![]() ![]() ![]() 3 Diminished insight about having a mental disorder is part and parcel of the condition, occurring in 30%–50% of persons with schizophrenia. 1, 2 As many as 60% of those with schizophrenia have religious grandiose delusions consisting of believing they are a saint, God, the devil, a prophet, Jesus, or some other important person. About 1% of emergency room visits and 0.5% of all primary care visits in the United States are related to psychotic symptoms. Every day, physicians, nurses, psychologists, and social workers alike encounter and care for people who experience psychotic symptoms. He raised poignant questions that are rarely discussed in academic medicine. He asked, “How do you know the voices aren’t real?” “How do you know I am not The Messiah?” He affirmed, “God and angels talked to people in the Bible.” Antipsychotic medications prescribed by his psychiatrists diminished these abilities and reduced the voices, and therefore he would not take them. He believed he was selected by God to provide guidance for mankind. It is hoped that these findings will translate into increased compassion and understanding for persons living with mental illness.Ī man in his late 20s with paranoid schizophrenia explained during a neurological evaluation that he could read minds and that for years he had heard voices revealing things about friends and strangers alike. These findings support the possibility that persons with primary and mood disorder-associated psychotic symptoms have had a monumental influence on the shaping of Western civilization. The authors suggest a new DSM diagnostic subcategory as a way to distinguish this type of psychiatric presentation. Social models of psychopathology and group dynamics are proposed as explanations for how followers were attracted and new belief systems emerged and were perpetuated. Limitations inherent to a retrospective diagnostic examination are assessed. The rationale for this proposal is discussed in each case with a differential diagnosis. Analysis reveals that these individuals had experiences that resemble those now defined as psychotic symptoms, suggesting that their experiences may have been manifestations of primary or mood disorder-associated psychotic disorders. Paul from a behavioral, neurologic, and neuropsychiatric perspective to determine whether new insights can be achieved about the nature of their revelations. The authors have analyzed the religious figures Abraham, Moses, Jesus, and St. ![]()
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