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Comparing Psychotic Disorders - Research Paper Example

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COMPARING PSYCHOTIC DISORDERS: Schizophrenia Paranoid Vs Delusional Disorder Schizophrenia is a serious mental illness that affects 1% of the population worldwide (i.e. about 1 in every 100 people) (Taber, Lewis, & Hurley, 2001). On the whole the term schizophrenia represents a syndrome that is linked to long term or duration, bizarre delusions, depressing signs, and a small amount of emotional symptoms (Os & Kapur, 2009)…
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495). This paper compares and contrasts on the bases of symptoms, diagnosis and treatment the two subtypes of Schizophrenia - Paranoid and the Delusional Disorder. “The vital characteristic of the Paranoid Schizophrenia is the existence of well-known delusions or auditory hallucinations” where none of the following problems are prominent: disorganized speech, disorganized or catatonic behaviors, or flat or inappropriate affect is present (American Psychiatric Association, 2000, p. 313). In the case of Delusional disorder, “the essential feature is the presence of one or more non-bizarre delusions that persist for a minimum period of one month.”  (American Psychiatric Association, 2000, p. 323). Non-bizarre delusions involve circumstances that may possibly happen in real life such as a feeling of being followed or tracked by someone, poisoned, etc. (Brooks, 2010), In case of paranoid schizophrenia, differential diagnosis is a tedious procedure in view of the fact that it becomes necessary to eliminated all the other subtypes before diagnosing the paranoid subtype. One of the most prominent characteristic of paranoid schizophrenia is that patients have “delusions that are persecutory and/or grandiose”. ...
The unique features are a lot more constant over a period of time.  The prognosis in case of paranoid schizophrenia is greatly advanced when compared with other subtypes of schizophrenia, particularly on the subject of occupational functioning and independent living.  (American Psychiatric Association, 2000, p. 314) As it is well known that bizarreness is predominantly subjective in nature and also it is dependent on socio-cultural standards and expectations. In general in schizophrenia bizarre or strange delusions can be “clearly implausible, not understandable, and not derived from ordinary life experiences.”  (American Psychiatric Association, 2000, p. 324). The subtypes of delusional disorder are classified on the basis of the content or the theme of the delusions or the theme thereof.  Delusional disorder can be classified into “erotomanic, grandiose, jealous, persecutory, somatic, mixed, and unspecified types”. “The criteria used to differentiate among these diverse categories of psychotic disorder are based on length, dysfunction, coupled substance use, bizarreness of delusions, and existence of depression or mania.”  (Os & Kapur, 2009, p. 635)  However in case of delusional disorders, distortions of realism coexist with realms of sensible, pragmatic thinking.  (Blaney & Millon, 2009, p. 361)  Therefore delusional disorders are distinguished from schizophrenia by the non-existence of active phase symptoms of schizophrenia such as prominent auditory or visual hallucinations, bizarre delusions, disorganized speech, grossly disorganized or catatonic behavior, in addition to/or negative indications.  “In contrast to schizophrenia, delusional disorder typically produces less impairment in occupational and social Read More
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