“No Writing!”: A Case of Delusional Self-Incrimination

  • Henry Kellerman

In this case, the particular inaccessible symptom that will be described was a highly visible, encapsulated one, embedded within an unusual delusional system. The symptom was so entrenched and so delusional that in examining the case, it became difficult not to be struck with the notion that what we were looking at was the anatomy of a psychosis. Yet, it was a psychosis without hallucinations, general distortions, word salads, tangential thinking, flat affect, incoherence, or any other conventional criterion used to diagnosis psychosis. The psychosis was, in derivative form, exclusively reflected in the delusion, which was a distortion, but highly specific, one that did not contaminate other aspects of the subject’s cognitive organization.


Intrusive Memory Substitute Object Flat Affect Delusional Thinking Avid Reader 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Henry Kellerman
    • 1
  1. 1.Postgraduate Center for Mental HealthNew YorkUSA

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