Questions and Answers
David Browne, Brenda Wright, Guy Molyneux, Mohamed Ahmed, Ijaz Hussain, Bangaru Raju, Michael Reilly in MRCPsych Paper I One-Best-Item MCQs, 2017
Answer: D. Residual schizophrenia involves an absence of prominent delusions, hallucinations, disorganised speech or grossly disorganised or catatonic behaviour. There is continuing evidence of disturbance with negative symptoms or two or more positive symptoms present in attenuated form. In disorganised schizophrenia, disorganised speech, disorganised behaviour and a flat or inappropriate affect are prominent. Catatonic schizophrenia is characterised by at least two of the following: motor immobility, excessive motor activity, extreme negativism, peculiarities of voluntary movement, or echolalia or echopraxia. Paranoid schizophrenia involves a preoccupation with one or more delusions or frequent auditory hallucinations. In undifferentiated schizophrenia the patient meets the core criteria for schizophrenia but criteria for the other subtypes are not met. [AH. pp. 155–7]
100 MCQs from Dr. Brenda Wright and Colleagues
David Browne, Selena Morgan Pillay, Guy Molyneaux, Brenda Wright, Bangaru Raju, Ijaz Hussein, Mohamed Ali Ahmed, Michael Reilly in MCQs for the New MRCPsych Paper A, 2017
Residual schizophrenia involves an absence of prominent delusions, hallucinations, disorganised speech, or grossly disorganised or catatonic behaviour. There is continuing evidence of disturbance with negative symptoms or two or more positive symptoms present in attenuated form. In disorganised schizophrenia disorganised speech, disorganised behaviour and a flat or inappropriate affect are prominent. Catatonic schizophrenia is characterised by at least two of the following: motor immobility, excessive motor activity, extreme negativism, peculiarities of voluntary movement, of echolalia or echopraxia. Paranoid schizophrenia involves a preoccupation with one or more delusions or frequent auditory hallucinations. Undifferentiated schizophrenia meets the core criteria for schizophrenia but criteria for the other subtypes are not met. (4, pp 155–7)
Catathymia and Catathymic Crisis
Louis B. Schlesinger in 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.
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].
Adaptation of the Beck Hopelessness Scale as a suicide risk screening tool among Nigerian patients with schizophrenia
Published in International Journal of Psychiatry in Clinical Practice, 2018
Olutayo Aloba, Olufemi Esan, Taiwo Alimi
This study was descriptive cross-sectional in nature, involving 211 outpatients who were receiving treatment for schizophrenia, diagnosed according to the criteria in the International Classification of Diseases and Disorders, 10th version (International Classification of Diseases 1992). The patients were recruited from two tertiary health care centres in south-western Nigeria. Eligibility criteria for participation include; aged 18 and above, able to read and write in both English and Yoruba language which is the native tongue in south-western Nigeria, the absence of cognitive impairment, and the severity of psychopathological symptoms during presentation at the outpatient clinics is not severe to the extent where it would interfere with their ability to give consent or participate. All the patients who fulfilled the eligibility criteria were consecutively recruited over a period of 6 months (August 2016 to January 2017). Two hundred and four of the patients (96.7%) were on treatment for paranoid schizophrenia, while five (2.4%) and two (0.9%) were receiving treatment for catatonic and undifferentiated schizophrenia, respectively.
Wernicke Encephalopathy in schizophrenia: a systematic review
Published in International Journal of Psychiatry in Clinical Practice, 2021
Erik Oudman, Jan W. Wijnia, Misha J. Oey, Mirjam J. van Dam, Albert Postma
We identified 15 case descriptions in the published literature (see Figure 1 for a flow-chart and Table 1 for descriptions), suggesting that WE is a relatively uncommon medical condition associated with schizophrenia (McGrath et al. 2008). Ten male patients, and five female patients were included. Six cases reported food-related delusions or hallucinations, such as a food poisoning delusion (Doraiswamy et al. 1994; Newman et al. 1998; Felix et al. 2012), imperative hallucinations that instruct patients to stop eating (Tsai et al. 2004), an extreme slimming cure (Hargrave et al. 2015), or the delusion of food stuck in the throat (Harper et al. 1986). Two cases experienced the delusion that they were dying from a tumour, resulting in diminished intake (Spittle and Parker 1993; Salawu and Kwajaffa 2007). In two cases, vomiting as a consequence of a complication was the origin of the development of WE (Kaineg and Hudgins 2005; McCormick et al. 2011). In one case, there was no apparent reason for the development of WE other than schizophrenia itself (Casanova 1996). In five cases, paranoid schizophrenia was diagnosed (Casanova 1996; Salawu and Kwajaffa 2007; Harrison et al. 2006; Felix et al. 2012; Hargrave et al. 2015). Two cases had schizoaffective disorder (Newman et al. 1998; Kaineg and Hudgins 2005), and in two cases alcohol use disorder was also diagnosed (MacDonell and Wrenn 1991; Park et al. 2009).
Related Knowledge Centers
- Delusion
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