思春期発症の精神分裂病の経過中に思春期妄想症様症状を呈した一例

Abstract

We report a case of adolescent-onset schizophrenia which showed adoles- cent-paranoia-like symptoms in the course. Adolescent paranoia is a clinical entitity in which the individual has discomforting delusional conviction against someone close to him because of self-convinced physical abnormality and fear of emitting body odor, eye-to-eye confrontation, and so on. Adolescent paranoia has also been considered to be a severe type of anthropophobia and related to hypersensitivity in interpersonal relationships. The 21- year-old male schizophrenic patient demonstrated the psychiatric symptoms, which consist- ed of auditory hallucination, delusional mood, delusion of persecution and adolescent- paranoia-like symptoms. He had a hypersensitive and narcissistic personality ; therefore, his adolescent-paranoia-like symptoms might be linked to his hypersensitivity in interper- sonal relationships, which occurred in his mind when he faced the gap between his ego and his narcissistic ego ideal.