Introduction The association between insight, stigma and self-concept has been considered as a potential predictor of poor clinical outcomes global functioning in psychosis. In patients with delusional disorder (DD), the effects self-stigma have poorly explored. Objectives Our main goal was to systematically review studies addressing DD assess whether these phenomena an impact on symptoms. Meth...

I suggest that we can think of delusional misidentification in terms of systematic errors in the management of mental files. I begin by sketching the orthodox "bottom-up" aetiology of delusional misidentification. I suggest that the orthodox aetiology can be given a descriptivist or a singularist interpretation. I present three cases that a descriptivist interpretation needs to account for. I t...

References 1. Feinberg TE, Roane DM. Delusional misidentification. Psychiatr Clin North Am 2005;28:665‐83, 678‐9. 2. Christodoulou GN, Margariti M, Kontaxakis VP, Christodoulou NG. The delusional misidentification syndromes: Strange, fascinating, and instructive. Curr Psychiatry Rep 2009;11:185‐9. 3. Coltheart M, Langdon R, McKay R. Schizophrenia and monothematic delusions. Schizophr Bull 2007;...

In this paper the question of autonomy in delusional disorders is investigated using a phenomenological approach. I refer to the distinction between freedom of intentional action, and freedom of the will, and develop phenomenological descriptions of lived autonomy, taking into account the distinction between a pre-reflective and a reflective type. Drawing on a case report, I deliver finely-grai...

I use an example from neuropsychiatry, namely delusional misidentification, to show a distinction between levels of explanation and kinds of explanation. Building on a pragmatic view of explanation, different kinds of explanation arise because we have different kinds of explanatory concerns. One important kind of explanatory concern involves asking a certain kind of "why" question. Answering su...

Anorexia Nervosa (AN) is an eating disorder characterised by distorted cognitions about body weight and shape; but little is known about the phenomenological characteristics of these beliefs. In this study, multidimensional and insight-based measurements were used to compare beliefs about body weight and shape in AN to body image dissatisfaction in the general population, and delusional beliefs...

A case of Obsessive Compulsive Disorder with no contributory or past history who developed delusional mania while on clomipramine is presented. The manic symptoms resolved after discontinuation of drug. The link between serotonin and mania is speculated upon. The need to look for manic symptoms in patients on clomipramine is stressed.

Introduction The health impact of the COVID-19 pandemic has been widely recognized in both physical and mental health. Relatively little attention paid to patients with delusional disorder (DD). Objectives Our goal was synthesize known consequences diagnosed DD. Methods A systematic review carried out using PubMed Scopus database (2019-October 2022) following Preferred Reporting Items for Syste...

Shared psychotic disorder also known as folie a dues is thought to occur in persons who live close together, so that delusions of the primarily ill patient are transferred to the partner. A case of shared paranoid psychotic disorder, with primary diagnosis of persecutory delusional disorder in the husband is described. The delusion and its consequent safety behaviors were so strong that led to ...

Ekbom syndrome, also called delusional parasitosis, is a psychiatric disorder characterized by the patient’s conviction that he or she is infested with parasites. Patients with Ekbom syndrome usually seek care from family physicians. We report a case in which the diagnosis of Ekbom syndrome was delayed owing to the presence of bits of spiders in the first sample the patient provided of the inse...