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DSM - Schizophrenia
Delusions
Question | Answer | Answer | Answer |
---|---|---|---|
What are Schizophrenial etc. defined by? | Abnormalities in 1 or more of the following domains: 1. delusions 2. hallucinations 3. disorganized thinking (speech) 4. grossly disorganized or abnormal motor behavior (including catatonia), 5. negative symptoms | ||
What are delusions? | fixed beliefs that are not amenable to change in light of conflicting evidence | ||
What may their content include? | A variety of themes Example: 1. persecutory 2.referential 3. somatic 4. religious 5. grandiose) | ||
Persecutory delusions | belief that one is going to be harmed, harassed, and so forth by an individual, organization, or other group) are most common | ||
Referential delusions | belief that certain gestures, comments, environmental cues, and so forth are directed at oneself) are also common | ||
Grandiose delusions | when an individual believes that he or she has exceptional abilities, wealth, or fame) are seen. | ||
Erotomanic delusions | when an individual believes falsely that another person is in love with him or her) are also seen. | ||
Nihilistic delusions | the conviction that a major catastrophe will occur | ||
Somatic delusions | focus on preoccupations regarding health and organ function | ||
When are delusions deemed bizarre? | if they are clearly implausible and not understandable to same culture peers and do not derive from ordinary life experiences. | ||
An example of a bizarre delusion | the belief that an outside force has removed his or her internal organs and replaced them with someone else’s organs without leaving any wounds or scars. | ||
An example of a nonbizarre delusion | the belief that one is under surveillance by the police, despite a lack of convincing evidence. | ||
Delusions that express a loss of control over mind or body are generally considered to be bizarre include: | •the belief that one’s thoughts have been “removed” by some outside force (thought withdrawal) | •that alien thoughts have been put into one’s mind (thought insertion) | •that one’s body or actions are being acted on or manipulated by some outside force ((delusions of control) |
The distinction between a delusion and a strongly held idea depends in part on what? | depends in part on the degree of conviction with which the belief is held despite clear or reasonable contradictory evidence regarding its veracity. |