Paranoiac Psychoses: A Follow-Up

He, Refsum; Zivanovic, Sanja; Astrup, Christian

doi:10.1159/000117989

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…The proportion of chronic cases is higher than in the paranoia-resembling paranoiac psy choses [Refsum et al, 1984], Among the chronic cases 1 case was suspect of having developed an atypical schizo phrenic psychosis, but evaluated as a chronic reactive psychosis. The 21 chronic cases were distributed as fol lows: 10 had chronic persecutory psychoses, 1 a chronic jealousy psychosis, 1 a chronic hallucinatory psychosis, 4 chronic depressive reactive psychoses and 3 chronic manic-depressive psychoses.…”

Section: Resultsmentioning

confidence: 92%

“…They also are different from the typical manic-depressive psychoses, because of the paranoid symptomatology. Among our followed up benign functional psychoses these clinical conditions can fairly well be separated from other types of paranoid reactive psychoses [Astrup, 1984],…”

Section: Introductionmentioning

confidence: 76%

“…The duration of illness is as a rule short. In this respect the persecutory affective psychoses differ from paranoiaresembling reactive psychoses, where many cases have been psychotic for a long period before hospital admis sion [Refsum et al, 1984] (table V).…”

Section: Resultsmentioning

confidence: 99%

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Persecutory Affective Psychoses: A Follow-Up

Ji¹,

Astrup²

1985

Neuropsychobiology

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A series of 66 cases with persecutory affective psychoses was followed up between 5 and 44 years. These psychoses can be considered as a subgroup of catamnestically verified paranoid reactive psychoses. They comprise cases with and without clouded consciousness. The long-term prognosis is best for cases with clouded consciousness at the initial stage of the psychosis. The characteristics of premorbid personality, psychological precipitating factors and psychotic symptomatology are illustrated by several tables.

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Section: Resultsmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 76%

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Persecutory Affective Psychoses: A Follow-Up

Ji¹,

Astrup²

1985

Neuropsychobiology

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“…However, according to both diagnostic classifications the majority of the patients do not belong to either of the two major psychotic groups, schizophrenia or affective psychosis but rather to ill defined and less specific diagnostic groups about which guidelines for treatment and prognosis are less clear. Other clinicians have experienced this too, and so proposals of new clinical entities have turned up recently where delusional disorder, (31,32), delusional depression (33,34), paranoiac psychoses (35) and "paranoid psychoses" (36) are the ones mostly discussed.…”

Section: Discussionmentioning

confidence: 99%

Clinical course and outcome of delusional psychosis

Jørgensen

1987

Acta Psychiatr Scand

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The purpose of the study was to examine first-admitted patients with delusional psychosis meaning functional psychosis with paranoid symptoms with respect to clinical course and outcome. The index population comprised 88 patients. At discharge from first admission the patients were classified according to ICD-8 and DSM-III. According to both diagnostic classifications the majority of the patients did not belong to either of the two major psychotic groups, schizophrenia or affective psychosis. During the 2-year observation period half of the patients took psychotropic drugs continuously, and almost half of the patients experienced one or more relapses. One third of the patients were readmitted, and in average the patients stayed in the hospital for 4 months during the observation period including the time of index admission. At follow-up half of the patients revealed positive psychotic symptoms, while two thirds were moderately or severely impaired because of psychotic illness or personality dysfunction. It is concluded that the present aftercare treatment is insufficient to prevent relapse and psychotic symptoms. In consequence of this the existence of delusions at first admission to hospital because of functional psychosis seems for many to predict an unfavourable course and outcome. Further study will search for clinical and social predictors of course and outcome in patients with delusional psychosis.

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“…The psychiatric literature has tended to focus almost exclusively on querulous behaviour as it manifests as part of paranoid or delusional disorders (Astrup, 1984;Johanson, 1964;Kolle, 1931;Munro, 1999;Pang, Ungvari, Lum, Lai, Leung, 1996;Refsum, 1983;Ungvari, 1995;Winokur, 1977). Though classical psychiatry recognized that the querulous were not necessarily psychotic, and that the condition could represent a psychogenic reaction (Jaspers, 1923;Kraepelin, 1904) the terminology betrays the centrality of delusion with labels such as querulant paranoia (Kraepelin, 1904), paranoia querulantium (von Krafft-Ebbing, 1879), and litigious paranoia (Goldstein, 1995).…”

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confidence: 99%

Vexatious litigants and unusually persistent complainants and petitioners: from querulous paranoia to querulous behaviour

Mullen

Lester

2006

Behavioral Sci & The Law

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Querulous paranoia was once of considerable clinical and academic interest in psychiatry. Over the last 40 years, however, it has virtually disappeared from the professional landscape. This decline occurred at the very time that a proliferation of complaint organizations and agencies of accountability were drawing more and more people into asserting their individual rights through the pursuit of claims and grievances. Querulous behaviour, as a result, far from declining, is on the increase, bringing with it suffering for the querulous and disruption to the organizations through which they seek their vision of justice. This article examines querulous behaviour in the vexatious litigant and in abnormally persistent complainants and petitioners. The phenomenological and nosological issues are outlined and the risks of the emergence of threatening and violent behaviour is emphasized. Threats should not be ignored, for a variety of reasons. Approaches to managing querulous behaviour in the courts and the complaint organizations are discussed, together with the utility of individual therapy. Querulous behaviour should once more take its place among the legitimate concerns of mental health professionals. Those caught up in a querulous pursuit of their notion of justice are amenable to management that can ameliorate their suffering and reduce the disruption they create.

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Paranoiac Psychoses: A Follow-Up

Cited by 10 publications

References 6 publications

Persecutory Affective Psychoses: A Follow-Up

Persecutory Affective Psychoses: A Follow-Up

Clinical course and outcome of delusional psychosis

Vexatious litigants and unusually persistent complainants and petitioners: from querulous paranoia to querulous behaviour

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