Predisposing factors

• Paranoid personality characteristics: paranoid personalities (see Chapter 7) are abnormally sensitive and conscious of their own rights, tend to see other people's behaviour as hostile, and are prone to develop ideas of reference. Overvalued ideas have often been present throughout adult life and have influenced the patient's choice of lifestyle; for example, the patient lives alone with minimal social contacts. The personality disorder may not present medically, but it colours the presentation of a superimposed mental illness. For example, a paranoid person who becomes depressed might not trust doctors or might suspect that medication is poisonous.

• Deafness, and other forms of sensory deprivation.

• Social isolation.

• Cultural isolation; for example, that due to migration.

0 0

Post a comment