Because homosexuality is consciously inadmissible to some patients, male patients deny this feeling of “I love him” and change them by reaction formation into “I do not love him”. ĮTIOLOGY Psychodynamic factors Freud`s contributions In Dr Schreber case, Freud theorized that denial and projection defend against unconscious homosexual tendencies. conversely, patients with neurological disorder with intellectual impairments often have simple delusions, unlike those in-patients with delusional disorder. patients whose delusions are caused by neurological disease that does not affect cerebral cortex tend to have complex delusions, similar to those in-patients with delusional disorder. ĮTIOLOGY Biological factors neurological conditions most commonly associated with delusions are conditions that affect the limbic system and the basal ganglia. suspiciousness, jealousy, and secretiveness) in the relatives of delusional disorder probands. Family studies increased prevalence of delusional disorder and related personality traits (egg. some association with recent immigration and low socioeconomic status ĮTIOLOGY As with all major psychiatric disorders, the cause of delusional disorder is unknown. mean age of onset: 40 years range for the age of onset runs from 18 to the 90s. underreported - delusional patients rarely seek psychiatric help annual incidence: 1-3 new cases per 100,000 people, about 4% of all first admissions to psychiatric hospitals. HISTORY Kraepelin – paranoia - persistent delusional system in the absence of hallucinations and personality deterioration Bleuler – paranoia: distinct from schizophrenia rare condition Freud – hypothesis that paranoid delusions develop from repressed homosexual impulses ĮPIDEMIOLOGY relatively rare (the prevalence = 0,03).

Kahlbaum (1863) – paranoia - partial insanity that affects the intellect but not other areas of functioning HISTORY Esquirol (1838) - monomania - characterize delusions with no associated defect in logical reasoning or general behavior.

In modern usage, paranoia is taken to mean extreme suspiciousness, usually not based on realistic assessment of the situation. HISTORY The former term paranoia was derived from Greek words meaning “beside” and “mind”. Dr Miroslava Jašović-GašićĭELUSIONAL DISORDER DEFINITION: a psychiatric disorder in which the predominant symptoms are delusions Formerly called paranoia or paranoid disorder.

Delusional disorder dsm 5