Academic literature on the topic 'Persecution delusions'
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Journal articles on the topic "Persecution delusions"
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Rudalevičienė, Palmira, Virginija Adomaitienė, Thomas Stompe, Andrius Narbekovas, Kazimieras Meilius, Nijolė Raškauskienė, Jurgis Rudalevičius, and Robertas Bunevičius. "Delusions of persecution and poisoning in patients with schizophrenia: sociocultural and religious background." Medicina 46, no. 3 (March 10, 2010): 185. http://dx.doi.org/10.3390/medicina46030026.
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This article presents data on the phenomenology of delusions of persecution and poisoning in patients with schizophrenia and determines parallels between sociodemographic status and personal religiosity and this type of delusions. We have studied the content of delusions in patients with schizophrenia looking for persecution and poisoning themes using Fragebogen fuer psychotische Symptome (FPS). A total of 295 patients suffering from schizophrenia participated in this study; 74.7% reported delusions of persecution. The proportion of female patients (81.9%) who felt persecuted was almost one-third higher than the proportion of male patients (66.9%). The prevalence of delusions of persecution was lower in the group of persons for whom their faith was personally important (73.4%) than in the atheistic group (86.7%). Delusions of persecution and poisoning were strongly intercorrelated. Delusions of poisoning were reported by 57.8% of respondents: 54.8% by male and 60.6% by female patients. In multivariate analysis, delusions of persecution were more prevalent in women compared to men; in those with a chronic course of illness compared to those with periodic course; in those with small size of family compared to those with large family. The presence of delusions of being poisoned was related to older age of the patient, higher than secondary education, chronic course of schizophrenia, and younger parental age. Personal importance of the faith was not associated with prevalence of delusions of persecution and poisoning in patients with schizophrenia.
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Madeira, L. A., L. F. Manarte, D. Guerreiro, and C. Dias. "A case of delusional disorder, diagnostics and therapeutic questions." European Psychiatry 26, S2 (March 2011): 1709. http://dx.doi.org/10.1016/s0924-9338(11)73413-7.
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The Delusional disorder is uncommon, accounting for 2–8% of all hospital admissions for non-organic psychotic disorder and is usually initiated after the third decade of life. It is characterized primarily by one or more non-bizarre delusions, and according to the content of delusions, can be divided into five subtypes: persecution, jealousy, erotomanic, somatic and grandeur.We present a case of a patient with Jealousy Delusional Disorder and discuss the main difficulties that arise in the differential diagnosis and treatment.In the differential diagnosis is essential to eliminate the pathologies of organic causes that may have delusions as clinical manifestation. It is then necessary to distinguish delusion from obsessive ideas and overvalued ideas that can lead to misdiagnosis and therefore have serious implications in monitoring and treating of these patients.The subtype of jealousy seems to have a better evolution and prognosis compared with others subtypes reported.Although the Delusional Disorder present a more favorable course and usually is associated with a smaller disturbance in the overall functioning of the patients, they have a poor compliance to psychiatric treatment. So, they often stop psychiatry follow-up and discontinue therapy.
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BLAKEMORE, S. J., Y. SARFATI, N. BAZIN, and J. DECETY. "The detection of intentional contingencies in simple animations in patients with delusions of persecution." Psychological Medicine 33, no. 8 (October 30, 2003): 1433–41. http://dx.doi.org/10.1017/s0033291703008341.
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Background. It has been proposed that delusions of persecution are caused by the tendency to over-attribute malevolent intentions to other people's actions. One aspect of intention attribution is detecting contingencies between an agent's actions and intentions. Here, we used simplified stimuli to test the hypothesis that patients with persecutory delusions over-attribute contingency to agents' movements.Method. Short animations were presented to three groups of subjects: (1) schizophrenic patients; (2) patients with affective disorders; and (3) normal control subjects. Patients were divided on the basis of the presence or absence of delusions of persecution. Participants watched four types of film featuring two shapes. In half the films one shape's movement was contingent on the other shape. Contingency was either ‘intentional’: one shape moved when it ‘saw’ another shape; or ‘mechanical’: one shape was launched by the other shape. Subjects were asked to rate the strength of the relationship between the movement of the shapes.Results. Normal control subjects and patients without delusions of persecution rated the relationship between the movement of the shapes as stronger in both mechanical and intentional contingent conditions than in non-contingent conditions. In contrast, there was no significant difference between the ratings of patients with delusions of persecution for the conditions in which movement was animate. Patients with delusions of persecution perceived contingency when there was none in the animate non-contingent condition.Conclusions. The results suggest that delusions of persecution may be associated with the over-attribution of contingency to the actions of agents.
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Geroldi, Cristina, Lorena Bresciani, Orazio Zanetti, and Giovanni B. Frisoni. "Regional Brain Atrophy in Patients With Mild Alzheimer's Disease and Delusions." International Psychogeriatrics 14, no. 4 (December 2002): 365–78. http://dx.doi.org/10.1017/s1041610202008566.
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Background and Objective: The pathophysiology and the neurobiology of the behavioral disturbances in Alzheimer's disease (AD) are far from understood. The aim of the study was to assess whether delusional AD patients have a specific pattern of regional brain atrophy. Methods: The setting of the study was the outpatients facility of a memory clinic. Subjects were 41 AD patients with mild dementia severity (Mini-Mental State Exam score of 22 ± 3, range 18 to 27). Delusions were assessed with the pertinent subscale of the UCLA Neuropsychiatric Inventory (NPI). Nondelusional (n = 22) AD and delusional (n = 19) AD were defined on the basis of absence (NPI delusions subscale = 0) or presence (NPI delusions subscale = 1 or higher) of delusions. Thirteen (68%) of the delusional patients had isolated theft delusions, and 6 (32%) had theft associated with another paranoid delusion (of jealousy or persecution). None of the patients had misidentifications or other delusions of nonparanoid content. Temporal lobe and frontal lobe atrophy were assessed with linear measures (radial width of the temporal horn, rWTH, and frontal index, FI) taken from computed tomographic films. Temporal and frontal asymmetries were computed as right/left ratio of the rWTH and FI. Results: AD patients without delusions had symmetrical enlargement of both temporal (8.1 ± 3.9 vs. 8.5 ± 4.5) and frontal horns (35.8 ± 4.8 vs. 35.9 ± 4.6). On the contrary, AD with delusions showed temporal horns larger to the right (9.1 ± 3.3 vs. 7.7 ± 3.1, p = .06) and the frontal horn to the left (35.7 ± 4.3 vs. 37.5 ± 4.2, p = .02). This different pattern was confirmed with a gender-adjusted repeated measures analysis of variance model (interaction term between asymmetry and group: F1,38 = 5.5, p = .03). Discussion: AD patients with delusions are characterized by a specific pattern of frontal and temporal asymmetry of brain atrophy, whereas nondelusional patients are symmetric. Because the asymmetry pattern of the delusional patients is similar to the physiological pattern of asymmetry of individuals without dementia, the data indicate that the absence of theft delusions in the mild stage of AD rather than their presence is associated with an abnormal asymmetry pattern.
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Cocho, C., M. Baquero, I. Vera, and J. Alvarez-arenas. "Folie à deux." European Psychiatry 33, S1 (March 2016): S576. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2133.
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IntroductionThe induced delusional disorder or folie à deux, is a rare condition characterized by psychotic symptoms at least in two individuals in close association.ObjectivesWe report a case of shared psychotic disorder between mother and daughter. We briefly review both classical and current literature.MethodsWe summarized the results from articles identified via MEDLINE/PubMed using “induced delusional/shared psychotic disorder” as keywords. We report a case of a woman who develops psychotic symptoms characterized by delusions of persecution. Her daughter started, during the first high school grade with referring sexual threats and having delusions of persecution lived by her mother like a fact. They have very symbiotic relationship. Seven years later, the mother has required hospitalization for chronic delusions.ResultsThe term folie à deux was first coined by Lasègue and Falret, they assume the transmission of delusions was possible when an individual dominated the other and existed relative isolation. Recent studies found no significant differences in age and sex, although described higher comorbidity with other psychiatric diseases. Relative to treatment, separation by itself is insufficient; an effective neuroleptic treatment is required.ConclusionsOur case meets criteria for shared psychotic disorder. The daughter, with a ruling attitude who dominates the relationship, was the inducer. The mother showed no resistance in accepting delusions and remains them active after separation. This leads us to consider the possible predisposition to psychotic illness by both patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Allan, John A., and R. Julian Hafner. "Sex Differences in the Phenomenology of Schizophrenic Disorder." Canadian Journal of Psychiatry 34, no. 1 (February 1989): 46–48. http://dx.doi.org/10.1177/070674378903400112.
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The content and structure of delusions were compared in 30 women and 30 age-matched men with Shizophrenic Disorder. Men showed an excess of homosexual persecutory delusions and of grandiose delusions involving social status and personal power. Women showed an excess of delusions of fertility and of jealousy, and were more often than men objects rather than subjects in their grandiose delusions. There was an excess of women who reported co-objects of persecution, and who personally knew their persecutors, nearly always men. These differences mirrored aspects of the social environment, especially with regard to sex-role stereotyping.
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Musalek, M. "The Beauty of Delusions." European Psychiatry 26, S2 (March 2011): 2013. http://dx.doi.org/10.1016/s0924-9338(11)73716-6.
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As cosmopoets we create our world - but we do not create our world independently from our surroundings. What we are doing is not a poetry work in the sense of arbitrary inventions, but an attempt to transfer extensively and intensively psychical processes into communicable events. Patients suffering from delusions are also cosmopoets, they also create their world. It is a more or less understandable world, it is a world which is more or less similar to the world of the non-deluded, and it is a world which on the one hand terrorizes the patient but on the other hand attracts the patient by its sublime beauty. In this context W.Janzarik spoke from an ‘enemy/partnership’ of patients with delusions of persecution. The deluded world is a non-contingent terrifying but also in any case at least to some extent a beautiful and attractive world. Thrown in the risky and ugly world of mental disorders characterized by ambiguity and precariousness, patients are looking for islands of safety and sublime beauty; such islands may represent delusional convictions. As meanings of the disorder and the resulting ambivalence between attractiveness and suffering represent important disorder maintaining factors, knowledge about them provide the indispensable basis for effective treatment strategies (in particular psychotherapy) of delusional syndromes.
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Walsh, Joseph. "Clinical social work with clients having delusions of persecution." Practice 9, no. 4 (October 1997): 23–34. http://dx.doi.org/10.1080/09503159708411660.
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Brown, Seth A. "The Reality of Persecutory Beliefs: Base Rate Information for Clinicians." Ethical Human Psychology and Psychiatry 10, no. 3 (December 2008): 163–78. http://dx.doi.org/10.1891/1559-4343.10.3.163.
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When an individual describes persecution, how does one know whether this constitutes reality or a delusion? An erroneous clinical decision can lead to unnecessary treatment or lack of appropriate treatment. Knowledge of base rates of relevant events can inform the decision-making process and potentially increase the accuracy of clinical judgments. This article reviews base rates of events that could be perceived as delusions as well as the correlates associated with these events. Commonly occurring events include discrimination, mental illness stigma, criminal victimization, infidelity, conspiracy beliefs, and stalking. Surveillance and intentional poisoning are rare events. Clinicians who possess accurate base rates of events and their correlates will likely engage in more informed and accurate clinical judgments.
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Oher, F. J., A. Demjaha, D. Jackson, C. Morgan, P. Dazzan, K. Morgan, J. Boydell, et al. "The effect of the environment on symptom dimensions in the first episode of psychosis: a multilevel study." Psychological Medicine 44, no. 11 (January 20, 2014): 2419–30. http://dx.doi.org/10.1017/s0033291713003188.
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BackgroundThe extent to which different symptom dimensions vary according to epidemiological factors associated with categorical definitions of first-episode psychosis (FEP) is unknown. We hypothesized that positive psychotic symptoms, including paranoid delusions and depressive symptoms, would be more prominent in more urban environments.MethodWe collected clinical and epidemiological data on 469 people with FEP (ICD-10 F10–F33) in two centres of the Aetiology and Ethnicity in Schizophrenia and Other Psychoses (AESOP) study: Southeast London and Nottinghamshire. We used multilevel regression models to examine neighbourhood-level and between-centre differences in five symptom dimensions (reality distortion, negative symptoms, manic symptoms, depressive symptoms and disorganization) underpinning Schedules for Clinical Assessment in Neuropsychiatry (SCAN) Item Group Checklist (IGC) symptoms. Delusions of persecution and reference, along with other individual IGC symptoms, were inspected for area-level variation.ResultsReality distortion [estimated effect size (EES) 0.15, 95% confidence interval (CI) 0.06–0.24] and depressive symptoms (EES 0.21, 95% CI 0.07–0.34) were elevated in people with FEP living in more urban Southeast London but disorganized symptomatology was lower (EES –0.06, 95% CI –0.10 to –0.02), after controlling for confounders. Delusions of persecution were not associated with increased neighbourhood population density [adjusted odds ratio (aOR) 1.01, 95% CI 0.83–1.23], although an effect was observed for delusions of reference (aOR 1.41, 95% CI 1.12–1.77). Hallucinatory symptoms showed consistent elevation in more densely populated neighbourhoods (aOR 1.32, 95% CI 1.09–1.61).ConclusionsIn people experiencing FEP, elevated levels of reality distortion and depressive symptoms were observed in more urban, densely populated neighbourhoods. No clear association was observed for paranoid delusions; hallucinations were consistently associated with increased population density. These results suggest that urban environments may affect the syndromal presentation of psychotic disorders.
Dissertations / Theses on the topic "Persecution delusions"
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Barker, David. "Persecutory delusions and the internalising attributional bias for positive events : a systematic review and meta-analysis ; and, Training forensic mental health nurses in Cognitive Analytic Therapy (CAT) principles : a qualitative exploration of the impact on complex case conceptualisation and implications for practice." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33170.
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Purpose: A systematic review and meta-analysis tested the 'paranoia as a defence' model's original prediction that those experiencing persecutory delusions would take excessive credit for positive events as part of an attributional style that protects them from low self-esteem. The empirical project explored forensic mental health nurses' experiences of a Cognitive Analytic Therapy (CAT) training programme with an emphasis on complex case conceptualisation and implications for clinical practice. Methods: In relation to the systematic review and meta-analysis, those experiencing persecutory delusions were compared to those with non-paranoid psychosis, depression, and healthy controls, in terms of the magnitude of internalising attributional bias (IAB) for positive events. Correlation analysis also examined the association between magnitude of IAB and paranoia severity. In the empirical study, 10 forensic mental health nurses took part in semi-structured interviews to qualitatively explore their experiences and applications of CAT training. Results: Consistent with the model, an internalising attributional bias was present for those experiencing paranoid delusions when compared to individuals with depression. Contrary to the model, there were no differences between the other control groups and there was no significant correlation between IAB and paranoia severity. Internal attributions for positive events appear to be associated with depression, rather than paranoia. Analysis of the empirical data provided a rich account of nurses' experiences of the CAT training and how this helped them to conceptualise complex patients and promoted more positive ways of working. Conclusions: The findings from the systematic review and meta-analysis do not support the original model, but are consistent with the modified 'paranoia as a defence' model of persecutory delusions. Other cognitive models also help explain paranoia suggesting that refining the existing models further could be useful. The empirical findings suggest that CAT could be a valuable model of psychologically informed practice for nurses working in a forensic setting. Specifically, training appeared to help nurses develop a better understanding of their patients, greater self-reflection skills, and improved clinical care approaches.
Books on the topic "Persecution delusions"
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Taylor, John M. The Witchcraft Delusion: The Story of the Witchcraft Persecutions in Seventeenth-Century New England, Including Original Trial Transcripts. Gramercy Books, 1995.
Find full textBook chapters on the topic "Persecution delusions"
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Winnicott, Donald W. "The Value of Depression." In The Collected Works of D. W. Winnicott, 461–68. Oxford University Press, 2016. http://dx.doi.org/10.1093/med:psych/9780190271381.003.0075.
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In this paper given to the Association of Psychiatric Social Workers, Winnicott describes the state of normal and more severe or psychotic depression from various standpoints. He asserts that depression has value for human growth if the suffering, guilt and mourning related to it can be accomplished satisfactorily. Managing mood variations is an achievement, especially when deep hate is in conflict with the need to love and be loved. Features impeding successful management of depression are failures in the organization of the ego or delusions of persecution operating in the patient. Clinical examples are given.
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Garvey, Stephen P. "Agency." In Guilty Acts, Guilty Minds, 207–59. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780190924324.003.0006.
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Using as a frame the famous case of Daniel M’Naghten, who suffered from delusions of persecution, this chapter offers a theory of insanity as lost agency, according to which a person is insane if he acts but does not experience himself as the author of his actions. Insofar as the application of the actus reus and mens rea requirements presuppose that the defendant acted with a sense of agency, and insofar as actus reus and mens rea are limits on a democratic state’s authority to ascribe guilt, acting without a sense of agency constitutes another limit on the state’s authority. If a defendant acted without a sense of agency, he is beyond the authority of a democratic state to ascribe guilt to any criminal choice he makes while lacking a sense of agency. Before reaching this conclusion, the chapter explores and criticizes the law’s prevailing account of insanity, which grounds insanity in an incapacity, as well as a proposed alternative account, which grounds insanity in irrationality. After then elaborating on the idea of insanity as lost agency, it compares insanity to other defects of consciousness (hypnosis, sleepwalking, and multiple personality disorder).
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Munro, Alistair. "Persistent delusional symptoms and disorders." In New Oxford Textbook of Psychiatry, 609–28. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199696758.003.0082.
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Paranoia/delusional disorder is unique in psychiatry in that it is virtually a newly discovered illness, yet much of the fundamental descriptive work was done a century or more ago. This long hiatus means that most practitioners have little knowledge or experience of the disorder, and the few who are aware of it usually only see a small part of the fabric. The dermatologist treats a case of delusional parasitosis, the cosmetic surgeon has an impossible patient wth a dysmorphic delusion, the lawyer does not know what to do with a totally unreasonable litigant, the police officer has to deal with a jealous murderer or an erotomanic stalker, and the personnel officer has an employee who is convinced his fellow workers are persecuting him, etc. How can we draw all this scattered material together and add it to the psychiatric literature to make a whole cloth? The answer is largely by consciousness raising and education. Kendler, an authority in this field, has said, ‘The paranoid disorders may be the third great group of functional psychoses, along with affective disorder and schizophrenia’. If he is correct, it is imperative that we hone our diagnostic and treatment skills in order to improve the help we might offer to delusional disorder sufferers and to facilitate research which is so badly needed.
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Bedi, Deepali. "Efficacy of Art Therapy in Treating Patients with Paranoid Schizophrenia." In Research Anthology on Rehabilitation Practices and Therapy, 815–27. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-3432-8.ch039.
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Paranoid Schizophrenia chronic mental illnesses according to DSM-IVTR characterized by the presence of delusion of persecution, suspicious, distrusting, guarded, reserved, tensed, and also sometimes hostile or aggressive. Patients also perceive exaggerated warmth and friendship by the professionals as attempt at bribery, manipulation or exploitation. But therapeutic relationship between patient and the professional is integral to the recovery process and the outcome. Good communication on the part of health care professionals is an essential element in developing the strong practitioner-patient relationship necessary in the treatment of schizophrenia. Professionals are usually at a look out for tools to build a working alliance best used in such cases. Usually behavioural therapy, supportive therapy and family therapy are used for such patients. But sometimes with chronic and resistant client will get stuck at the initial rapport itself. At this stage probably art therapy as an advance intervention strategy to work with patient as an advanced intervention strategies and treatment.
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Bedi, Deepali. "Efficacy of Art Therapy in Treating Patients with Paranoid Schizophrenia." In Advances in Psychology, Mental Health, and Behavioral Studies, 308–20. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-0519-8.ch017.
Full textAbstract:
Paranoid Schizophrenia chronic mental illnesses according to DSM-IVTR characterized by the presence of delusion of persecution, suspicious, distrusting, guarded, reserved, tensed, and also sometimes hostile or aggressive. Patients also perceive exaggerated warmth and friendship by the professionals as attempt at bribery, manipulation or exploitation. But therapeutic relationship between patient and the professional is integral to the recovery process and the outcome. Good communication on the part of health care professionals is an essential element in developing the strong practitioner-patient relationship necessary in the treatment of schizophrenia. Professionals are usually at a look out for tools to build a working alliance best used in such cases. Usually behavioural therapy, supportive therapy and family therapy are used for such patients. But sometimes with chronic and resistant client will get stuck at the initial rapport itself. At this stage probably art therapy as an advance intervention strategy to work with patient as an advanced intervention strategies and treatment.
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Casey, Patricia. "The people in the pews: Silent and betrayed." In Tracing the Cultural Legacy of Irish Catholicism. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9781526101068.003.0012.
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Patricia Casey’s chapter argues that up until recently there was no tradition of a questioning laity, or indeed, clergy, in the Irish Church. Centuries of persecution had brought priests and laity closer, even though they were never viewed as equals. A coalescence of events at home and abroad in the form of the sexual revolution, the rise of Communism, the reforms of Vatican II, created a Western Church where personal choice took precedence over the dictates of Rome. In Ireland, certain myths such as Catholic guilt, the links between celibacy and paedophilia, the death of God, the delusional nature of all religions, began to gain traction. The clerical abuse scandals served to reinforce hostility towards the Church and to add weight to the aforementioned myths, which has resulted in a society that is becoming increasingly impervious to the Word of God. Casey sees the need for Irish people to become educated about their faith so as to be in a position to speak to a secular audience and to find space for their Christian faith.