Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 02 September 2019
Delusional Disorder Structured on Antisocial Vein/ Absence of Empathy and Remorse
Trifu Simona, Antonia Ioana Trifu, Ilinca Vlaicu, Amelia Damiana Trifu, Ana Miruna Dragoi
University of Medicine and Pharmacy “Carol Davila," Medical Military Institute, University of Bucharest, Tudor Vianu” National College of Computer Science, Clinical Hospital for Psychiatry (Romania)
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10.31014/aior.1994.02.03.57
Pages: 351-357
Keywords: Delusional Disorder, Antisocial Personality, Danger, Compulsory Treatment, Hospitalization of Measures and Increased Safety, Absence of Empathy and Criticism, Forensic Psychiatry
Abstract
Motivation behind choosing the subject: Forensic psychiatry is always a challenge by raising the issue of discernment when committing an antisocial act. The fact becomes all the more interesting as it is not a schizophrenia case, but other diagnoses in the psychotic spectrum, but which maintain a better contact with reality and a greater social functioning. Study Questions: Paranoid schizophrenia can overlap high emotionality, lability, the richness of the affective life being supported by the nature of the delusional idea. Objective: We want to present the life history of a patient with AHC filled with heritability for the paranoid spectrum, whose diagnosis ranged from Polymorphic Personality Disorder with Psychotic Decompensation to Delirious Disorder for ten years, during which he had two prolonged admissions between a hospital of maximum security and special measures. Results: The patient presents disorders predominantly in the register of thought, delirious ideation of persecution, prejudice, with the disorganization of thought and language (predominantly in writing, with jargonophasia and the intrication of the delusional idea totally discordant of context, without neglecting the total absence of empathy, both the patient, as well as that of his brother, related to the disappearance of their mother for several months who suffers from Alzheimer's disease. This, together with the lack of insight, enhances the danger, together with the pathology that dictated the last hospitalization (repeated threats with stabbing to the address to some unknown people). Conclusions: The high doses of antipsychotic and timostabilizing medications acted on the thinking component, but less on the axis II disorder, failing to modulate the affectivity, the aspect of psychopatoidization remaining evident.
References
-
Adler, Alfred (2010). Understanding Human Nature. Eastford: Martino Fine Books; Tra edition.
-
Bion, Wilfred (1904). Second Thoughts: Selected Papers on Psychoanalysis. New York: Karnac Books.
-
Bowlby, John (1976). Separation: Anxiety And Anger (Basic Books Classics) Volume 2 (Attachment and Loss Vol 2). 1st Edition. New York: Basic Books.
-
Cassidy, Jude & Shaver, Phillip (2016). Handbook of Attachment, Third Edition: Theory, Research, and Clinical Applications. 3rd Edition. New York: The Guilford Press.
-
Durkheim, Emile & Simson, George (1997). Suicide: a study in sociology. Forence: Free Press; Reissue edition.
-
Freud, Sigmund (2014). SIGMUND FREUD 7 BOOK PREMIUM COLLECTION: General Introduction To Psychoanalysis; Totem And Taboo: Interpretation Of Dreams; Dream Psychology; and many more (Timeless Wisdom Collection 626). Kindle Edition. Business and Leadership Publishing.
-
Gabbard, Glen (2014). Tratat de psihiatrie psihodinamica. Bucuresti: Editura Trei.
-
Kernberg, Otto (1995). Borderline Conditions and Pathological Narcissism (The Master Work Series). Lanham: Jason Aronson, Inc.
-
Klein, Melanie (2011). Love, Guilt And Reparation Kindle Edition. New York: Vintage.
-
Kohut, Heintz (2009). The Analysis of the Self: A Systematic Approach to the Psychoanalytic Treatment of Narcissistic Personality Disorders. Chicago: The University of Chicago Press.
-
McDougall, Joyce (1989). Theaters Of The Body: A Psychoanalytic Approach to Psychosomatic Illness. New York: W.W. Norton&Company.
-
Trifu S, Brăileanu D., Carp E.G., Chirilescu A., Mihai I (2015). Psychodynamic Particularities in Expressing Systematized Delirium in Paranoid Schizophrenia. Procedia - Social and Behavioral Sciences, Volume 203, 412-418, doi: https://doi.org/10.1016/j.sbspro.2015.08.315.
-
Trifu S., Trifu, A.C. Trifu A.I. (2017). Nevroglya and superior cognitive functions. Antidepressants and neuroplasticity. Journal of the neurological sciences. Volume:381 Supplement: S. Pages: 837-837. doi: https://doi.org/10.1016/j.jns.2017.08.2355
-
Winnicott, D.W. (2005). Spaima de prabusire – Explorari psihanlitice. Bucuresti: Editura Fundatiei Generatia.