“No Writing!”: A Case of Delusional Self-Incrimination
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.
KeywordsIntrusive Memory Substitute Object Flat Affect Delusional Thinking Avid Reader
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