is indexed neither in DSM-IV nor in the international Classification of the diseases (CIM). Certain psychiatrists use it however, by categorizing it like emotional disorder, delirious Trouble or schizo-emotional Trouble.

Paraphrenia is recognized by the psychoanalytical Psychopathologie like psychosis, since in its terms of structure she answers this label perfectly, however not very ready to inform the psychoanalyst about the specificity of this disorder.

Is delirious paraphrenic

It is usually founded on two major components: Imagination and Intuition (the beginning of is delirious is marked by an intuition, which will be enriched thereafter by delirious imagination. Initial Hallucination S are possible, although rarer: auditive hallucinations generally). The set of themes is readily megalomaniac, romantic, of filiation, of size, sometimes persécutive; always rich, polymorphic, little systematized. Is delirious remainder confined with a sector of the life psychic, which allows a social life, professional, emotional. Is delirious is not divided and remains a long time quiet with the eyes of the close relations, who are alarmed only at the time of the Floridas phases of the disease. Is delirious not being systematized, the adhesion of the close relations is not seldom or ever obtained (with the difference of be delirious very built and coherent, as is delirious it paranoiac) what contributes to the effect characteristic of superposition of is delirious with reality, separate in a very tight way. Adhesion with is delirious is total, the often intense emotional participation.

Two principal forms of the disease according to Kraepelin

the paraphrenia confabulante is characterized by a primarily imaginative mechanism, little or not hallucinatory. Is delirious grows rich gradually, nourished by the Réalité and imagination, associated with false memories, fabulations and impressions of already-considering.
the fantastic paraphrenia is dissociated by the intense hallucinatory activity which is associated for him: hallucinations rich, complex, auditive, with sometimes mental Automatism (feeling that the thought is guessed, anticipated, controlled, escaped from its own will, which it even acts by it). The set of themes is particularly Florida, rich in disproportionate ideas of sizes, marvellous worlds, Science-fiction.

Evolution of the disease

Paraphrenia is a chronic disease which will accompany the individual all his life, marked by calm phases and phases of enrichment with delirious exacerbation. However, the life in general is reached little and the social handicap remains tiny, which explains the very slack demand of care of the patients or their entourage. The weak repercussion of the disease does not justify, most of the time, of specific Traitement.

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