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On special delusional psychoses of late life
Professor, MD, Chief, VA Terminal, MD, AV Medvedev Division gerontopsihiatrii SCMH RAMS complaints, complaints about the various inconveniences and difficulties of living with neighbors or relatives are quite common. Most often, they are well founded and reflect the real situation related to the persistent conflict in the home, apartment or house. However, among the people that place such complaints, there are also those who have negative experiences associated with living in one apartment or house with relatives or neighbors, have a deeply unhealthy, delusional basis. Typically, these are people elderly. By ordinary, commonplace, plausibility of such complaints (neighbors or relatives do not give to live in peace "," commit petty theft, "" insulting, "" trying to survive "in the apartment, etc.) are not always and usually not immediately regarded as manifestations of mental illness. But even in cases where the patient's statements should alert to the possible development of mental illness ("Neighbors try to poison him," '"spiked with something under the door"), they are often regarded as exaggerated the real situation the old man as a harmless "senile suspiciousness . Meanwhile these people not only suffer themselves, but may become dangerous to others. Psychoses in question, known in the literature as "involutional paranoia." We prefer to designate them as "paranoid housing." This notation is, in our view, more fully reveals the clinical psychopathology and social problems associated with these psychoses. Epidemiology. Accurate information on the prevalence of psychosis among the population there. According to our data, among people older than 60 years, with late (beginning after 45 years) delusional psychosis and are registered in the mental hospital, such patients account for more than 2 / 3. Clinical picture. The most significant common feature of "paranoia housing" is that the components of its clinical delusional and hallucinatory symptoms are a kind of "tied" exclusively or almost entirely to the patient's residence. In other words, the "crazy events" occur either in the patient's apartment or in a nearby (usually adjacent) apartments.
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