Exaggeration

Introduction Extremely arrogant arrogance. Also refers to people who have such problems. Exaggeration is a clinical manifestation of paranoia. It may be heterogeneous, and the relative roles of heredity, personality characteristics and living environment in the onset are still uncertain. The clinical features are clear-minded, and the paradoxical structure is more systematic, and the content of the delusion is highly variable with little or no hallucinations. Personality remains relatively intact, and although the condition is prolonged and even lasts for a lifetime, there is less mental decline. There are different opinions on the taxonomy of this group of diseases. Some people think that paranoid mental disorder is a variant form of schizophrenia, and some people support it as an independent diagnosis.

Cause

Causes

The cause of paranoia is still unclear and belongs to the intrinsic mental disorder. May be related to the following factors:

1. Personality characteristics: When studying the development process of personality characteristics of some patients, it shows that their personality has unhealthy performance. The patient's pre-disease personality is often subjective, stubborn, sensitive, suspicious, wary of others, insecure, controversial, unable to accept criticism from others, self-centered, pretentious, nitpicking, self-forgivation, arrogance, self Evaluation is too high, ambitious, loved, arbitrarily, emotionally excited, can not calmly face the reality and other qualities. These personality defects are not necessarily the necessary conditions for the onset of the disease. They may encounter certain psychosocial factors or internal conflicts, and they will not cope properly. If the facts are misinterpreted or long-term, they may gradually form a paranoid concept. , leading to morbidity.

2. Genetic factors: Krafft-Ebing and Kolle both believe that paranoia has a genetic predisposition. Miller surveyed 400 relatives of patients with significant paranoia, and about 2% had a paranoid mental illness. But there are also those who hold the opposite opinion. It can be seen that genetic factors need further exploration.

3. Cultural background: Some people think that among some ethnic minorities, paranoid mental disorder is not uncommon. Margaret Mead observed in the Dobu minority in New Guinea that paranoid personality seems to be an integral part of local culture. Therefore, there is a negligible relationship between cultural background and paranoid mental disorder.

an examination

Related inspection

Mental age test neurological examination

Diagnosis is based on clinical manifestations.

With systemic delusions as prominent symptoms, its delusions are highly systematic, the content is relatively fixed, not absurd, no obvious illogical, clear themes, and has a certain connection with the patient's situation, that is, it is realistic. Without deep understanding, it is difficult to distinguish its authenticity. The delusion cannot be shaken for at least 6 months. The content is always illusory. Although the condition is prolonged, the social function is good and there is no mental decline.

Differential diagnosis

Exaggerated madness differential diagnosis:

1. Schizophrenia Paranoid schizophrenia is mainly based on primary delusion. The content is neither systematic nor absurd, and it is often implicated in a wide-ranging phenomenon. Various hallucinations, conceptions of victimization, and other characteristics of schizophrenia often appear. Social function is seriously impaired. As the disease progresses late, it often leads to a mental decline.

2. Psychogenic paranoia This disease is a symptom caused by the long-term existence of a stressor or a long time in a difficult situation. And the content of delusion often has a certain connection with the stress source, and it has the characteristics of reality and easy exposure. In terms of prognosis, psychogenic delusions are clearly good.

3. Paranoid state The paranoia is not as systematic as the paranoia, the degree is lighter, and the prognosis is better.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.