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39. In fact, history is replete with instances of persons
suffering from even paranoid schizophrenia, becoming
great achievers. One such case has found its way even
to the law books (if not to the law courts, about which
there are no records), with the Karnataka High court
referring to the same in one of its judgments. In Para
24 of its decision in Shilpa vs. Praveen (AIR 2016
Kant 169), the Karnataka High Court, recorded the
following: At this stage, we are reminded of a story of
success portrayed by Sylvia Nasar in the Biography, A
Beautiful Mind (published by Simon & Schuster, as
well as a Film of the same name) of John Forbes Nash
Jr., an American Mathematician, born on June 13,
1928. He started showing symptoms of mental illness
and spent several years at Psychiatric Hospitals and
was treated for paranoid schizophrenia. After 1970,
he refused further medication and his condition
improved. Thereafter he was never committed to
Hospital again. He recovered gradually with the love
and care of his divorced wife whom he remarried in
2001. He gradually returned to academic work by
mid-1980s. He was awarded the 1994 Nobel Memorial
Prize in Economic Sciences for the thesis, which
earned him Ph.D. Degree in 1950. He was both a
Mathematician and Economist. He made
groundbreaking work in the area of real algebraic
geometry. He published number of theorems to his
credit and was awarded prestigious Abel Prize in
2015.
18
Paranoid Schizophrenia, Paranoia and
Paraphrenia - Paranoia is now regarded as a mild
form of paranoid schizophrenia. The main
characteristic of this illness is a well elaborated
delusional system in a personality that is otherwise
well preserved. The delusions are of a persecutory
type. The true nature of the illness may go
unrecognized for a long time because the personality
is well preserved, and some of these paranoiacs may
pass off as social reformers or founders of queer
pseudo-religious sects. The classical picture is rare
and generally takes a chronic course.
Paranoid schizophrenia, in the vast majority of cases,
starts in the fourth decade and develops insidiously.
Suspiciousness is the characteristic symptom of the
early stage. Ideas of reference occur, which gradually
develop into delusions of persecution. Auditory
hallucinations follow which in the beginning, start as
sounds or noises in the ears, but become fixed and
definite, to lead the patient to believe that he is
persecuted by some unknown person or some
superhuman agency. He believes that his food is
being poisoned, some noxious gases are blown into
his room and people are plotting against him to ruin
him. Disturbances of general sensation give rise to
hallucinations, which are attributed to the effects of
hypnotism, electricity, wireless telegraphy or atomic
agencies. The patient gets very irritated and excited
owing to these painful and disagreeable
hallucinations and delusions.