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A Forensic Psychology Summary
Published in Bernat-N. Tiffon, Atlas of Forensic and Criminal Psychology, 2022
When making evaluations of criminal responsibility, for example, we know that the incidence of crimes committed by those with dementia usually decreases with age. In general, offenses committed by those with dementia are usually characterized by absurd behavior and the crime rarely benefits its perpetrator in any way. This is not the case with individuals suffering from paranoid schizophrenia or psychotic disorder, for example, whose behaviors can potentially be dangerous when driven by delusions. Criminal responsibility evaluations of individuals with personality disorders are much more complicated. It is very difficult in these cases, as in some others, to establish general guidelines on how these disorders affect the potential criminal responsibility of the individual.
Catathymia and Catathymic Crisis
Published in Louis B. Schlesinger, Sexual Murder, 2021
Paranoia, in Maier’s view, is the quintessential disorder in which catathymic delusions occur. The first case he presents is of a highly intelligent woman who had a successful academic career but several unhappy marriages. She developed paranoia of a persecutory type but showed no other signs or symptoms that would indicate schizophrenia. The catathymic content of her delusional system was obvious, and it formed the groundwork for her successful treatment. In another case, an individual’s strong wish for financial security could not be fulfilled because he developed a physical handicap; this conflict became the center of his catathymic delusional system, which was more intractable than the first case. Finally, Maier describes the case of a severely ill individual who had “gigantic ideas of persecution” that grew from underlying conflicts and rendered him extremely dangerous, difficult to control, and resistant to treatment. The same underlying mechanism is operative in both paranoia and paranoid schizophrenia, but treatment for paranoid schizophrenia is clearly more difficult.
Auditory Hallucinations and Religious Delusions
Published in Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman, Understanding and Caring for People with Schizophrenia, 2020
Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman
Remy’s course of schizophrenia was typical in some ways and atypical in others. While the condition tends to affect females at a slightly later age than males, it is uncommon, although not rare, for it to begin in a woman’s late 30s or early 40s. This is slightly more common, however, for people with the paranoid subtype of schizophrenia, as did Remy. Although the classification of schizophrenia into subtypes was discontinued with the transition to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published in 2013 (1), the prior edition delineated five subcategories (2). In the paranoid subtype, delusions and hallucinations are the predominant symptoms. Disorganization, negative symptoms and cognitive deficits may be present, but are usually not severe and may only mildly affect a person’s functioning and capacity to live a reasonably normal life. Paranoid schizophrenia has the best long-term outcome among the different subtypes of schizophrenia and tends to have a later onset than other subtypes.
Lunar cycle and psychiatric hospital admissions for schizophrenia: new findings from Henan province, China
Published in Chronobiology International, 2020
Ran-Ran Wang, Yu Hao, Hua Guo, Meng-Qi Wang, Ling Han, Ruo-Yun Zheng, Juan He, Zhi-Ren Wang
As shown in Table 1, this study included 5638 (43.1%) males and 7429 (56.9%) females. The average patient age was 34.69 ± 12.7 years. There were no significant differences in distributions of age, sex, and birth season by lunar phase (p > .05). However, the distribution of patients diagnosed with the positive syndrome (F20.0–F20.3), negative syndrome (F20.4–F20.6), and unspecified schizophrenia (F20.9) significantly differed by lunar phase (χ2 = 14.187, P = .028). Comparison of these three subgroups showed that a higher percentage of patients diagnosed with the positive syndrome were admitted at the full moon compared with patients with the unspecified type (p < .05). We further categorized positive symptoms as indicating paranoid schizophrenia, hebephrenic schizophrenia, and undifferentiated schizophrenia (Table 2). This showed that a higher percentage of patients with paranoid schizophrenia were admitted at the full moon compared with patients with unspecified schizophrenia (χ2 = 23.697, P = .022). There was no difference in the distribution of schizophrenia subtype during the other three lunar phases.
Auxiliary role of D5 dopamine receptor as a marker in paranoid schizophrenia patients
Published in Psychiatry and Clinical Psychopharmacology, 2019
Mahkameh Soleiman Meygooni, Mohammad Amin Minaei Asil, Geghani Taroyan Haftvani, Firouzeh Morshedzadeh, Davood Zaeifi
Paranoid schizophrenia is one of the most common forms of mental illness that is generally known as schizophrenia. People with all types of schizophrenia suffer from different psychometric behaviours, which cause in lose their touch with the reality. People with paranoid schizophrenia usually have a better chance of recovery than others. This may be because of their relatively healthy cognitive, behavioural, and emotional functioning [1,2]. People with paranoid schizophrenia have significant illusions or frequent auditory illusions. Unfortunately, these psychotic symptoms can have a lot of devastating effects on their performance in the real world [2]. Diagnosis of paranoid schizophrenia defined by two primary symptom and seven sub-features that should present at least four to warrant a diagnosis of paranoid schizophrenia disease which is not certain and accurate for severity level recognition [3].
Psychiatric disorders, developmental, and academic difficulties among children and adolescents at-risk for schizophrenia: a controlled study
Published in Psychiatry and Clinical Psychopharmacology, 2018
Funda Gumustas, Emel Koyuncu Kutuk, Yasemin Yulaf, Behice Han Almis
Forty-eight per cent (n = 17) of the parents who were diagnosed with schizophrenia were mothers and 52% (n = 18) were fathers. Paranoid schizophrenia was the subtype of 77.2% (n = 27) of the parents who were diagnosed with schizophrenia. The rate of schizoaffective disorder was 11.4% (n = 4), disorganized schizophrenia 5.7% (n = 2), and atypical psychosis 5.7% (n = 2). Eighty-one per cent (n = 32) of parents diagnosed with schizophrenia were in remission period, 9% (n = 3) were in the active phase of psychosis. Mean duration of illness was 18.94 ± 10.9 years (min. 2–max 30 years). The number of hospitalization was less than two in 40% (n = 14) of patients, and more than twice in 40% (n = 14). The remaining seven patients (20%) had no hospital admissions. The average duration of stay in hospital was 3.06 ± 3.15 months (min 0–max 12 months).