Symptoms Of Paranoid Schizophrenia Research Articles

Paranoid Schizophrenia Suffered by the Lead Character on “Kotoko” Movie by Shinya Tsukamoto

In this research, the writer explains about paranoid schizophrenia suffered by Kotoko. The purpose of this research is to analyze the characteristics and symptoms of paranoid schizophrenia. The data were taken from “KOTOKO” movie created by Shinya Tsukamoto (2011). The method used to analyzed the data is descriptive qualitative. Within modern social society, schizophrenia is a kind of social phenomenon problem. The symptom that usually appear in paranoid schizophrenia is delusions and hallutinations. The results show that becoming a single mother, post traumatic stress, over protective individual trigger the paranoid schizophrenia.

Gender peculiarities of paranoid schizophrenia in the modern context

The purpose of the work is to study the clinical-psychopathological and social-psychological features of patients with paranoid schizophrenia in terms of gender aspect. Materials and methods. The article analyzes peculiarities of clinical and psychopathological phenomenology and social support in 53 men and 49 women with paranoid schizophrenia who were in inpatient treatment at the Vinnytsia Regional Psychoneurological Hospital Academic Yushchenko Memorial in 2015–2018. Results. It was established that the most common symptoms of paranoid schizophrenia were expressed and significant changes in the general behavioral quality (100.0 %), negative symptoms (96.1%) and persistent delusional symptomatology (93.1 %), while chronic paranoid symptoms (66.7 %) and delusion of mastery, influence or inactivity, and delusional perception (61.8 %), as well as verbal hallucinations (58.8 %) were less common. At the same time, men showed significantly more symptoms of alienation of mental processes (34.0 %versus 16.3 %, P < 0.05), persistent delusional ideas (98.1 % versus 87.8 %, P < 0.05), neologisms, sperrung, incoherent speech (24.5 %versus 8.2 %), catatonic behavior (13.2 % versus 2.0 %, P < 0.05) and negative symptoms (100.0 % versus 91.8 %, P < 0.05). Men had significantly greater severity of delusion (5.45 ± 0.82 points versus 4.96 ± 1.19 points, P < 0.05), thought disorder (4.42 ± 1.01 points versus 3.71 ± 0.74 points, P < 0.01), all the negative symptoms, motor retardation (3.74 ± 1.13 points versus 2.96 ± 1.37 points, P < 0.01), a decline in insight into illness (5.30 ± 1.07 points versus 4.80 ± 1.19 points, P < 0.05), disturbance of volition (4.49 ± 0.95 points versus 3.92 ± 0.86 points, P < 0.01), preoccupation (4.70 ± 0.82 points versus 4.27 ± 0.76 points, P < 0.05). Patients with paranoid schizophrenia ranked low on the disability scale, which corresponded to apparent dysfunction, and men showed significantly lower rates on all the scales. Correlation revealed relations between the symptoms of schizophrenia severity and disability rates. Patients with paranoid schizophrenia were characterized by high rates of depression (in general 58.39 ± 14.64 points, men – 63.34 ± 13.50 points, women – 53.04 ± 14.05 points, P <0.01), trait anxiety (48.83 ± 10.89 points, 51.74 ± 9.20 points, and 45.69 ± 11.77 points accordingly, P < 0.05), state anxiety (44.98 ± 7.44 points, 47.49 ± 5.54 points and 42.27 ± 8.30 points, P < 0,01), well-being (32.04 ± 4.37 points, 30.72 ± 3.47 points and 33.47 ± 4.82 points, P < 0.01), activity (29.03 ± 3.75 points, 28.04 ± 2.78 points, 30.10 ± 4.35 points, P < 0,01), mood (29.16 ± 4.46 points, 30.17 ± 3.50 points and 28.06 ± 5.12 points, P < 0.01). Patients with paranoid schizophrenia had a low family (0.47 ± 0.66 points, 0.36 ± 0.68 points and 0.59 ± 0.61 points, P < 0.05), friends (0.79 ± 0.74 points, 0.66 ± 0.78 points and 0.94 ± 0.66 points, P < 0.05) and significant others (0.56 ± 0.74 points, 0.40 ± 0.66 points and 0.73 ± 0.78 points, P < 0.05) social support. Conclusions. The obtained data testify to the presence of gender differences in clinical-psychopathological manifestations and social-psychological characteristics of patients with paranoid schizophrenia.

PARANOID SCHIZOPHRENIA NEGATIVE SYMPTOMS FEATURES IN CASE OF PRESENCE OF MUSICAL EAR

In our work, we propose one of the options for a prognostic criterion, which at the beginning of the disease can provide sufficient evidence to predict the form and severity of negative symptoms in schizophrenia. Aim. To investigate the influence of the presence of ear on music on the degree of severity of deficiency symptoms in paranoid schizophrenia. The study was conducted on the basis of the third clinical department of the Lviv Regional Clinical Psychiatric Hospital for the period of 2015. 40 patients with paranoid form of schizophrenia, aged 18 to 35, were examined, of which: group I – 20 patients with advanced ear on music (average age 28.60±1.01 years) and group II – 20 patients with no ear on music (average age 27.30±1.15 years). The main methods of studying the observation groups were: clinical-psychopathological, pathopsychological, and statistical. The pathopsychological study of the evaluation of negative symptoms was conducted using the "Qualitative Assessment Scale for Positivity, Negative and General Psychopathological Syndromes" (PANSS – Positive and Negative Syndrome Scale), namely, its PANSS-NS subscale. Comparison of the probability of the difference between the average indices of unrelated groups was carried out using the Mann-Whitney method, comparing the relative parameters of the distribution structure by the xi-square criterion. Analysis of the results of the study shows that in patients with developed ear on music, the level of deficiency symptoms of negative symptoms under the PANSS-NS subclass is 2.2 times lower (p &lt;0.01) than in patients with no developed ear on music: 2.04±0.14 against 4.46±0.17 points, respectively. Comparing the key indicators of the PANSS-NS subscale in patients with paranoid schizophrenia with advanced ear on music, it was found that the manifestations of "Violations of abstract thinking" (N5 – 2.35±0.15 points), "Violation of spontaneity and smoothness in the conversation" (N6 – 2.30±0.15 points) and "Stereotyped thinking" (N7 – 2.20±0.16 points). All these negative symptoms were in patients with muscular earache with significantly lower scores: from lack of severity (1 point) to weakness (3 points). The lack of expressiveness (1 point) was most common in N4 "Passive-apathy social strangeness " - 35.00±10.67 % of patients, very weak severity (2 points) - for N1 "Blurred passion" - 75.00±9.68 % of patients (p &lt;0.05 with the proportion of negative symptoms 1 and 3 points), weakness (3 points) - for N5 – 45.00±11.12 % of patients (p &lt;0.05 with the proportion of negative symptoms 1 point ) The highest proportion (70.00±10.25 %, p &lt;0.05 with a share of negative symptoms of 6 points) of patients with paranoid schizophrenia without ear on music had a high severity (5 points) of rigidity and stereotyping of thinking (N7). The obtained data prove the influence of the factor of the presence of ear on music on deficit syndrome, as well as on the forms and degree of severity of negative symptoms in paranoid schizophrenia.

Reflection of local and universal historical time in symptoms of paranoid schizophrenia

Psychopathological signs reflect general and significant phenomenon, the whole “extract” of a particular historical time, consisting of a bizarre set of events, influential characters twisted in an individual history of a patient. Except detailed “real” clinical picture reflecting socio-political events, authors consider formatting mechanisms of “unreal” content of hallucinatory-delusional symptoms. In such cases, main heroes are mythological characters for example gins or intimidating heroes of modern movies like vampires and zombies. Events in the social sets, such as Facebook and Instagram are also reflected in experiences of patients. Authors focus their attention on a paradox of logical reflection of events in the context of delusional symptoms versus paralogical interpretations. Research is based on clinical cases, and shows up a spectrum of mechanisms of how events are either included or ignored in the forming a content of psychopathological experiences.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Voices, their origin, and ways to address them: Two propositions and a resolution

This article reflects on symptoms of paranoid schizophrenia (voice hearing) and speculates that these could be caused by either telepathy or trauma. It discusses supporting literature, arguments and evidence for both assumptions. The article then integrates these two perspectives into one synthetic explanation. Finally, it provides an approach for dealing with the voices based on this synthetic explanation.

Light chain deposition disease restricted to the brain: the first case report

A 35-year-old white male with symptoms of paranoid schizophrenia was treated by psychiatrists for 13 years. During the final year, he developed severe dysphagia, reduced strength of the upper extremity muscles, and cognitive dysfunction. The patient died in his sleep. The only pathology found in coronal brain sections was ill-defined periventricular foci with prominent, firm vessels. Microscopy revealed abundant, hematoxylin and eosin-eosinophilic, periodic acid-Schiff-positive, thioflavin T-positive, and Congo red-negative deposits in the vessel walls, with hypoxic encephalopathy in the affected regions. Immunohistochemistry showed lambda light chains as the main component of the deposits. Ultrastructural analysis showed amorphous electron dense material in the vessel walls. Perivascular B-cell proliferation was present in the vicinity of affected areas. Polymerase chain reaction was applied for the assessment of B-cell clonality, revealing monoclonal rearrangement of the heavy chain Ig gene. Neither in the kidney nor in any other organ were deposits detected. This is the first case report of light chain deposition disease restricted to the brain.

Psychiatrists Invited to Peer Inside ‘A Beautiful Mind’

Back to table of contents Previous article Next article Annual MeetingFull AccessPsychiatrists Invited to Peer Inside ‘A Beautiful Mind’Ken HausmanKen HausmanSearch for more papers by this authorPublished Online:3 May 2002https://doi.org/10.1176/pn.37.9.0032The film that last month won moviedom’s top honor, the Academy Award as the best picture of 2001, is a rare breed for another reason as well. It is a mainstream Hollywood production that has garnered rave reviews from psychiatrists and mental health professionals for its compassionate and realistic portrayal of what it is like to suffer from a severe mental illness. Film devotees who want a second look and curious psychiatrists who missed it in theaters will have a chance to see “A Beautiful Mind” when it plays at this month’s APA annual meeting in Philadelphia.“A Beautiful Mind” is based on the life of genius mathematician John Nash Jr. The film was adapted from a biography of Nash written by Sylvia Nasar.Early in the film Nash is an arrogant, socially awkward mathematics graduate student at Princeton when he begins to experience delusions and hallucinations that are eventually diagnosed as symptoms of paranoid schizophrenia. (In real life, he actually developed his symptoms after leaving Princeton for a teaching position at M.I.T. in 1951 at age 30.)The film, which also won Oscars for director Ron Howard and Jennifer Connelly, who played Nash’s wife, Alicia, convincingly portrays his paranoid delusions as they become more and more complex and increasingly interfere with his ability to function. For much of the movie viewers have difficulty telling which scenes depict real life and which depict his delusions.Nash, portrayed by Russell Crowe, eventually became so psychiatrically disabled that he was hospitalized. The primary treatment he received was insulin coma therapy, which along with ECT was the only treatment that had demonstrated any impact on schizophrenia symptoms by the time of his illness. The treatment relieved his symptoms for a while, but the improvement was short lived. Nash rebelled at the insulin treatments and later the severe side effects he had to endure from medication, and he refused further treatment.While he was able to solve astoundingly difficult math problems in the early years of his illness, it soon prevented him from holding a job. The film also shows his illness progressively compromising his ability to care for his infant son while his wife was at work.The film dramatizes how Nash managed through willpower and the support of his wife to learn to ignore his delusions, though they still plague him 50 years later. He eventually regained enough contact with reality and control over the manifestations of his illness that he was able to return to Princeton to continue his research. In 1994 Nash won the Nobel Prize for Economics for his discoveries of the ways in which game theory determines economic cycles and events and controls other aspects of life.Much of the praise for “A Beautiful Mind” comes from Howard’s directorial choices, which do not rely on any of the usual cliches Hollywood uses to depict mental illness. The film is instead the portrait of a brilliant but very sick man dealing with a debilitating illness that has made his life extraordinarily difficult.Also important in the film’s positive reception by psychiatrists, patients, and advocates is that it avoids the typical happy Hollywood ending. Nash’s illness is something he will have to live with for the rest of his life.The movie will be shown on Wednesday, May 22, at 2 p.m. in the Loews Hotel. The discussant will be Max Fink, M.D., who was a consultant to the filmmakers and the only psychiatrist credited at the end of the movie. Fink began his residency in 1952 at New York’s Hillside Hospital, a psychiatric facility that had a 22-bed insulin coma therapy unit. He headed that unit for six years. ▪ ISSUES NewArchived

Personality, Premorbid Adjustment and Symptoms in Paranoid Schizophrenia

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Depressive Symptoms in Paranoid Schizophrenia

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Folie à Quatre

A case of folie à quatre is described affecting a proband and his wife, sister and brother. The three family members retained their symtoms of paranoid schizophrenia. The wife was not mentally ill and her delusions disappeared in time (folie imposée). Coincidentally, there were several cases of Huntington's chorea amongst her relatives. Different categories of folie à deux are demonstrated in the various family members and relationships.