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The Place of Sexual Murder in the Classification of Crime
Published in Louis B. Schlesinger, Sexual Murder, 2021
This case presents a problem not only in diagnosis but in clinical management as well. Individuals who have encapsulated delusions—particularly delusional jealousy as well as a persecutory type of delusion—are extremely difficult to treat. The delusions are so encapsulated that they are often intractable, even with medication (which, however, can possibly reduce the intensity of the delusion). Psychotherapy is of minimal value because a delusion does not stem from facts of reality; therefore, it cannot be dissipated by facts of reality. Moreover, these types of delusions are often missed diagnostically in both their incipient and residual stages. And such delusions are extremely dangerous—especially a delusion of persecution—because individuals act out in self-protective ways which can easily result in violence.
Psychosocial approaches -1 The acute episode and its aftermath
Published in Kathy J Aitchison, Karena Meehan, Robin M Murray, First Episode Psychosis, 2021
Kathy J Aitchison, Karena Meehan, Robin M Murray
The use of cognitive therapy for irrational beliefs was pioneered by Watts et al,266 but it is only since the early 1990s that formal trials of its use in psychosis have been reported, particularly from psychologists in the UK. Cognitive therapy has been successfully used in the treatment of drug-refractory delusions,267 and often includes elements of psychoeducation and compliance therapy, together with specific cognitive interventions targeted at the delusions. More recently, such CBT interventions have been applied to acute psychosis.18,268
Heterocyclic Drugs from Plants
Published in Rohit Dutt, Anil K. Sharma, Raj K. Keservani, Vandana Garg, Promising Drug Molecules of Natural Origin, 2020
Debasish Bandyopadhyay, Valeria Garcia, Felipe Gonzalez
Early or first-episode psychosis (FEP) refers beginning to lose contact with reality. Acting quickly to connect the patient with the right treatment during FEP can be life-changing and radically alter the future. FEP does not suddenly occur to someone, rather gradual, non-specific changes in the thoughts and perceptions are seen and the patient doesn’t understand what exactly is happening. The early signs might be similar to typical teen or young adult behavior owing to the “phases” of this age. Even though such signs do not cause panic, however, they can assess by a doctor. Two main indications of psychosis are delusions and hallucinations (Psychotic Disorders, 2018). Delusions are false beliefs and hallucinations are false perceptions, such as hearing, seeing, or feeling something fantasy. People with bipolar disorder may also have psychotic symptoms. Psychosis may also be caused by consumption of alcohol and some drugs, brain tumors, brain infections, and stroke.
Delusionality of beliefs among 50 adult females with severe and extreme anorexia nervosa upon admission to an acute medical stabilization facility
Published in Eating Disorders, 2023
P. Evelyna Kambanis, Angeline R. Bottera, Christopher J. Mancuso, Kamila Cass, Kristen Lohse, Jodie Benabe, Judy Oakes, Ashlie Watters, Craig Johnson, Philip Mehler, Kyle P. De Young
Delusional beliefs are “fixed beliefs that are not amenable to change in light of conflicting evidence” (American Psychiatric Association, 2013, p. 87). In contrast, an irrational thought is not based on reason, logic, or understanding, but is amenable to change. The diagnostic criteria for anorexia nervosa (AN) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) refer to an “intense fear of gaining weight or becoming fat” (p. 338) that Steinglass and colleagues (2007) described as implying that reality-testing remains intact among individuals with AN (i.e., “intense” rather than “delusional”). However, individuals with AN may experience beliefs about their eating and body shape/weight that reach delusional intensity (e.g., Hartmann et al., 2013; Konstantakopoulos et al., 2012; Steinglass et al., 2007). AN is difficult to treat (e.g., Bulik et al., 2007), with relapse rates approaching 50% (Fichter & Quadflieg, 2016), and delusional beliefs in AN have been largely understudied. Thus, information about potentially delusional beliefs in AN that might augment treatments is important to obtain.
Cannabis withdrawal induced brief psychotic disorder: a case study during the national lockdown secondary to the COVID-19 pandemic
Published in Journal of Addictive Diseases, 2021
Julen Marín, Xabier Pérez de Mendiola, Sergio Fernández, Juan Pablo Chart
Given the intense affective and behavioral impact of persecutory delusions, a voluntary admission to the Psychiatry Unit is made. Treatment with Olanzapine 10 mg/day and Lorazepam 2 mg/12 hours is introduced. During the first two days of hospitalization, the delusions persist. In fact, the patient makes paranoid interpretations of distant memories: “certain past moments in my life are connected with what is happening to me now.” The Brief Psychiatric Rating Scale (BPRS)16 score is 72 at admission. Fortunately, the clinical evolution is favorable. Complete remission of symptoms is achieved after seven days of treatment. During the period that he is hospitalized, he does not manifest problems concerning the medication's tolerability. A complete blood analysis, urinalysis, and cerebral magnetic resonance imaging are done, and no pathological results are found. It should be noted that the urine toxicology test is negative for drugs of misuse, including THC (immunoassay cutoff concentration: 50 ng/ml).
Promoting insight into delusions: Issues and challenges in therapy
Published in International Journal of Psychiatry in Clinical Practice, 2020
Though psychotherapies for delusions have proven efficacy, a few factors such as the client’s poor insight into the illness, amotivation to engage in the therapeutic process and cognitive deficits may create challenges for the therapists in conducting these therapies (Garety et al. 2000; Rüsch and Corrigan 2002; Barber et al. 2012). Moreover, delusions can emanate from an individual’s deeply distressing issues in life and, hence, dealing with delusions can be an incredibly complex matter sometimes (Buck et al. 2013). No wonder therapists may, at times, find clients with delusions difficult to engage in therapy (Tarrier 2006, p 177). In the present practice-oriented paper, some of the challenges in conducting therapy for clients with delusions have been discussed. Further, a few steps that can be taken to deal with these issues have been suggested. It will be helpful for the aspiring therapists as they can understand these issues and the practical ways to handle them while working with clients with delusions.