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Psychosis Versus Neurosis

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Psychosis Versus Neurosis



What is psychosis?
A psychiatric disorder in which the thoughts, affective-response, ability to recognize reality, and ability to communicate and relate to others shows impairment sufficient to interfere grossly with the capacity to deal with reality. The classic characteristics of psychosis are.


Impaired reality testing
Hallucinations
Delusions
Disorganization.

Psychosis
  1. Insight is absent in patients with psychosis. 
  2. In patients with psychosis, there is an impairment in judgment and reasoning. 
  3. They lose contact with reality. For example, they believe in the voices they hear. 
  4. Delusions are often present. Delusions are psychotic features and are never normal (if a belief meets any criteria of normality, it's not a delusion). 
  5. True hallucinations are present, even though hallucinations, especially hypnagogic and hypnopompic hallucinations, also occur in normal people.  
  6. Patients with psychosis may exhibit changes in personality, especially patients with schizophrenia with a chronic course. 

Neurosis

  1. In patients with neurosis, insight is present to a greater extent.  
  2. there is no impairment in judgment and reasoning in patients with neurosis. 
  3. These patients do not lose contact with reality, so, for example, even if they experience hallucinations, they acknowledge them as being abnormal. 
  4. Delusions do not occur in patients with neurosis. 
  5. True hallucinations are usually absent, except for hypnopompic and hypnagogic hallucinations. 
  6. Change in personality is unusual. Patients with repeated traumatic experiences may still exhibit personality changes. 

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