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THE NATURE OF DELUSIONS AND THE MECHANISMS OF DELUSION FORMATION

Аuthors: A. V. Kustov, Yu. A. Alieksieieva

Pages: 296–307

Abstract

         

Despite the fact that the clinic of delusional disorders is known, described, studied from different perspectives, their nature is still an unexplored area of ​​psychiatry. It is not clear what psychological processes and mechanisms are involved in the formation of delusions, what mental material forms the basis for its clinical diversity, why delusions, despite the existential differences in people's lives, have the stable forms and a stereotypically repeating semantic structure. Biologically oriented medicine does not provide answers to these questions.

Therefore, the aim of this publication was to create a model in which, by analyzing, comparing, generalizing the positions of individual concepts recognized in psychology, one could find answers to emerging questions, try to discover the nature of delusions, understand the processes and mechanisms underlying in its formation and identify those links that will help to optimize the processes of therapy and reveal the possibilities of psychocorrection.

For this purpose, certain provisions of the theory of K. Jung on the collective unconscious and archetypes, which are actively developed in archetypical psychology, were used. To understand the basis on which archetypical concepts and images are structured, the principles and laws that are the basis of Gestalt psychology were involved. Convenient conceptual elements became firstly developed in psychoanalysis, and then in general psychology the notions of projection and reflection, which are traditionally considered separately. From our point of view, projection and reflection are a single mechanism based on the universal principle of the continuum, which underlies in the organization of virtually all dynamic interactions of mental activity. Thus, the delusional states are a complexly organized form of pathology, which is well revealed first of all from the positions of the regularities already studied and known in psychology. Analyzing these processes, we came to the conclusion that the recognized positive effect of neuroleptic and anxiolytic drugs in delirious therapy can be studied using psychological criteria for treatment of pathology. Another important conceptual point. The study of pathology can be the key to understanding some important aspects of the normal functioning of the psyche. Such a problem is the pathology of faith and its destructive form, which is an important pathogenetic link in the formation of delusional states.

Keywords: archetypes, concepts, gestalt, projection, reflection, destructive faith.

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