Psychodynamic Particularities in Expressing Systematized Delirium in Paranoid Schizophrenia

AbstractThis study raises the problem of the differentiated diagnosis, due to the long period of time in which the patient did not receive psychiatric care, she refused medical treatment and still managed to keep a social functioning level relative to the prior reached, with a minimum social and emotional support from the family and co-workers. We used the following: psychodynamic interview, life map, daily psychiatric evolution monitoring, psychological examination, neuro-imagistics, and hormonal tests. The princeps factors that influence the treatment are related to: the age of debut, the presence of mental automatism syndrome, the absence of Verra hallucinations, and the presence of the lookalike illusions. The debut at 35, the lack of disorganization at a cognitive level, the predominance of at most two delirious themes, good social functioning, the absence of heredo-collateral medical history are factors for a positive prognostic and the lack of insight capacity, the impenetrability to criticism and counter reasons, non compliance to treatment, despite the set therapeutic relationship have negative prognostic The presence of the mental automatism syndrome, of the lookalike illusions, as well as the long period of time of the symptoms existing before hospitalization, support the Paranoid schizophrenia diagnosis, since the first hospitalization in a psychiatric facility