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Organic Delusions: Phenomenology, Anatomical Correlations, and Review

Published online by Cambridge University Press:  29 January 2018

Jeffrey L. Cummings
Jeffrey L. Cummings*
Affiliation:
Neurobehaviour Unit, 256b (691/B111), West Los Angeles Veterans Administration Medical Center (Brentwood Division), 11301 Wilshire Boulevard, Los Angeles, California 90073, United States
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Summary

Organic delusions are common, but have received little systematic study. Review of the literature reveals that they occur most commonly in toxicmetabolic processes and in disorders affecting the limbic system and basal ganglia. A prospective study of 20 consecutive patients with organic delusions revealed four general types of false beliefs: simple persecutory delusions, complex persecutory delusions, grandiose delusions, and those associated with specific neurological defects (anosognosia, reduplicative paramnesia). Simple delusions responded best to treatment, and complex delusions were more resistent. Acting on delusional beliefs was not unusual, and treatment of the delusions was an important aspect of management of the patient.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 146 , Issue 2 , February 1985 , pp. 184 - 197
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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