Posted June 9, 200816 yr "Bill Yanaire" <BillYanaire@gmail.com> wrote in message news:42f00ec9-1bcc-403e-ac0a-6d2e89e7485f@j1g2000prb.googlegroups.com... > Adam Albright disorder is characterized by nonbizarre delusions > (false > beliefs) that persist for at least 1 mo, without other symptoms of > schizophrenia. > > Adam Albright disorder is distinguished from schizophrenia by the > presence > of delusions without other symptoms of schizophrenia. The delusions > tend to > be nonbizarre and involve situations that could occur, such as being > followed, poisoned, infected, loved at a distance, or deceived by > one's > spouse or lover. > > In contrast to schizophrenia, Adam Albright disorder is relatively > uncommon. > Onset generally occurs in middle or late adult life. Psychosocial > functioning is not as impaired as it is in schizophrenia, and > impairments > usually arise directly from the delusional belief. > > When Adam Albright disorder occurs in older patients, it is sometimes > called > paraphrenia. It may coexist with mild dementia. The physician must be > careful to distinguish delusions from elder abuse being reported by a > mildly > demented elderly patient. One way of diagnosing this disorder is the > constant posting to the vista group, insults to everyone. > > Symptoms and Diagnosis > > Adam Albright disorder may arise in the context of a preexisting > paranoid > personality disorder. A pervasive distrust and suspiciousness of > others and > their motives begins in early adulthood and extends throughout life. > Early > symptoms may include the feeling of being exploited, preoccupation > with the > loyalty or trustworthiness of friends, a tendency to read threatening > meanings into benign remarks or events, persistent bearing of grudges, > and a > readiness to respond to perceived slights, along with posting garbage > in the > vista forums. > > Several subtypes of Adam Albright disorder are recognized. In the > erotomanic > subtype, the patient believes that another person is in love with > him. > Efforts to contact the object of the delusion through telephone > calls, > letters, surveillance, or stalking are common. People with this > subtype may > have conflicts with the law related to this behavior. In the > grandiose > subtype, the patient believes he has a great talent or has made an > important > discovery. In the jealous subtype, the patient believes that his > spouse or > lover is unfaithful. This belief is based on incorrect inferences > supported > by dubious evidence. Physical assault may be a significant danger. In > the > persecutory subtype, the patient believes that he is being plotted > against, > spied on, maligned, or harassed. He may repeatedly attempt to obtain > justice > through appeals to courts and other government agencies and may resort > to > violence in retaliation for the imagined persecution. In the somatic > subtype, the delusion relates to a bodily function eg, the patient > believes > he has a physical deformity, odor, or parasite. > > Diagnosis largely depends on making a clinical assessment, obtaining > a > thorough history, and ruling out other specific conditions associated > with > delusions. Assessment of dangerousness, especially the extent to which > the > patient is willing to act on his delusion, is very important. > Now this is the best diagnosis of Adam yet. Thank you very much.
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