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2018 ; 9
(ä): 306
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Bleuler s Psychopathological Perspective on Schizophrenia Delusions: Towards New
Tools in Psychotherapy Treatment
#MMPMID30065668
Arantes-Gonçalves F
; Gama Marques J
; Telles-Correia D
Front Psychiatry
2018[]; 9
(ä): 306
PMID30065668
show ga
The authors begin by addressing the historical evolution of the delusion concept
and its different approaches, focusing afterwards mainly on the work of Bleuler,
who stressed the proximity between delusions and the emotional life of patients
with schizophrenia. I Therefore, the present work intends to review the main
aspects of the theory of delusion formation in schizophrenia according to
Bleuler's psychopathological perspective. For that purpose, first the role of
delusions in the psychopathology of schizophrenia is explored in a close relation
with the Bleuler's fundamental symptoms (Alogia, Autism, Ambivalence, and Affect
Blunting) nowadays known as negative symptoms. Then, persecutory, grandiosity and
sexual delusions in schizophrenia are described according to the tension between
logic and affects, as well as, internal conflict, schizoid features, and
auto-erotism as key psychopathological pathways. Thus, with this subjective
perspective, it is intended to highlight Bleuler's psychopathological
contribution to the affective and meaningful causality of delusions in
schizophrenia. The former might be useful in the integration with other
psychopathological phenomena (hallucinations and negative symptoms) and new forms
of research and therapeutic approaches in this disorder that are complementary
with the contemporary tendencies in psychopathology.