Paranoid Schizophrenia and the Paradoxical Path to Paraphrenia and Affectivity – A Case Study

Abstract

Motivation: Analyzing a case of paranoid schizophrenia is a challenge to understand the mechanisms underlying the mind of a schizophrenic. The study became captivating because in the patient's delusional cofabulations there were many fingerprints that the communist period of that time left on the woman's psyche, thus observing the repressions following personal failures that probably led to the current state.
 Objective: Carrying out an analysis of the life history of a patient with paranoid schizophrenia who, although voluntarily presenting at the hospital, does not recognize her diagnosis and treatment. It presents symptoms that include the delusional ideas of persecution or greatness. It has two possible admissions, currently admitted to the psychiatric department in Bucharest.
 Results: The patient presents disorders regarding perception, memory, affectivity, observing a disorganized discourse that includes a qualitative perceptual disorder, schizophrenia-specific hypoprosexias, disorders of the immediate mental synthesis with illusions of non-recognition, impossibility of evoking recent events, mental and ideation disorganization, the reversal of the affective, which generates conflicting emotional experiences.
 Conclusion: Although the patient is under treatment, insight is still not present, so patient supervision is recommended. The paranoid nucleus has diminished, but delusional ideas still persist, and the patient became affected during hospitalization.