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Case Report |

The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases

Introduction: Melancholia has disappeared from the current classification manuals and is reduced in DSMV to the depressive disorder characterized by melancholic characteristics which, in our opinion, does not deeply touch the intimate functioning of the patient and his particular clinical structure belonging to the field of psychosis. Objective: Through two clinical cases, the first one of a melancholic patient and the second one of a paranoid patient, we will approach the peculiarities of the delirium associated with each of these clinical entities through a fine analysis of the delirious construction and organization. Cases report: Our melancholic patient presents a maladaptive guilt, delusional, says he gives off a bad smell, he is persecuted by others who are ashamed to meet him, it is because he is a waste that others hate him and it is because he feels bad that they make the mistake of knowing him, in fact our patient was persecuted by the entourage which according to him makes the mistake of knowing him despite he is the culprit, the great eternal culprit. Our paranoid patient had a delusion of persecution by projection onto others, a megalomaniac persecution which, together with her high contact, made the bed of a false and hot diagnosis of a hypomanic episode. For our patient the entourage is unworthy and source of her misfortune. Conclusion: What paranoia specifically reaches by way of projection, melancholia achieves by way of introjection.

Melancholia, Paranoia, Delirium, Persecution

Salim Said, Kachouchi Aymen, Adali Imane, Manoudi Fatiha, Asri Fatima. (2023). The Particularities of Delusions of Persecution in Melancholia and Paranoia: About Two Cases. American Journal of Psychiatry and Neuroscience, 11(4), 77-80.

Copyright © 2023 Authors retain the copyright of this article.
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