DELUSIONAL DISORDER - DELUSIONAL DISORDER DSM-IV 297.1...

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DELUSIONAL DISORDER DSM-IV 297.1 Delusional disorder SPECIFIC TYPE: Erotomanic (delusions that another person of higher status is in love with the individual) Grandiose (delusions of inflated worth, power, knowledge, identity, or special relationship to a deity or  famous person) Jealous (delusions that one’s sexual partner is unfaithful) Persecutory (delusions that one, or someone to whom one is close, is being malevolently treated in some  way) Somatic (delusions that one has some physical defect or general medical condition) Mixed (delusions characteristic of more than one of the above types, but no one theme predominates) ETIOLOGICAL THEORIES Psychodynamics Emotional development is delayed because of a lack of maternal stimulation / attention. The infant is  deprived of a sense of security and fails to establish basic trust. A fragile ego results in severely impaired  self-esteem, a sense of loss of control, fear, and severe anxiety. A suspicious attitude toward others is  manifested and may continue throughout life. Projection is the most common mechanism used as a defense  against feelings. Biological A relatively strong familial pattern of involvement appears to be associated with these disorders.  Individuals   whose   family   members   manifest   symptoms   of   these   disorders   are   at   greater   risk   for  development than the general population. Twin studies have also suggested genetic involvement. Family Dynamics Some theorists believe that paranoid persons had parents who were distant, rigid, demanding, and  perfectionistic, engendering rage, a sense of exaggerated self-importance, and mistrust in the individual.  The clients become vulnerable as adults because of this early experience. CLIENT ASSESSMENT DATA BASE Refer to CP: Schizophrenia for physical symptoms. Ego Integrity May present with severe anxiety; inability to relax, exaggeration of difficulties, being easily agitated Expresses feelings of inadequacy, worthlessness, lack of acceptance, and trust of others Demonstrates difficulty in coping with stress, uses maladjusted coping mechanisms (e.g., excessive use of  projection and aggressive behavior, takes unnecessary precautions, avoids accepting blame) Neurosensory Nonbizarre delusional system of at least 1 month’s duration Experiencing emotions and behavior congruent with the content of belief system / fears that either self or  significant others are in danger, are being followed / conspired against, poisoned, infected; have a  disease; are being deceived by one’s spouse, cheated by others; are loving / being loved from a 
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DELUSIONAL DISORDER - DELUSIONAL DISORDER DSM-IV 297.1...

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