22.2.2013 | 20:31
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A delusion is a belief held with strong conviction despite superior evidence to the contrary.[1] As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, or other effects of perception.
Delusions typically occur in the context of neurological or mental illness, although they are not tied to any particular disease and have been found to occur in the context of many pathological states (both physical and mental). However, they are of particular diagnostic importance in psychoticdisorders including schizophrenia, paraphrenia, manic episodes of bipolar disorder, and psychotic depression.
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Although non-specific concepts of madness have been around for several thousand years, the psychiatrist and philosopher Karl Jaspers was the first to define the three main criteria for a belief to be considered delusional in his 1913 book General Psychopathology.[2] These criteria are:
certainty (held with absolute conviction)
incorrigibility (not changeable by compelling counterargument or proof to the contrary)
impossibility or falsity of content (implausible, bizarre or patently untrue)[3]
Furthermore, when a false belief involves a value judgment, it is only considered as a delusion if it is so extreme that it cannot be or ever can be proven true (example: a man claims that he flew into the sun and flew back home. This would be considered a delusion). [4]
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Delusions are categorized into four different groups:
Bizarre delusion: A delusion that is very strange and completely implausible; an example of a bizarre delusion would be that aliens have removed the affected person's brain.
Non-bizarre delusion: A delusion that, though false, is at least possible, e.g., the affected person mistakenly believes that he is under constant police surveillance.
Mood-congruent delusion: Any delusion with content consistent with either a depressive or manic state, e.g., a depressed person believes that news anchors on television highly disapprove of him, or a person in a manic state might believe she is a powerful deity.
Mood-neutral delusion: A delusion that does not relate to the sufferer's emotional state; for example, a belief that an extra limb is growing out of the back of one's head is neutral to either depression or mania.[5]
Félagsmenn VG viršast flestir haldnir svona Bizarre delusions, į mešan kvennadeild VG er meira meš svona Non-bizarre.
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To define delusional thinking in a specific patient, it is important to consult a local psychiatrist who can make a thorough examination before diagnosing the problem.[34] Explaining the causes of delusions continues to be challenging and several theories have been developed. One is the genetic or biological theory, which states that close relatives of people with delusional disorder are at increased risk of delusional traits. Another theory is the dysfunctional cognitive processing, which states that delusions may arise from distorted ways people have of explaining life to themselves. A third theory is called motivated or defensive delusions. This one states that some of those persons who are predisposed might suffer the onset of delusional disorder in those moments when coping with life and maintaining high self-esteem becomes a significant challenge. In this case, the person views others as the cause of their personal difficulties in order to preserve a positive self-view.[35]
This condition is more common among people who have poor hearing or sight. Also, ongoing stressors have been associated with a higher possibility of developing delusions. Examples of such stressors are immigration or low socio-economic status.[36]
Researcher, Orrin Devinsky, MD, from the NYU Langone Medical Center, performed a study that revealed a consistent pattern of injury to the frontal lobe and right hemisphere of the human brainin patients with certain delusions and brain disorders. Devinsky explains that the cognitive deficits caused by those injuries to the right hemisphere, results in the over compensation by the left hemisphere of the brain for the injury, which causes delusions.[37]
A study carried out by a team from The Warwick Medical School at the University of Warwick, Coventry, England, led by Andrea Schreier, Ph. D., indicated that children who suffered bullying are more likely to develop psychotic symptoms in early adolescence. The background facts demonstrated that hallucinations and delusions are common in childhood as well as in adulthood and that children who experience such symptoms are more prone to develop psychosis later in life. Furthermore, the study demonstrated that the risk of psychotic symptoms, including delusions, was multiplied by two for children who suffered bullying at age eight or ten. The authors remark that bullying can cause chronic stress that may have an effect on a genetic predisposition to schizophrenia and result in setting off the symptoms.[38]
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Athugasemdir
Ekki hęgt aš skilgreina žį betur.
Siguršur Kristjįn Hjaltested (IP-tala skrįš) 23.2.2013 kl. 22:33
Sem er ógnvekjandi.
Įsgrķmur Hartmannsson, 24.2.2013 kl. 20:18
Bęta viš athugasemd [Innskrįning]
Ekki er lengur hęgt aš skrifa athugasemdir viš fęrsluna, žar sem tķmamörk į athugasemdir eru lišin.