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The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases

Received: 24 May 2023     Accepted: 9 June 2023     Published: 31 October 2023
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Abstract

Introduction: Melancholia has disappeared from the current classification manuals and is reduced in DSMV to the depressive disorder characterized by melancholic characteristics which, in our opinion, does not deeply touch the intimate functioning of the patient and his particular clinical structure belonging to the field of psychosis. Objective: Through two clinical cases, the first one of a melancholic patient and the second one of a paranoid patient, we will approach the peculiarities of the delirium associated with each of these clinical entities through a fine analysis of the delirious construction and organization. Cases report: Our melancholic patient presents a maladaptive guilt, delusional, says he gives off a bad smell, he is persecuted by others who are ashamed to meet him, it is because he is a waste that others hate him and it is because he feels bad that they make the mistake of knowing him, in fact our patient was persecuted by the entourage which according to him makes the mistake of knowing him despite he is the culprit, the great eternal culprit. Our paranoid patient had a delusion of persecution by projection onto others, a megalomaniac persecution which, together with her high contact, made the bed of a false and hot diagnosis of a hypomanic episode. For our patient the entourage is unworthy and source of her misfortune. Conclusion: What paranoia specifically reaches by way of projection, melancholia achieves by way of introjection.

Published in American Journal of Psychiatry and Neuroscience (Volume 11, Issue 4)
DOI 10.11648/j.ajpn.20231104.12
Page(s) 77-80
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Melancholia, Paranoia, Delirium, Persecution

References
[1] Florent Poupart. Le délire est-il un récit ? Une approche narrative de la psychose. Annales Médicopsychologiques, revue psychiatrique, 21 mars 2023.
[2] Jean-Pierre Bouchard. Annales Médico-psychologiques, revue psychiatrique, Tome 176, Numéro 7, septembre 2018, Pages 702-711.
[3] Jean-Pierre Bouchard. Un cas de cristallisation de délire paranoïaque sur un élu: de l'état dangereux aux menaces et à la tentative d' homicide. Annales Médico-psychologiques, revue psychiatrique, Volume 177, Issue 8, Octobre 2019, Pages 816.
[4] Mickael Peoc'h. The paranoiac “Solution” and its impasses. L'évolution psychiatrique. Volume 86, Issue 4, November 2021, Pages 725-736.
[5] N. Kaminska, A. Oppetit. «Je suis le fléau du monde»: à propos d'un épisode mélancolique chez un adolescent avec autisme de 17 ans. Neuropsychiatrie de l'Enfance et de l'Adolescence, Tome 70, Numéro 7, novembre 2022, Pages 362-36.
[6] Freud S. The Schreber case (1911). In: Cinq psychanalyses. Paris: PUF; 1992. p. 263-324.
[7] Tellenbach H. La mélancolie. Paris: PUF; 1979.
[8] Ey H. Psychiatric Study No. 22 "Melancholy". In: Études psychiatriques (tome III). Paris: Desclée de Brouwer; 1954. p. 117-200.
[9] Freud S. Deuil et mélancolie (1915). In: Métapsychologie. Paris: Folio essais; 2002. p. 145-71.
[10] Artaud A. L'ombilic des limbes. In: Œuvres complètes (tome I). Paris: Gallimard; 1956. p. 49-81.
[11] Artaud A. Le pèse-nerfs. In: Œuvres complètes (tome I). Paris: Gallimard; 1956. p. 85-113.
[12] Artaud A. Letter from Rodez to Jean Paulhan (October 7, 1945). In: ŒuvresComplètes (tome XI). Paris: Gallimard; 1974. p. 133-5.
[13] Artaud A. Letter to Dr. Allendy (November 30, 1927). In: Œuvres complètes (tome I). Paris: Gallimard; 1977. p. 297-301.
[14] Englebert J. The paranoid hermeneutic. EvolPsychiatr 2013; 78: 267-77.
[15] Deloro C. Character, constitution, structure. Lacan and the first concept of paranoia. EvolPsychiatr 2011; 76: 391-401.
[16] Soler C. Loss and fault in melancholia. In: Adam J, Bousseyroux M, Gorog F, et al. editors. Melancholies. Paris: Éd. du Champ lacanien; 2001. p. 55-66.
[17] Soler C. Paranoid innocence and melancholic unworthiness. In: L'inconscient à ciel ouvert de la psychose. Toulouse: Presses Universitaires du Mirail; 2002. p. 51-62.
[18] Minkowski E. Traité de psychopathologie. Paris: PUF; 1966.
[19] Lacan J. Séminaire III. Les psychoses. Paris: Seuil; 1981.
[20] Kretschmer E. Paranoïaetsensibilité (French translation of the 3rd German ed. éd. PUF, Paris, 1963.
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  • APA Style

    Salim Said, Kachouchi Aymen, Adali Imane, Manoudi Fatiha, Asri Fatima. (2023). The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases. American Journal of Psychiatry and Neuroscience, 11(4), 77-80. https://doi.org/10.11648/j.ajpn.20231104.12

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    ACS Style

    Salim Said; Kachouchi Aymen; Adali Imane; Manoudi Fatiha; Asri Fatima. The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases. Am. J. Psychiatry Neurosci. 2023, 11(4), 77-80. doi: 10.11648/j.ajpn.20231104.12

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    AMA Style

    Salim Said, Kachouchi Aymen, Adali Imane, Manoudi Fatiha, Asri Fatima. The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases. Am J Psychiatry Neurosci. 2023;11(4):77-80. doi: 10.11648/j.ajpn.20231104.12

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  • @article{10.11648/j.ajpn.20231104.12,
      author = {Salim Said and Kachouchi Aymen and Adali Imane and Manoudi Fatiha and Asri Fatima},
      title = {The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {11},
      number = {4},
      pages = {77-80},
      doi = {10.11648/j.ajpn.20231104.12},
      url = {https://doi.org/10.11648/j.ajpn.20231104.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231104.12},
      abstract = {Introduction: Melancholia has disappeared from the current classification manuals and is reduced in DSMV to the depressive disorder characterized by melancholic characteristics which, in our opinion, does not deeply touch the intimate functioning of the patient and his particular clinical structure belonging to the field of psychosis. Objective: Through two clinical cases, the first one of a melancholic patient and the second one of a paranoid patient, we will approach the peculiarities of the delirium associated with each of these clinical entities through a fine analysis of the delirious construction and organization. Cases report: Our melancholic patient presents a maladaptive guilt, delusional, says he gives off a bad smell, he is persecuted by others who are ashamed to meet him, it is because he is a waste that others hate him and it is because he feels bad that they make the mistake of knowing him, in fact our patient was persecuted by the entourage which according to him makes the mistake of knowing him despite he is the culprit, the great eternal culprit. Our paranoid patient had a delusion of persecution by projection onto others, a megalomaniac persecution which, together with her high contact, made the bed of a false and hot diagnosis of a hypomanic episode. For our patient the entourage is unworthy and source of her misfortune. Conclusion: What paranoia specifically reaches by way of projection, melancholia achieves by way of introjection.
    },
     year = {2023}
    }
    

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    AU  - Salim Said
    AU  - Kachouchi Aymen
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    AB  - Introduction: Melancholia has disappeared from the current classification manuals and is reduced in DSMV to the depressive disorder characterized by melancholic characteristics which, in our opinion, does not deeply touch the intimate functioning of the patient and his particular clinical structure belonging to the field of psychosis. Objective: Through two clinical cases, the first one of a melancholic patient and the second one of a paranoid patient, we will approach the peculiarities of the delirium associated with each of these clinical entities through a fine analysis of the delirious construction and organization. Cases report: Our melancholic patient presents a maladaptive guilt, delusional, says he gives off a bad smell, he is persecuted by others who are ashamed to meet him, it is because he is a waste that others hate him and it is because he feels bad that they make the mistake of knowing him, in fact our patient was persecuted by the entourage which according to him makes the mistake of knowing him despite he is the culprit, the great eternal culprit. Our paranoid patient had a delusion of persecution by projection onto others, a megalomaniac persecution which, together with her high contact, made the bed of a false and hot diagnosis of a hypomanic episode. For our patient the entourage is unworthy and source of her misfortune. Conclusion: What paranoia specifically reaches by way of projection, melancholia achieves by way of introjection.
    
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Author Information
  • Research Team for Mental Health, Psychiatry Department, IbnNafis University Hospital, Marrakech, Morocco

  • Research Team for Mental Health, Psychiatry Department, IbnNafis University Hospital, Marrakech, Morocco

  • Research Team for Mental Health, Psychiatry Department, IbnNafis University Hospital, Marrakech, Morocco

  • Research Team for Mental Health, Psychiatry Department, IbnNafis University Hospital, Marrakech, Morocco

  • Research Team for Mental Health, Psychiatry Department, IbnNafis University Hospital, Marrakech, Morocco

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