TITLE:
Paranoid Schizophrenia from a Philosophical Perspective
AUTHORS:
Simona Trifu, Diana Istrate, Ana Vasile
KEYWORDS:
Paranoid Schizophrenia, Delirium, Pseudo-Hallucinations, Illogicality, Xenopathy, Kandinski Clerambault Syndrome, False-Self
JOURNAL NAME:
Open Journal of Social Sciences,
Vol.7 No.12,
December
26,
2019
ABSTRACT: Motivation: Paranoid schizophrenia, postulated in a macroscopic dimension, is
conserved from consumption of the selves, perception, volition, cognition, affect,
thought and behavior. The intense study of this condition, as well as the
absence of a theory for the mechanism of occurrence, gives it its own aura that
seems to absorb the normality known as a characteristic of the Self and transform
it into a progressive disharmony, accentuated by acute psychotic episodes and
“selective dehumanization”. Objective: Presentation of a patient aged 35, with a psychiatric history and
symptomatology started ten years ago. It was pharmacologically approached seven
years ago with Escitalopram, Buspirone and Clonazepam, but the paranoid
background culminated in his being admitted to a closed psychiatric regime
(surveillance, “key room”) three weeks after
the apparent depressive episode. Material and method: Psychiatric evaluation, treatment initiation,
psychological evaluation, excluding brain organics, evaluation of intrapsychic
dynamics, observations. Results: The patient functions in the paranoid registry,
being dominated by pseudo-hallucinations, ideas from the spectrum of xenopathy and control, joining formal and
content disorders (circumstantial discourse, tangentiality). It associates the
patina of the speech, illogical constructions, the impossibility of
materializing the thoughts, the repeated jump between the abstract and concrete
levels. He is so deeply immersed in his own ideas about honor,
confabulation and self-control, which we “lose” him in what he claims to be: a
“complex in continuous development”. Conclusions: He describes himself as a warrior whose vein is supported by a willing
Ego at all times to disintegrate. It is not compliant with the drug treatment,
arguing that it “disturbs me and gives me changes of concentration”, which
destabilizes and disorganizes a possible ascent in the process of systematizing
and engaging the thinking in a near normality.