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Paranoid frustration of the personality
Paranoid frustration of the personality which it is also accepted to call paranoia is a form of psychosis at which the person periodically has crazy ideas, or they become stronger in his consciousness. But at the same time normal mental capacities and rather correct thinking remain. Sharp changes of mood at the patient are also not noted.
Paranoya is a state at which the patient shows suspiciousness and mistrust to people. At the same time he too strongly believes in own abilities and ideas. Therefore, at such people the self-assessment is overestimated, rigidity of mentality and tendency to suspiciousness is noted.
Some specialists consider as the reasons because of which at the person develops paranoya disturbances in the early period development of the child. Excessive insistence of parents can exert a negative impact. As a rule, it is the exacting father and mother who is too sponsoring the kid discharged of the child's life, but at the same time which at the same time rejects the child. Owing to high insistence the child develops the negative and mistrustful attitude to all who surround it and accumulates a number of negative feelings. There is also a theory that paranoia is shown at the person under the influence of a genetic factor. However till today scientists only put forward theories concerning the factors provoking paranoid frustration. Exact causes of illness are meanwhile not defined.
Since the early childhood at the people inclined to paranoia, unilateral interests are noted. They are stubborn, prefer to state own judgments rectilinearly. Their activity conducts to the fact that such people aim to be leaders, at the same time often ignoring resistance of other people. If someone does not agree with opinion of the person, inclined to paranoid frustration, he expresses extreme indignation. Paranoid psychopaths very hard forgive even the most insignificant offenses, and they treat people around scornfully, haughty. Approximately by 20 years at such people signs of paranoiac reactions and supervaluable ideas form.
The condition of people at which the paranoid syndrome develops is aggravated with age.
It is very difficult to patient with such neurotic frustration to build daily communication in society and in a family. First of all, an obstacle to normal coexistence is lack of ability to make a compromise and acceptance only of own opinion.
The paranoid especially is interested only in what is connected directly with his person, and concerns his personal interests. All spheres which do not affect his personality the person considers such that do not deserve attention.
Doctors determine by one more feature of such state the fact that the paranoid can be absolutely indifferent to problems of own somatic state. If the patient receives news that he is seriously ill a somatopathy, he does not react to this fact as all other people. It has no alarm about it, the fear to die, mood at the person remains stable. Therefore, the patient can ignore completely a doctor's advice – not to take medicine, to practice the exercise stresses dangerous to his health.
Distinctive features of paranoids is supervigilance and mistrust to people around. These lines form in view of opposition of to other people, feeling of hostility of this world. The person constantly stays in a condition of search of external threats, it is ready to react to the slightest alarm signal.
Often the patient is afraid of infringement of his spouse, of property, of own rights. Mistrust to other people is gradually transformed to pronounced suspiciousness: at some point the person begins to realize that all concern him unfairly, wish to restrain his authority, to humiliate. The paranoid is not capable to interpret words and actions of others is versatile. As a result, it constantly has unreasonable suspicions.
One more distinctive feature of the person at whom paranoid frustration, this emergence of supervaluable ideas are shown. Over time supervaluable ideas completely subordinate themselves the person. Thus, the person does not manage own thoughts, and thoughts manage him.
Types of a paranoic psychopathy
Specialists distinguish two opposite options of paranoia: expansive (strong) and sensitive (weak).
Expansive paranoids are, as a rule, the conflict persons inclined to pathological jealousy, a pravdoiskatelstvo. Already since the childhood they are marked out by falsity, vindictiveness. Very often they point out other people the defects, however at themselves they do not notice them. Such people generally always treat own personality favourably, and even failures do not unsettle them.
It is very heavy to paranoids of this type to submit to someone, but they always stay in a condition of fight against personal opponents. For common cause they do not worry at all. At such people the increased rates of mental activity, vigor, fussiness, mobility are noted. Often this person does not even need rest, it is always vigorous.
Separately specialists allocate fanatics who also treat expansive paranoic persons. These patients show exclusive passion, being wholly given to one occupation. To one specific idea they subordinated practically all life. Often their obsession is expressed so strongly that they can attract to the subject of worship and other people. Fanatics blindly believe in what they subordinated life to, and do not demand proofs. However unlike patients with other types of paranoid frustration, fanatics do not push forward own personality. At the same time love and compassion to neighbors all of them do not show and often are cruel.
At sensitive option of paranoia in the person opposite lines are combined. On the one hand, psychopathies consists in a combination of contrast personal lines. On the one hand, the patient shows bashfulness, looks vulnerable. With another – it is ambitious, has the overestimated feeling of own advantage. Such patients are timid and timid, but at the same time especially hypochondriac, irritable. They subject themselves to self-excruciation, continuous introspection which negatively influences quality of their life. As a rule, the person has established standards to which he did not reach, and it provokes heightened sense of insolvency.
In view of the fact that paranoid frustration are many-sided, often take them for other mental diseases. Therefore for establishment of the diagnosis it is important to analyze all symptoms very in details. It is possible only if for the person long-term supervision is conducted.
There are special psychological tests, and also diagnostic programs which help to define that the person is subject to paranoia. But an important point is also the attitude towards the patient of close people who at suspicion on existence of symptoms at it this mental disease have to see a doctor.
Treatment of a paranoid syndrome by means of medicines is, as a rule, inefficient. But if nevertheless there is a need to receive medical treatment for medicamentous means, then the doctor after individual work with the patient has to select them only.
Therefore psychotherapy methods are applied. In the course of such treatment the doctor gradually explains to the patient in what the nature of his anger and suspiciousness, and also passes work on the hidden desires of the patient to have normal relations with people around. People learn to control alarm, to cope with mistrust, it is realistic to estimate acts and the relation of other people.
The people suffering from paranoid frustration have tendency to display of paranoid schizophrenia. Such form of a disease is shown at the person after 20 flyings. Crazy and hallucinatory frustration are characteristic of a disease. Depending on what frustration dominate in a clinical picture of an illness, it is allocated crazy and hallucinatory options of a course of an illness. At a combination of hallucinations and crazy ideas the hallucinatory paranoid syndrome is shown.
Paranoid schizophrenia with domination of crazy frustration is shown by nonsense of influence (the patient is sure that someone influences it and directs his behavior or thoughts); a persecution complex (the patient is sure that some mysterious organizations or groups wish to deal shortly with him); nonsense of the relation (to the person it seems that look at it, speak about it, laugh at it). There are also other types of nonsense with absolutely ridiculous ideas.
At domination of hallucinatory frustration auditory verbal hallucinations are most often shown. Sometimes there are corporal feelings, olfactory, flavoring, visual hallucinations.
At paranoid schizophrenia of change of the identity of the patient are expressed rather easily therefore he is capable to live independently. Often at paranoid schizophrenia excessive religiousness is noted. Disease can be both continuous, and incidental.
Features of communication with the patient with paranoia
If the loved one got sick with paranoid frustration, then an important point in the course of treatment is the correct approach to communication with it. The patient cannot allow to take alcoholic drinks at all. Control from close people of observance of all recommendations of the doctor, timely visit of sessions of psychotherapy is important.
It is important to that who lives near the paranoid to be adjusted on the fact that to be necessary for them a lot of patience. It is impossible to show aggression to the patient, to excessively express the emotions. Conversation needs to be carried on with it, as well as with the healthy person, but at the same time not to laugh at it. Tone of conversation has to be sure always and quiet. It is impossible to humiliate the patient. It is necessary to convince him that in his words there is a truth as attempts to overpersuade the person are doomed to a failure, on the contrary. But the most important – in time to address the specialist who will help to develop treatment tactics.
Section: Mental, depressive disorders