There are several theories about delusion of control. Thought insertion has raised interest in philosophers who have tried to explain it in various ways, offering different answers to the following questions: Do people with thought insertion own the alien thoughts? Do they experience a sense of agency towards the alien thoughts? Do they endorse the content of the alien thoughts? 5 It is very difficult to imagine what it is like to be in that state. The conviction expressed in the delusion of control is contrary to common sense. Research about it is scarce, 3 and explanation of its origin and permanence are unsatisfactory. 1,2 Although it occurs in 1 in 5 patients with the disease, little is known of its psychopathology. This type of delusion has been considered characteristic of schizophrenia, but not exclusive or specific of it. Sometimes the patient states that the operator of control is installed inside his body, which leads to the narrative of being possessed.Īt other times, the patient is convinced that his thoughts and some other mental phenomena are not his own, but inserted by someone else, which is known as “thought insertion.” According to the patient's narrative, his thoughts, emotions, perceptions or actions are under the control of a different agent: either another person, a spirit, a machine, or unknown forces. El delirio de control es una variedad narrativa del delirio persecutorio.ĭelusion of control has different names, including delusion of passivity, passivity experience, and passivity phenomenon. Es la narrativa que expresa de manera más elaborada el sentido que tiene la experiencia anómala para el paciente. ConclusionesĮl delirio de control es una narrativa derivada de la concomitancia de un delirio persecutorio y otros síntomas psiquiátricos. El delirio de control es la narrativa que expresa de manera más elaborada el sentido que la experiencia tiene para el paciente. En todos los casos fue posible rastrear la historia de la constitución narrativa del delirio de control a partir del delirio persecutorio y los otros síntomas concomitantes. El control vivido por el paciente es parcial, nunca total. ResultadosĮl delirio de control no se presenta como síntoma aislado y puro, siempre está inmerso en el contexto de un delirio persecutorio y otros síntomas psiquiátricos. Se utilizó una entrevista semiestructurada de orientación fenomenológica. MétodosĮstudio exploratorio de tipo cualitativo con 7 pacientes (6 con esquizofrenia y 1 con trastorno esquizofreniforme). ObjetivoĪ partir de una serie de casos clínicos, explorar la experiencia subjetiva de pacientes con delirio de control y proponer una explicación psicopatológica con base en elementos empíricos. Sin embargo, se conoce poco de su psicopatología y los estudios que implican a pacientes son escasos. Delusion of control is a narrative variety of persecutory delusion.Įl delirio de control, incluida la inserción de pensamientos, se presenta en el 20% de los pacientes con esquizofrenia. For the patient, the delusion of control is the narrative of the elaborate expression of the meaning of the anomalous experience. The delusion of control is a narrative resulting from the joint presence of a persecutory delusion and other psychiatric symptoms. In all cases, it is possible to trace the history of the narrative formation of delusion of control from its origins in persecutory delusions and other concomitant symptoms. The patient experiences partial control, i.e. Resultsĭelusion of control is not an isolated and pure symptom it is always immersed in the context of a persecutory delusion and other psychiatric symptoms. A phenomenologically-oriented semi-structured interview was used. Qualitative exploratory study of 7 patients (6 with schizophrenia and 1 with schizophreniform disorder). To explore the subjective experience of patients with delusion of control and to propose a psychopathological explanation based on empirical evidence. However little is known of its psychopathology, and studies involving patients are scarce. Delusion of control, including thought insertion, occurs in 20% of patients with schizophrenia.
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