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Question
Read the following case study and answer the question that follows:
| Sundar, a college-going 20-year-old male, has moved from his hometown to live in a big city. He has continuous fear of insecurity and feels that enemy soldiers are following him. He gets very tense when he spots anyone in a uniform and feels that they are coming to catch him. This intense anxiety is interfering with his work and relationship, and his friends are extremely concerned as it does not make any sense to them. Sundar occasionally laughs abruptly and inappropriately, and sometimes stops speaking mid-sentence, scanning off in the distance as though he sees or hears something. He expresses concern about the television and radio in the room potentially being monitored by the enemies. His beliefs are fixed and if they are challenged, his tone becomes hostile. |
Define delusion and inappropriate affect. Support it with the symptoms given in the above case study.
Solution
Delusion is defined as a false belief that is firmly held on inadequate grounds, It is not affected by rational argument, and has no basis in reality. Delusions of persecution are the most common in schizophrenia. People with this delusion believe that they are being threatened, attacked, or deliberately victimized. Sundar feels threatened by anyone in a uniform who is trying to catch him, just as in the example given.
Inappropriate affect: Sundar occasionally laughs abruptly and inappropriately, and occasionally he pauses mid-sentence, indicating emotions that are inappropriate for the circumstance.
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