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Keywords: delirium, psychiatry, lecture, thinking, frustration of thinking, crazy frustration, definition, concept of delirium, classification, paranoica delirium, paranoiac delirium, paraphrenic delirium
Lecture ¹4.
DELIRIUM
There are some definitions of delirium.
On Snezhnevskydelirium- the wrong conclusion arising on a pathological basis, completely changing outlook of the patient which is not giving in to correction from the outside and from within and eventually undergoing certain dynamics.
Other definition:delirium- statements of the patient not giving in to belief.
" The Delirium and health of concept incompatible " - the patient is in a psychotic condition.
At delirium of belief as against supervaluable ideas - are noneffective.
The delirium is not uniform on the frame and the maintenance.
On frame the delirium is classified:
- Paranoiac delirium (a synonym: initial - systemic - interpretive - intellectual) - it is very difficult to find out at early stages. It is under construction under laws of " curve logic ". The chain of statements can be very plausible and to find defect in thinking of the patient wide experience is necessary. The paranoiac delirium arises at mature age. Usually - 40-45 years. At this a kind of delirium " the patient correctly thinks in limits of is false fixed trues ". Classification is see lower.
- Paranoica delirium (a synonym: secondary - sensitive - figurative) - arises after other signs. Frequently wears acute persekutornyj character. Sharply is evident. Frequently proceeds as Kandinsky - Klerambo sign (a persecution complex or influences, pseudohallucinations, mental avtomatizmy).
- Paraphrenic delirium- delirium of the fantastic maintenance. The persecution complex + delirium of greatness can be combined with other kinds, for example. Frequently the paraphrenic delirium breaks up.
Under the maintenance allocate the following kinds of delirium.
- - patients count Delirium of a notable parentage, that their present parents - high-ranking people.
- Delirium sutjazhnichestva (kveruljanstva)- patients struggle for the certain idea - complaints, courts, letters to a management (detailed as at epileptoidov). They are very active in achievement of the purpose. It is frequently shaped at psychopathies (frustration of the person) when the person gets in a judicial situation.
- Hypochiondrial delirium- the patient " is in love with the illness ". At him conviction available any disease. Frequently this kind of delirium meets at a schizophrenia. It can start to be formed of a neurosis: not crazy hypochondria *mdash; *raquo; a crazy hypochondria. A neurosis *mdash; *raquo; neurotic depression (4-8 years) *mdash; *raquo; an attribute of pathological development of the person (psihopatizatsija) *mdash; *raquo; hypochiondrial development of the person.
- - the patient is jealous Delirium of jealousy without the fact of change. " Sadomazohistsky a complex " patients with delirium of jealousy - elements of careful interrogation of object of jealousy are traced.
- Delirium of love charm- the patient is convinced, that it is loved by the known person and it reciprocates to it.
- " the Pursued persecutor "- this kind of delirium has 2 stages in the development. 1 stage - feels like the patient pursued (to it "badly" concern) - there is an internal deep processing. During the certain moment it openly states all. - the patient understands 2 stage, that is useless to struggle and escapes (leaves) - such patients frequently name " erratic paranoiacs " that they constantly change a place of work, move from city in city, etc.
- - the patient constantly something invents Delirium of invention. Sometimes it is really talented people.
- Delirium of reforms- the patient is convinced, that reorganization a society is necessary for the world, a society.
A result on a theme: the delirium concerns to psychotic conditions. Attempt to overpersuade the patient - is useless and even is dangerous.
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Keywords: delirium, psychiatry, lecture, thinking, frustration of thinking, crazy frustration, definition, concept of delirium, classification, paranoica delirium, paranoiac delirium, paraphrenic delirium
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