Classification of narcissistic personality disorder books
The delusion of victimization is an illusion that patients have extreme distrust of the outside world due to lack of security. It often happens to the elderly or some people who are hit beyond their capacity. Patients will think out of nothing that someone (or group) is monitoring, attacking or persecuting themselves, their relatives and family members. These persecution activities include conspiracy, stalking and poisoning. Under the control of delusion, patients refuse to eat, escape and sue, resulting in self-harm or injury. Such patients are usually nervous. More common in schizophrenia, paranoid psychosis and so on. More care and patience should be given to patients, family members or relatives and friends in the early stage of illness. Communicate with patients more to understand their thoughts and needs, so as to increase their sense of security and eliminate their tension and anxiety. For critically ill patients, they should seek medical treatment as soon as possible. -Victimization paranoia is the most common type of paranoia. Patients are often in a state of fear, feeling talked about, framed, assassinated, robbed of property, raped and so on. The delusion of being killed often leads to suicide attempts. If it is not diagnosed and treated early, it will easily lead to great disaster. People suffering from paranoia often have special personality defects, such as subjectivity, sensitivity, paranoia, strong self-esteem, self-centeredness and fantasy. This is often related to the patient's childhood stimulation, lack of maternal love and lack of good interpersonal relationships. Victimization paranoia is also a kind of obsessive-compulsive disorder, but it has been more inclined to be a precursor of schizophrenia. Now, you have felt that these symptoms have had an impact on your work and life, that is to say, you know that you are sick, which is better than those obsessive-compulsive patients who insist that they are not sick. So you are confident that you can cure your illness and face your mental illness with a natural attitude. Don't pay too much attention to symptoms or barely restrain yourself, so as not to increase anxiety and tension. This disease is the result of the interaction of internal and external factors. The internal cause is everyone's genetic and personality characteristics, and the external cause is the unexpected events in social life and the organic changes in the brain. The pressure of people's work and life is increasing, and the gap in their hearts is reborn, which leads to some people getting sick. Data show that the incidence of paranoid victimization in China has exceeded three thousandths of the total population. However, it is worrying that people's knowledge level is much higher than in the past, but their knowledge of mental health is quite poor. A considerable number of people can't find a suitable solution when they feel fear, anxiety and depression, and they have mental problems, so their family or friends won't regard them as sick, and I don't want to admit that I am sick. Light is boring, deviating from the normal life track, and serious is endangering social order and causing serious social events. "Delusion" refers to the patient's paranoia all day, arbitrary reasoning and judgment, and insanity, which is an important symptom of mental illness. Patients may be accompanied by hallucinations, but there are no other obvious mental symptoms. Why do you suffer from paranoia? 1. The main obstacle is the lack of basic trust in others, manifested in the use of "negative actions" and "extroverted actions" to deal with their psychological difficulties, leading to systematic delusion. 2. How sensitive, suspicious, selfish and self-indulgent. Usually, the problem is that you can't underestimate your own boundaries, you can't distinguish your own views from others, and you lack the ability to understand your own motives and attitudes. There are many paranoid people, and they may have some secrets in their hearts that others think are skeletons in their closets. They have a strong sense of guilt and fear and are afraid of being known. The content of delusion is influenced not only by personal factors, but also by social and cultural factors because of the special environment or long-term tension. In addition, the elderly who are rich in material life and have no shortage of children and spouses, if they are too lonely at home, will suffer from paranoia and be easily ignored by their families and society. This long-term lonely "empty nester" should attract the attention of family and society to avoid getting sick. People should pay attention to cultivate a sound personality, cultivate various beneficial hobbies and keep an open mind. If you feel uncomfortable for a long time, you should learn self-control, surf the Internet or go to the library to check related mental health knowledge, make a simple judgment on your symptoms, and then actively adjust yourself: for example, talk to friends and family, take part in some sports, or go sightseeing. In addition, seeking psychological consultation from a psychologist is the most effective solution. Psychologists will make various solutions according to everyone's situation and gradually guide people to return to a happy life. -Paranoia A. Symptom description is a chronic disease with systematic and organized delusions. The estimated prevalence rate is about 0.03%, and there is no gender difference in the incidence rate, which mostly occurs in the middle and late adulthood. The paranoia of paranoid patients is "non-weird", that is, the content will involve scenes that may occur in daily life, such as being followed, poisoned, admired, cheated or framed by family members. Generally speaking, paranoid patients have no symptoms of hallucinations, and a small number of them will have tactile hallucinations or olfactory hallucinations related to delusional themes. Except for the content related to delusion, which may be affected (for example, hiding at home for fear of being chased by gangsters), the rest of the behaviors and appearances are normal, and there is not much obstacle to the patient's personality, intelligence and relationship with the environment. According to the content of delusion, it is classified as 1. Erotic type: Also known as Dirk lamport syndrome. The patient will think that he is in love with someone, or that another person loves him deeply. This type is more common in women, but it is more common in men in court cases. The imaginary lover, usually in a higher position (such as a celebrity, a star, a boss), is often out of reach, or even just a "phantom", which does not exist in reality. Patients often assume that the other person fell in love with themselves first, but in fact there is little or no real contact between them. Although patients sometimes make excuses for each other, they will be angry because of embarrassment and make some unusual actions, such as stalking, harassing, attacking, kidnapping, murder, or trying to save their loved ones from imaginary dangers, which often breaks the law. 2.griosetype: I want to have supreme talent, insight, value, influence, knowledge, identity and so on. Driven by this concept, patients will deliberately change their lifestyles to cater to delusions and become extravagant, arrogant and fanatical. Arrogant delusions may have religious content, such as believing that you have special information from the gods. 3. Jealousy: Also known as Othellosyndrome, it is a morbid idea that one's spouse or lover is unfaithful. Instead of using some methods (such as hiring private detectives or installing cameras at home) to obtain evidence of infidelity, patients collect trivial evidence (such as messy clothes and spots on sheets). ) make wrong inferences and confirm delusions. In most cases, these accusations are completely fictitious, but sometimes partners will be unfaithful. Cases usually ask their spouses or lovers and try to prevent imaginary infidelity. 4. Persecutive delusion: Patients who firmly believe that they have been persecuted, cheated, stalked, poisoned, slandered or conspired will often become extremely cautious and be on guard everywhere. A little contempt may be amplified by patients and become the core of delusion, which will often bring relevant people into their own delusional world. 5. Somatotype: Patients insist that they are sick, so they often seek medical advice everywhere. Although the treatment is ineffective, they are still tenacious. The common pattern is that patients are sure that they don't smell from the skin, mouth, anus or vagina; Or there are parasites crawling in the body; Or insects crawling on the skin; Or a part of the body is deformed or ugly beyond common sense; Or a certain part of the body is not functional, and so on. 6.mixedtype: If there is no one type of delusional theme, or several types of delusional features are mixed, this classification is applicable. 7. Non-specific type: the main delusions cannot be clearly defined or described by the above specific types, such as referring to delusions. Cotaz syndrome can be said to be an extreme nihilistic delusion, for example, patients will say that their heads or internal organs have been completely destroyed, or hollowed out, or their family members no longer exist. B. Treatment mode 1. Drug therapy: mainly antipsychotic drugs. The treatment of paranoia mainly depends on drugs, but different treatment methods should be chosen for different types of paranoia. Antipsychotics are one of the first choice drugs. If the patient does not cooperate with the treatment, long-term injection of antipsychotic drugs can be considered. If the patient's mood fluctuates greatly, including post-psychotic depression, antidepressants can be used. 2. Psychotherapy: First, we should establish a good therapeutic relationship and change some behaviors by giving patients support. In addition, patients should avoid excessive tension, which often affects the intensity of delusion in stressful situations. Teaching appropriate adaptation skills or cognitive behavioral therapy according to individual circumstances can reduce the improper response of individual cases to stress. If patients agree, their families should be encouraged to participate in the treatment plan, which will help the treatment progress.