Mental Diseases a Handbook Dealing With Diagnosis And Classification

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At the end as in the beginning, the patient is found with a system of connected delusions influ- encing his life, but is not much marked by any other changes.
The delusion of persecution, which is usually fun- damental, may lead into others as love, religion or grandeur, and there are cases of this sort that go on to develop a changed personality and to claim the identity of some distinguished name.
Alienists quite generally agree that a genuine case of paranoia does not recover and is dangerou
...s in his liability to commit violent assault. But recently 72 MENTAL DISEASES attention has been called more to the interpretative attitude which in this psychosis seeks to study first the events in the patient's life that gave those ma- terial incidents from which the delusions were made, and then to know their manner of development and the extent of influence acknowledged in the life of the patient. The result has been to recognize dif- ferent paranoid forms as belonging elsewhere and also to show reason for being somewhat less dog- matic in denying the possibility of effectiveness to every therapeutic measure.

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