RESUMO
Narcissistic Personality Disorder (NPD) causes problems in many areas of life, such as relationships, occupational field or financial affairs. Narcissistic personality disorder individual generally unhappy and disappointed. They believe they deserve admiration. According to Acharya Charak, Unnmad, is the Manasvyadhi is which understood as the disturbed condition of the Manas (mind), Buddhi (understanding), Samjna (consciousness), Gynana (perception), Smriti (memory), Bhakti (inclination), Sheela (character), Chesta (behaviour), and Achara (conduct). As a result, Citta gets disturbed and in turn causes impairment of Budhhi. Due to this, the individual person feels different sign and symptoms like loss of confidence, irrelevant talk, biased willing and thinking, deprived memory, decision and responsiveness. The signs and symptoms of Asura Graha Unmada (AG) such as Jihma Drishtim, Dushtaatmaanaam, Krodhanam, Atruptam, Sasweda Gaatram, Deva, Braahmana, Guru Dveshinam, etc show similarity with deceitfulness, exploitation, antisocial, aggressiveness, impulsivity, negative emotionality, grandiosity, dysphoria, alcohol abuse, and physical violence features commonly found in various personality disorders such as Anti-Social Personality Disorder (ASPD) , Bipolar Disorder (BD), and NPD and others personality disorder or comorbid condition among them. Manasa Vyadhi, Graha Rogas are less focused topic in Ayurveda. The aim of this article to explain Asura Graha Unmada and its correlation with contemporary view. After proper review it is concluded that the signs and symptoms of Asura Graha (AG) Unmada such as Jihma Drishtim, Dushtaatmaanaam, Krodhanam, Atruptam, Sasweda Gaatram, Deva, Braahmana, Guru Dveshinam, etc shows similarity with various personality disorders.
RESUMO
OBJECTIVES: The Objective of this case report is to present basic materials of clinical symptomatologic study in narcissistic personality disorder by reviewing a case diagnosed as narcissistic personality disorder with brief psychotic episode. METHODS: The subject was a psychiatric inpatient diagnosed concomitantly as narcissistic personality disorder and brief psychotic disorder by DSM- IV. Practical clinical diagnostic process for narcissistic personality disorder was applied and reviewed. Clinical characteristics of brief psychotic episode in narcissistic personality disorder such as precipitating psychological factors, main psychotic symptoms, and course were investigated as well. RESULTS AND CONCLUSION: For diagnosing narcissistic personality disorder, it is essential besides superficially manifested symptoms, to search for underlying psychological meanings of those symptoms, careful observations of behavior and attitude, and to take reliable informations from family or relatives. In case of encountering blow-out of pathologically inflated grandiose self mainly in middle age, brief psychotic episode could be broken out. Main features of the episode were affective symptoms, failure in impulse and behavior control, and perceptual disturbances rather than thought disorder.