Delusional Disorder Structured on Antisocial Vein/ Absence of Empathy and Remorse

Motivation behind choosing the subject: Forensic psychiatry is always a challenge by raising the issue of discernment when committing an antisocial act. The fact becomes all the more interesting as it is not a schizophrenia case, but other diagnoses in the psychotic spectrum, but which maintain a better contact with reality and a greater social functioning. Study Questions: Paranoid schizophrenia can overlap high emotionality, lability, the richness of the affective life being supported by the nature of the delusional idea. Objective: We want to present the life history of a patient with AHC filled with heritability for the paranoid spectrum, whose diagnosis ranged from Polymorphic Personality Disorder with Psychotic Decompensation to Delirious Disorder for ten years, during which he had two prolonged admissions between a hospital of maximum security and special measures. Results: The patient presents disorders predominantly in the register of thought, delirious ideation of persecution, prejudice, with the disorganization of thought and language (predominantly in writing, with jargonophasia and the intrication of the delusional idea totally discordant of context, without neglecting the total absence of empathy, both the patient, as well as that of his brother, related to the disappearance of their mother for several months who suffers from Alzheimer's disease. This, together with the lack of insight, enhances the danger, together with the pathology that dictated the last hospitalization (repeated threats with stabbing to the address to some unknown people). Conclusions: The high doses of antipsychotic and timostabilizing medications acted on the thinking component, but less on the axis II disorder, failing to modulate the affectivity, the aspect of psychopatoidization remaining evident.