TY - JOUR PY - 2013// TI - Pain as a symptom of psychotic disorder JO - Bolest A1 - Kucerova, H. SP - 176 EP - 178 VL - 16 IS - 4 N2 - Pain is usually connected with an organ disturbance. But there are some types of pains that are not based on the somatic disorders, but on some kind of psychosis. The patients feel the real pains as a somatic or visceral hallucinations and they produce hypochondriac delusions of a hard illness or paranoid delusions of being hurt. Some of the patients want to be more and more examined by doctors, some of them are even operated but without a good effect. These somatic hallucinations and hypochondriac delusions are dangerous because of the possibility of the suicide. The author presents two case reports. The first one is a young man with schizophrenia who felt a big pain because of auditive and visual hallucinations of people shooting some arrows on him. The second casuistic is a woman of 58 suffering from schizophrenia for 35 years who had various burning pains that were moving round her body, e.g. from the feet to the mouth, to the back, to the stomach etc. There is sometimes difficult to recognize what kind of pain the patient has, so there is indicated to do all necessary somatic examinations. If they are negative we should think of the possibility of the psychosis.

Language: cs

LA - cs SN - 1212-0634 UR - http://dx.doi.org/ ID - ref1 ER -