Permeable walls, floors, ceilings and doors. Partition delusions in late paraphrenia

Howard, Robert; Castle, David; O’Brien, John; Almeida, Osvaldo P.; Levy, Raymond

doi:10.1002/gps.930071006

Cited by 47 publications

(27 citation statements)

References 15 publications

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“…These authors found that this type of phenomenon was present in 48% of 54 late-onset subjects, compared to 14% of 54 early-onset subjects. Similarly, Howard et al 34 reported these phenomena in 68% of 50 'late paraphrenia' subjects, compared with 20% of 20 young schizophrenic subjects. These 'partition' delusions were usually persecutory in nature, i.e., the elderly person believing that the outside environment was hostile and posed a threat to their home.…”

Section: Clinical Presentationmentioning

confidence: 85%

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Schizophrenia and delusional disorders with onset in later life

Hassett

2002

Rev. Bras. Psiquiatr.

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Keywords Resumo DescritoresSchizophrenia-spectrum illness is most commonly associated with an onset in early adulthood. When nonaffective psychotic symptoms emerge for the first time in later life, the clinical presentation has both similarities and differences with earlier-onset syndromes. This situation has resulted in continuing debate about the nosological status of late-onset psychosis, and whether there are particular risk factors associated with this latelife peak in incidence. Although early cognitive decline is frequently identified in these patients, studies, to date, have not established if there is a relationship with the dementing illnesses of old age. Sensory impairment, social isolation, and a family history of schizophrenia have been associated with late-onset psychosis, but appear to exert a nonspecific influence on vulnerability. While diagnostic issues remain unresolved, clinicians need to formulate treatment strategies that most appropriately address the constellation of symptoms in the clinical presentation of their psychotic elderly patients.Schizophrenia. Psychotic disorders. Psychoses. Cognition. Social isolation. Aged. Transtornos mentais do espectro da esquizofrenia são comumente associados a início na primeira fase da vida adulta. Quando sintomas psicóticos não-afetivos emergem pela primeira vez em fases tardias da vida, a apresentação clínica tem semelhanças e diferenças em relação às

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Section: Clinical Presentationmentioning

confidence: 85%

“…Social isolation has been cited as a possible predisposing factor for the development of these phenomena. Howard et al 34 have also suggested that the cognitive deficits noted in these patients may increase their vulnerability to paranoid misinterpretation of environmental cues.…”

Section: Clinical Presentationmentioning

confidence: 98%

Schizophrenia and delusional disorders with onset in later life

Hassett

2002

Rev. Bras. Psiquiatr.

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“…These individuals tend to present in later life and to live an isolated existence, some having never married. Partition delusions, or the belief that people, electricity or some other force can pass through structures that would ordinarily pose a barrier to such passage (Howard et al, 1992), are not uncommon. One elderly woman believed that laser lights were being beamed through her bedroom wall at night by an unknown male who intended to rape her.…”

Section: False Victims Of Stalkingmentioning

confidence: 99%

Management of victims of stalking

Pathé¹,

Mullen²,

Purcell³

2001

Adv. psychiatr. treat

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Victims of stalking are a diverse group, but most individuals who are subjected to the persistent pursuit of a stalker, regardless of age, gender or socioeconomic background, experience fear. Some suffer profound distress and lifestyle disruptions, and many experience a decline in their psychological and physical well-being. Stalking is not uncommon in today's society and there is evidence to suggest its incidence is increasing (Budd & Mattinson, 2000). It is therefore anticipated that the victims of these behaviours will be presenting to law enforcement and health professionals in ever-expanding numbers. The efficacy of the interventions they receive will determine whether they can reclaim their lives and premorbid functioning or whether, through ignorance, they are condemned to continuing torment and chronic disability, to the detriment of society as a whole.

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“…51 Much higher rate of these partition delusions in patients with lateonset psychosis was also reported. 12,49,52 Auditory hallucinations are also highly prevalent in patients with late-onset psychosis. 47 Third-person and abusive auditory hallucinations are reported more often in patients with lateonset psychosis than in young early-onset patients.…”

Section: Phenomenologymentioning

confidence: 99%

“…11,52 A wider range of perceptual misperceptions or hallucinations may be more prevalent in patients with late-onset psychosis, 9 although another study did not consistently report these differences. 37 In keeping with Kraepelin's original description, patients with late-onset psychosis may be more likely to present paranoid symptoms compared to age-matched early-onset schizophrenia patients, 13 although no such difference was evident in a recent publication with a larger sample size.…”

Section: Phenomenologymentioning

confidence: 99%

Late-Onset Psychosis; Is It Real?

Kwak

Yang

Koo

2015

Dement Neurocognitive Disord

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The nature of late-onset psychosis in the absence of a dementia or secondary to organic dysfunctions in the fifth decade of life and beyond is contentious and unresolved. Different terminologies, diagnostic criteria and age cut-offs have been applied to late-onset psychosis, which have stymied clinicians and researchers. No official diagnostic designation for patients with late-onset psychosis is included in the current psychiatric diagnostic system (Diagnostic and Statistical Manual of Mental Disorders-V, International Classification of Diseases-10). The validity of this diagnostic exclusion has been questioned. Despite these problems, a relatively consistent clinical picture has reported. However, many questions remain regarding the underlying etiology, pathophysiological mechanisms, treatment and prognosis. Whether late-onset psychosis is distinct from schizophrenia and whether it might be a harbinger of dementia are unclear. Recent studies have suggested an underlying biological pathophysiology of late-onset psychosis.

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Permeable walls, floors, ceilings and doors. Partition delusions in late paraphrenia

Cited by 47 publications

References 15 publications

Schizophrenia and delusional disorders with onset in later life

Schizophrenia and delusional disorders with onset in later life

Management of victims of stalking

Late-Onset Psychosis; Is It Real?

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