Distribution Automatique

Thursday, November 11

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Other common paranoid delusions include the belief that the person is on a special quest or has been chosen by God;

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reference:Primary delusions {click here}
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"2. Ambitious Paranoia.After a long period of persecution a change in the symptoms may set in, in some cases, and the intensity of the hallucinations may become modified. At the same time delusions of grandeur begin to appear, at first faintly, but gradually they increase in force until they ultimately supplant the delusions of persecution. At the same time the hallucinations of a disagreeable nature fade away and are replaced by auditory hallucinations conformable to the new delusions of grandeur. Undoubtedly, however, this form of paranoia may commence, so far as can be observed, with delusions of grandeur, in which case there is seldom or never a transformation of the personality or of the delusions from grandeur to persecution, although delusions of persecution may engraft themselves or run side by side with the predominant ambitious delusions.

The emotional basis of ambitious paranoia is pride, and every phase of human vanity and aspiration is represented in the delusions of the patients. There is moreover considerably less logical acumen displayed in the explanations of their beliefs by such patients than in the case of the subjects of persecution. Many of them affect to be the descendants of historical personages without any regard for accurate genealogical detail. They have no compunction in disowning their natural parents or explaining that they have been changed in their cradles in order to account for the fact that they are of exalted or even of royal birth. Dominated by such beliefs paranoiacs have been known to travel all over the world in search of confirmation of their delusions. It is people of this kind who drop into the ears of confiding strangers vague hints as to their exalted origin and kindred, and who make desperate and occasionally alarming attempts to force their way into the presence of princes and rulers. The sphere of religion affords an endless field for the ambitious paranoiacs and some of them may even aspire to divine authority, but as a rule the true paranoiac does not lose touch with earth. The more extravagant delusions of persons who call themselves by divine names and assume omnipotent attributes are usually found in patients who have passed through acute attacks of insanity auch as mania or dementia praecox and are mentally enfeebled.

A not uncommon form of paranoia combining both ambition and persecution is where the subject believes that he is a man of unbounded wealth or power, of the rights to which he is, however, deprived by the machinations of his enemies. These patients frequently obtain the knowledge on which they base their delusions through auditory hallucinations. They are often so troublesome, threatening and persistent in their determination to obtain redress for their imagined wrongs, that they have to be forcibly detained in asylums in the public interest.

On the whole, however, the ambitious paranoiac is not trouble-,

some, but calm, dignified, self-possessed, and reserved on the subject of his delusions. He is usually capable of reasoning as correctly and of performing work as efficiently as ordinary people. Many of them, however, while living in society are liable to give expression to their delusions under the influence of excitement, or to behave so strangely and unconventionally on unsuitable occasions as to render their seclusion either necessary or highly desirable."