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Nursing Management for Paranoid Personality Disorder


According to JP Chaplin, PhD. , Paranoid is a feature that psikotic disorder characterized by systematic delusions or delusions with little deterioration. This tends to settle and strong enough influence and incapacity.

Paranoid personality:
A personality is characterized by an attitude of suspicion, is very sensitive in the absence of deterioration or delusions.

Paranoid schizophrenia:
One type of schizophrenia characterized by delusions or symptoms highly suspicious attitude. This is due to dysfunction disorder thinking, hallucinations and deterioration.

According to James C. Coleman, Paranoia A characteristic of psychosis is characterized by systematic delusions.

Paranoid Personality:
Individuals who show behavioral symptoms such as defense mencahnism projections, suspicious, jealous, very jealous and stubborn.

Paranoid Schizophrenia:
One type of schizophrenia is characterized by delusions and hallucinations are usually quite strong.

Currently there are 2 types of paranoid psychosis belonging paranoid disorders, namely:

1. Paranoia, where the delusiyang develop slowly and then becomes complicated, logical and systematic and it is centered on feel persecuted delusions or delusions of grandeur. Despite the presence of delusions, the patient's personality is still intact, there are no serious disorganization and without hallucinations.

2. Paranoid state, a change in the paranoid and delusional thinking becomes ligis and emergence characteristics of paranoia, although it has not shown any strange behavior or deterioration such as that found in the case of paranoid schizophrenia. This condition is usually associated with strong stress and mortality may also be due to the phenomenon. Paranoid states often color the clinical picture of the type of other pathological disorders.

However, our main interest is currently focused on paranoia. Paranoia is relatively less common in patients treated in psychiatric hospitals, but this may occur due to mis-identification of mental disorders. Many of the inventor / inventors, teachers, business executives, reformers fanatical, jealous spouse, eccentric people who study a particular teachings are included in this category. However, they are uniquely able to maintain its existence in the society. In some cases some of the women who developed into a very dangerous man.


Clinical Manifestation of Paranoia

Individuals who experience paranoia feel alone, neglected, spied upon, and other false perception of the threat from 'the enemy.' Delusions are usually centered on one thing, for example concerning the financial problems, labor, ill trustworthy partner or other life issues . People who have failed in work will develop suspiciously like someone else cembutu on his performance so want to drop it.

A paranoia has a particular reason why they are suspicious and do not want to receive another reason which is more correct. Because of the suspicion he may conduct interrogations of those deemed enemies.

Many of these paronoia has delusions where he was a superior and has the unique capability. Sometimes they feel a mandate or revelation to run a sacred mission, social reforms, and modifiers. The paranoiac religious develop the confidence that he got a message from God to save people and do the sermons even invite does holy war.

In connection with the paranoiac delusions experienced can be performed with very perfect, speaks eloquently and has impressed emosian mature. Hallucinations and characterize other disorders rarely found in this paranoiac. They seek to justify the logical ways in order to be believed. In this case very difficult to distinguish where the facts or just images. They are working on making the people around him believe what he says. They fail to see the facts other than what they believe and are less able to prove his faith, kecurigaanya and they become communicative when asked about these delusions.

However this is not always harmful paranoic, but they still have a chance to do something that is detrimental to the perceived enemy.


Stages of thinking that led to paranoia:

1. Suspiciousness / Suspicious - people become distrustful of others, fear of hurt and be very alert.
2. Protective Thinking - selectively reviewing the actions of others and see it suspicious and start blaming others for his failure.
3. Hostility - very sensitive to perceived injustice is not true though, it responded in anger and hostility and suspicion is further increased.
4. Paranoid Illumination / Growing Paranoid - suspicious attitude has become part of him and he felt the presence of something strange, but he he has been immersed in a situation such suspicion.
5. Delusions - feel persecuted or absence of delusions of greatness, but he developed a logical reason and to develop actions that can be understood by others.



Treatment for Paranoid Personality Disorder

In the early stages of paranoia, corporately and individually handling is still effective, especially if the patient has a consciousness to obtain the help of professionalism.

Behavioral therapy techniques show promise such things, paranoid ideas arise due to various combinations of things that are not fun, the various factors of change in a person's life situation further strengthens maladaptifnya behavior and develop into a powerful way to resolve the problem.

Once settled delusional system, the handling will be very difficult. Usually difficult to communicate with paranoiac to tackle the problem in a way that is rational. In this situation the patient is reluctant to consult, but they are trying to find justification and understanding of other people on their mistakes.

At the time of initial identification of psychosis with schizophrenia and paranoia, it was agreed that the clinical manifestations of this case must be distinguished from neurosis or psychosomatic disorders. The hallmark of schizophrenia clearly a failure of understanding / contact with reality and personality disorganization occurs as disturbances in the function of thinking, affective / feeling or behavior problems.

Identification of most types such as acute schizophrenia, paranoid, catatonic, hebephrenic and simple show clinical differences for each type. Various factors cause remains elusive why it can thrive. However experts notice any significant role of genetic factors that cause schizophrenia. Perhaps because neuropshysiological or biochemical changes that disrupt the normal functioning of the brain, including the failure here is in the selection mechanism. The exact cause of these changes must be ascertained to determine whether due to genetic factors or because of a mental disorder. However, it should also be noted that a significant cause of psiikologis other. Besides that psychosocial factors play an important role to consider such innovative pula.Penanganan chemotherapy, psychosocial therapy, post-treatment program would make people better condition.

Paranoid disorder usually do not experience severe personality disorganization compared to other types of psychosis, but they are very resistant / reject any given therapeutic action.

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