Sunday, July 21, 2024

What is ‘paraphrenia’ and why it Causes?

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Paraphrenia is one of the most serious mental disorders

Paraphrenia is one of the most serious mental disorders. The disease is a chronic mental disorder very similar in characteristics to paranoid schizophrenia. Because it does not progress as rapidly as schizophrenia, and its seriousness is not as visible in society as the schizophrenic patient, it is often overlooked, which it should not be. Delusions and hallucinations are the main symptoms of this disease. In 1913, German psychiatrist, Emil Kraepelin classified paraphrenia into four types. But later other psychiatrists disagreed with that classification and many other categories were added or removed.

People with this disorder may experience delirium, and the delirium is often long-lasting. In addition to this delirium, their five senses also give them various information. They can see, hear, taste, touch, or smell something even if it doesn’t exist. The cause of paraphrenia has not yet been definitively discovered, but some influencers cannot be avoided.

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Among the causes seen so far in history, neurogenerative disorders, tumors, or cerebral vascular accidents are the main causes. Much is still unknown about the disorder, and it has not even been included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). In general, therefore, the disease is still regarded as an ‘atypical psychosis’ or ‘xizoaffective disorder’, or a ‘delusional disorder’. The onset of the disease is usually between the ages of 30 and 45, but it is more common in older people. And when sixty-five people have various types of delusions, they are also called paraphrenic. Moreover, it is quite common to have limited dementia with this paraphrenia.

Although not all causes of paraphrenia have been discovered yet, some common causes include: emotional disturbance, social isolation, stress (loss of a loved one, being discriminated against, being deceived, receiving insults or threats, etc.). Also being lonely, not getting proper education etc can also cause this disease. It is very normal to originate from any kind of mental disturbance or suffering. Many times a person suffering from this disease sees illusions or hears something that does not actually exist. But it is not possible to make them believe that. They rely on false beliefs. False memories drive them away. Such memories float in their minds, which actually never happened. Many people suffering from this disease think of themselves as kings or rulers, they think they have a lot of responsibility to change the world. Many consider themselves immortal, while others claim divine origin. They appear to be quite arrogant, shrouded in mystery.

Case study 1
Mrs. Anwara is 65 years old. The eldest son lives abroad, the middle son lives in the village. He lives in Chittagong city with the other two sons. Both daughters are married and live in their own homes. Anwara loves her grandchildren very much. He is hard of hearing. The son has bought a machine, and if it is not installed, even if he shouts something ten times, he often does not hear it. Again, many times he noticed the movement of the lips. It also causes a lot of trouble in the family. The son’s daughter-in-law might be saying to her daughter, ‘Do you see if Grandfather has a drink, or should he bring it?’

In this way, there is a lot of chaos in the world. And when Paru came in the evening, Anwara told him these things. He got along well with Paru. He loves her very much. After getting the sap and stalks of guava from the garden, Anwara hides it in a water bottle saying that he will give it to Paru to save everyone’s eyes. How many sons, daughters-in-law, their sons and daughters are there in that world, but the Anwars are only looking for a way to come. Paru is the first child of his elder daughter’s house, and Paru is a bit of a different metal. From that birth to the time of Anwara’s death, it was as if she kept this ageless friendship intact. The old woman had a lot of sadh to see Paru’s groom, she fulfilled Paru’s sadh, then the old woman’s sadh woke up to see Paru’s child, she also fulfilled that sadh. On January 7, 2009, Paru gave birth to a daughter, Ana, and Anwara left Ihdham on February 7. I still can’t forget the pain of losing that life’s signature. Paru has never been so close to anyone else in his life.

Anyway, let’s get back to the main story. Anwara, who is busy with prayer-Quran alone all day, chews alone, and looks out the window, when the afternoon will come and her granddaughter, Paru, will come to see her. He loves his granddaughter very much. Everyone around is surprised by the love of the two. How Paru’s age girls spend their time in adolescence, youth and youth, and how Paru does or doesn’t do all those things in the world as if she visits Grandpa’s every day, listens to Grandpa’s hidden stories, chews bean with Grandpa, plays Ludo, how does Grandpa spend her evenings. Paru fills with laughter and light. This signature, Paru’s signature since birth. That evening when Paru went to see Grandpa after coming back from college, Grandpa said, “Sit down, I have made pitha for you, I am bringing it.” Grandpa got up, returned with a huge box of biscuits, Paru’s heart fluttered with happiness as she opened it. Flowers on the back! Whenever Paru’s favorite pitha runs out, Grandpa makes it again like this, filling the finished tin with a huge orange cookie. Feeling quite happy, Paru returned home with it, carefully hiding the box under his bed.

One day both of them were playing Ludo in Chibu in Pan Chibu in the evening. Suddenly Grandpa said, Azan has been given, I will pray and then I will play again. Paru is surprised and thinks, Grandpa doesn’t have a machine in her ear, how did Grandpa hear the Azan? Moreover, he himself did not hear the call to prayer? The mosque is far away from this house, the call to prayer is not supposed to be heard. Usually when it is time for adhan, or when the sound of adhan is played on TV, some of the grandchildren come and tell Anwarah that it is time for prayer. Today the brothers are all playing downstairs, the TV is off as there is no one at home, so no sound of Azan was heard from anywhere, Paru is quite sure about this. Still he quietly said ‘OK’ and got up. Grandpa performed ablution and prayed and started playing with Paru again.

Then one day Grandpa said, ‘Ayatul Kursi is being read in my ear all the time.’ All the boys, girls and women try to explain, either they are in the jinn, or these are imaginations. But Paru doesn’t say anything, just listens quietly with great interest. The old woman likes Paru more, loves her even more, because Paru at least did not look at her with mockery and disbelief like others! Innocent admits to a serious illness, called paraphrenia.

next week Paru and Anwara are sitting in the evening chewing bean and watching Bengali news on television. Suddenly Anwara said, ‘Hey, look, what a great scent of white flowers! Who brought so many flowers, see!’ Paru began to dry around, but nowhere could the fragrance of any belli flower be found. Saying this, Anwara said, ‘What’s wrong with your nose? You do not get such beautiful surroundings? Go and see, who brought so many flowers?’

To please the old lady, to keep her mind, Paru came round the whole house. But there is no floral fragrance anywhere. If someone else had said that, there would have been an uproar in the house. The old woman used to cry with tears in her eyes and thought that no one believed her. But Paru is intelligent. He said very casually to Grandpa, ‘It seems that someone has taken flowers while passing by, and you have smelled them. Nobody brought any flowers inside this house today.

So far there was nothing to worry about. But the disease continued to grow. And it maintained its supremacy till Anwara’s death.

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