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Old 02-10-2012
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Psyche What type of delusion is this?

A 42-year-old man is seen by a psychiatrist for his ongoing psychiatric care. He is currently a resident of a group home for schizophrenics. The patient complains that he is having difficulties getting his daily tasks completed, such as bathing, cooking, and eating because when he thinks about these tasks, his mind suddenly goes blank. He states that his deceased uncle has been stealing these thoughts so that he will starve and die and thus be able to join him in heaven. This patient most likely has what formal thought disorder?

A. Delusions of doubles
B. Delusions of grandiosity
C. Delusions of influence
D. Delusions of persecution
E. Delusions of reference
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Old 02-10-2012
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E . Delusion of reference.?
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Old 02-10-2012
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D, Delusions of persecution. He believes his uncle is dead uncle is out to hurt him.
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Old 02-10-2012
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the ans is CCCC.........Option C (Delusions of influence) is correct. A delusion of influence or delusion of control occurs when a person believes they are under the influence or control (hence, the name) of another individual. Thought insertion (where persons believe specific thoughts are put into their mind) or thought withdrawal (such as in this case) are examples of delusions of influence.

Option A (Delusions of doubles) is incorrect. The delusion of doubles is a rare delusion and is also called the “Capgras phenomenon,” or the delusion of impostors. Patients believe that others are not themselves, but impostors (or doubles) that have been possessed by some other being.

Option B (Delusions of grandiosity) is incorrect. Delusions of grandiosity occur when patients believe they have some special influence or hold some sort of high office. Examples are patients who believe they are God, Jesus, the president, or some other influential person.

Option D (Delusions of persecution) is incorrect. Delusions of persecution are extremely common in schizophrenia and describe beliefs that the government or some other agency is after them.

Option E (Delusions of reference) is incorrect. This delusion is the belief that events specifically reference or occur with meaning to the patient. Newspapers may publish pictures of children, which patients believe are a special sign to them that it will be sunny outside. References to the president are really references about them. These delusions are often very closely tied to delusions of persecution.
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