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Published online by Cambridge University Press: 13 August 2021
The term pathological pseudoreligiosity (PPR) has been chosen for description of mental disorders with religious content (MDRC), accompanied with distortion of acceptance and assimilation of religious convictions, and with significant changes in patient’s religious behavior and way of life.
To assess the entire spectrum of mental pathology with religious content and relate it to the depth of mental disorder.
857 patients (300 males, 557 females), with religious worldview and mental disorders were observed with psychopathological and follow-up methods.
The pathological pseudoreligiosity was detected in 326 patients – 38%. Follow-up period estimated mean 9,5 years. Next mental disorders with religious content were identified and described. Specific PPR types were correlated with register of the depth of mental disorder (K. Schneider):
Types of PPR | Pts | The register of mental disorders | |
Toxic faith | 6 | 1,8% | Personality disorders |
Anorexia due to overvalued religious convictions | 12 | 3,7% | Neurotic register |
Depressive with congruent religious ideas of sinfulness, feeling of being abandoned by God | 63 | 19,3% | Affective register |
Depressive states with overvalued doubts of belief choice. | 11 | 3,4% | |
Overvalued religious behavior | 13 | 4% | Affective-delusional |
Delusion of spiritual hypochondria | 7 | 2,2% | Delusional |
Eschatological delusion | 21 | 6,4% | |
Anorexia in the form of delusional behavior with religious contents | 11 | 3,4% | Hallucinatory-delusional |
Apocalyptic delusion | 32 | 9,8% | |
Religious delusion | 138 | 42,3% | |
Religious standing, stiffening, mutism | 4 | 1,2% | Catatonic |
Fragmentary religious ideas | 8 | 2,5% | Organic |
Management and treatment of patients suffering from MDRC with pathological pseudoreligiosity requires a particular approach. The consideration must be given to religious content of mental disorders and to clinical specifics of these disorders.
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