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Patients are accused of persecution, poisoning, etc. persons of high social origin, various government organizations, international organizations, etc. The development of paraphrenic syndrome is evidence of chronicity and progression of the disease. Most often, paraphrenic syndrome occurs in schizophrenia. Occasionally, chronic confabulatory paraphrenia occurs in psychoses of traumatic, alcoholic and syphilitic origin, as well as in senile psychoses, more often in senile dementia.

Verbal hallucinosis. This condition is close to paranoid syndrome, in which auditory hallucinations are also obligatory components of the clinical picture. However, if in the structure of paranoid the processes of delusion formation are of leading importance, i.e. disorders at the level of thinking, then in hallucinosis the main role belongs to perception disorders in the form of constant or periodically occurring, sensually vivid and usually multiple verbal hallucinations. Their content determines the mood and behavior of the patient and can serve as a starting point for the formation of delusions, which in this case will be of a secondary nature. The content of verbal hallucinations can be mono- or polythematic, for example, only threats or threats, abuse, ridicule, exhortation, etc. In cases where true verbal hallucinations exist, the “voices” are usually localized within “auditory reach” - on the street, in the attic, on the stairs, behind the door, etc. With auditory pseudohallucinosis, “voices”, “mental, mental conversations” are localized either in the head or in a space that is indeterminate in relation to the patient.

Hallucinosis occurs in a wide variety of mental illnesses, both somatically caused and endogenous (schizophrenia). In the latter case, the most common form of hallucinosis - auditory hallucinosis - usually occurs in cases where in the past the patients had chronic or protracted somatic diseases (rheumatism, sepsis, long-term suppurative processes, etc.), or intoxication (alcoholism), i.e. in the presence of “pathologically altered soil” (S.G. Zhislin, 1965). Auditory pseudohallucinosis is characteristic almost exclusively of schizophrenia. “Pathologically altered soil” is not at all necessary here.

CATATONIC SYNDROME (catatonia) is a symptom complex of mental disorders in which motor disturbances predominate in the form of catatonic stupor) or in the form of hyperkinesis (catatonic agitation). The term “catatonia” and a detailed clinical description of the syndrome belong to K. Kahlbaum (1863, 1874).

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