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[Psychopathology and phenomenology of religious delusion of possession in schizophrenia].

G I Kopeyko, O A Borisova, E V Gedevani

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova 2018 DOI: 10.17116/jnevro20181184130-35 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational follow-up study Peer reviewed
Sample size 13
Population Patients with religious delusion of possession
Duration Follow-up from 1994 to 2016
Topics Philosophy of mind
Keywords Delusional possession Psychopathology Religiosity Religious delusions Schizophrenia
Key findings The authors report that hallucinations of a general feeling are the crucial psychopathological phenomenon in states with religious delusion of possession, linked with other delusional disorders, delusional defensive behavior, haptic and olfactory hallucinations, depressive disorders, and suicidal activity. Most cases began with circular bipolar affective disorders rather than the classic hallucinatory type of paranoid schizophrenia, and outcomes of manifest psychosis were mostly unfavorable.

Abstract

To analyze psychopathological features of religious delusion of possession, determine the place of this phenomenon in psychotic syndrome, and identify the prognosis and dynamics of schizophrenia due to this disorder. Thirteen patients with religious delusion of possession were examined in 1994-2016 by psychopathological and follow-up methods. Hallucinations of a general feeling are the crucial psychopathological phenomenon of states with religious delusion of possession. Other delusional disorders (delusion of possession itself or metamorphosis - 'reincarnation in a demon', delusions of spoilage, witchcraft or hypochondriacal delusion) and delusional behavior (special forms of defense), haptic, olfactory hallucinations, and affective (depressive) disorders, suicidal activity are connected with this phenomena. Disease course is either continuous or attack-like. The type of disease course in most cases is complied with the development of stereotype of paranoid schizophrenia. A characteristic feature of disease was the combination of psychopathological disorders, reflecting the continuous nature of the endogenous disease (interpretive delusions, overvalued religious constructions) with disorders, that are more representative for the paroxysmal course (the phenomena of acute sensual delusions, expressed affective disorders), at the manifest stage of the disease. However, in most cases, unlike the classical hallucinatory type of paranoid schizophrenia, the disease began with circular bipolar affective disorders. In most cases, outcome of a manifesting psychosis is unfavorable.

Comparable studies

Other observational and cohort studies on philosophy of mind, most cited first.

Study Year Design Participants
The phenomenology of near-death experiences Subjects who reported near-death experiences 1980 Retrospective study n = 78
Visual Phenomenology of the LSD Flashback Persons with a history of LSD use 1983 Observational cohort n = 123
The neurophenomenology of neutral hypnosis. Individuals of high, medium, and low hypnotizability 2013 Observational cohort n = 37
The Phenomenology of Acute Organic Psychosis Patients with acute organic psychosis and acute schizophrenics 1987 Observational cohort n = 148
EEG oscillatory states as neuro-phenomenology of consciousness as revealed from patients in vegetative and minimally conscious states. Brain-damaged patients with disorders of consciousness and healthy-conscious subjects 2012 Observational cohort

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