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Delusional disorder, traditionally synonymous with paranoia, is a mental illness in which a person has delusions, but with no accompanying prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect. [6] [7] Delusions are a specific symptom of psychosis.
This is one of the types of primary delusions in which a firm belief comes into the individual's mind "out of the blue" or as an intuition, hence called "delusional intuition". Other types of primary delusions include delusional mood (or atmosphere), delusional (apophanous) perception and delusional memories.
A delusion [a] is a fixed belief that is not amenable to change in light of conflicting evidence. [2] As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or some other misleading effects of perception, as individuals with those beliefs are able to change or readjust their beliefs upon reviewing the evidence.
The two-factor model of delusions posits that dysfunction in both belief formation systems and belief evaluation systems are necessary for delusions. Dysfunction in evaluations systems localized to the right lateral prefrontal cortex, regardless of delusion content, is supported by neuroimaging studies and is congruent with its role in conflict ...
At least 50% of the diagnosed cases of schizophrenia experience delusions of reference and delusions of persecution. [ 22 ] [ 23 ] Paranoia perceptions and behavior may be part of many mental illnesses, such as depression and dementia, but they are more prevalent in three mental disorders: paranoid schizophrenia , delusional disorder ...
In rare instances, it can include delusions of immortality. [9] Syndrome of delusional companions is the belief that objects (such as soft toys) are sentient beings. [10] Clonal pluralization of the self, where a person believes there are multiple copies of themselves, identical both physically and psychologically, but physically separate and ...
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In delusional disorder there is some evidence that pimozide has superior efficacy compared with other antipsychotics. Psychosocial psychiatric interventions can enhance the quality of life through allowing some social functioning, and treating comorbid disorders is a priority for secondary erotomania. [ 5 ]